Week 8

Question 1

ETOH withdrawal
Symptomatic treatment for acute alcohol withdrawal
Diazepam

Answer 1

Diazepam- 10 mg IV, increase by 10 mg or double the dose every 5-10 minutes. Repeat dose as needed.

Question 2

ETOH withdrawal
Symptomatic treatment for acute alcohol withdrawal
Phenobarb

Answer 2

Phenobarbital- 130-260 mg as an initial loading dose for mild symptoms, and repeat dose every 30 minutes

Question 3

ETOH withdrawal
Symptomatic treatment for acute alcohol withdrawal
Propofol

Answer 3

Propofol- 5 μg/kg/minute for 5 minutes, followed by 5-10 μg/kg/hour infusion to the desired degree of sedation.
*Airway management is required.

Question 4

ETOH withdrawal
Symptomatic treatment for acute alcohol withdrawal
Lorazepam

Answer 4

Lorazepam- 2-4 mg IV, Dose may be doubled every 15-20 minutes.

Question 5

ACLS PHARMACOLOGICAL THERAPY
EPI

Answer 5

Epinephrine 1 mg IV/intraosseous (IO) as soon as feasible.

Redose 1 mg epinephrine every other cycle of CPR (q4 min)

epinephrine 1 mg IV/IO every 3-5 min.

Question 6

ACLS PHARMACOLOGICAL THERAPY
Amiodarone

Answer 6

Amiodarone 300 mg IV/IO for resistant ventricular dysrhythmias.

A second dose of amiodarone (up to 150 mg) IV may be given for persistent VF or pulseless VT.

Question 7

Changes in quantitative end-tidal CO2 can guide resuscitative interventions.
Sustained normal or near-normal values are _____________

Answer 7

≥20 mm Hg
suggest acceptable circulation from chest compressions

sudden increase suggests return of spontaneous circulation.

Question 8

Suggested initial mechanical ventilator settings:

Answer 8

Volume assist-control
Tidal volume: 6 mL/kg
Peak flow: 30 L/min
Peak pressure limit: 100 cm H2O
Respiratory rate: 10; positive end expiratory pressure: 0; fraction of inspired O2: 100%

Question 9

Subjects must meet all 3 criteria for resuscitation to be terminated prior to transportation to a hospital:

Answer 9

Unwitnessed by EMS or bystander
No automated external defibrillator or defibrillator shock delivered
No return of spontaneous circulation despite resuscitation attempts

• low risk of premature termination if the patient has had at least 20 minutes of effective resuscitation efforts

Question 10

Quantitative end-tidal CO2 parameters considered in the decision to terminate resuscitation.

Answer 10

Sustained end-tidal CO2 <10 mm Hg

Question 11

Perform perimortem C-section if return of spontaneous circulation is not achieved within ___________ time

Answer 11

4 min

Question 12

Rocky Mountain Spotted Fever Rx

Answer 12

Tick Born Illness
Doxycycline

Question 13

Rocky Mountain Spotted Fever Lab findings

Answer 13

hyponatremia, thrombocytopenia, and elevated AST.

RMSF-specific testing includes PCR of blood (preferred), serum antibody testing (develops 7-10 d after illness), or ELISA. PCR has a high false negative rate.

Question 14

For conversion of paroxysmal SVT, ______ are an effective alternative to adenosine.

Answer 14

non-dihydropyridine calcium channel blockers (verapamil and diltiazem)