Scenario Supreme

Question 1

A 65 year old patient presents with severe chest pain, diaphoresis, and vomiting. You administer (medication, concentration, route, dose, units/ml) which improves outcomes:

Answer 1

ASA 324 mg PO
Platelet aggregate inihibitor

Question 2

A 5 year old presents with severe respiratory distress, expiratory wheezes, and urticaria. You administer (medication, concentration, route, units/ml):

Answer 2

Epinephrine [1:1000], IM, 0.20 mg/ ml max. 0.3
Nebulizer 5 mg Albuterol and 0.5 mg ipratropium bromide
Fluid bolus 20 ml/kg = 400 ml
Benadryl H-1 blocker/ antihistamine, 1 mg/ kg = 20 mg IV/ 50 mg IM
Epinephrine (0.01 mg/kg) 0.2 mg/ml [1:10,000] SIVP with IV

Question 3

A patient received lidocaine. The patient developed slurred speech, tinnitus, circumoral numbness and tingling. You are concerned about:
A- Disseminated intravascular coagulation
B- Pulmonary embolus
C- Cardiovascular collapse
D- Cerebrovascular accident (CVA)

Answer 3

C- cardiovascular collapse- systemic exposure to lidocaine can result in CNA and cardiovascular effects.

Question 4

A patient was involved in an MVC and presents with unequal chest rise, crepitus to the L chest, and diminished LS on the L, and is hypoxic and hypercapnic. Condition & Management:

Answer 4

Flail segment
PPV

Question 5

A lucid interval is indicative of ?
Which is usually a result of (rupture to)?

Answer 5

Epidural hemorrhage
Rupture to the middle meningeal artery