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Flashcards in Emergency l Deck (27)
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1

steeple sign, seal like bark cough

Croup

2

Tx Croup

self-limiting, supportive care
no F usu

3

young, toxic looking, acute onset, caused by H flu or beta hemolytic strep

epiglottitis
EMERGENCY

4

how many breaths/min until you need 02
adult
child
infant

adult - < 12, > 20
child - < 15, > 30
infant - < 25, > 50

5

Which 02 delivery methods are for unconscious ppl?

resuscitation mask, BVM

6

Which 02 delivery methods are for breathing victims only?

nasal, non-rebreather

7

Nasal cannula
% 02
who?
flow rate

24-44%
breathing victims conscious
1-6 LMP

8

Resuscitation Mask
% 02
who?
flow rate

35-55%
breathing and unconscious
6-15 LMP

9

Non-Rebreather
% 02
who?
flow rate

90+%
breathing conscious only
10-15 LMP
can place 2 inch over face of child
reservoir bag is inflated 2/3

10

BVM
% 02
who?
flow rate

90+%
breathing and unconscious
15+ LMP
can squeeze bag for more 02

11

if Stridor, consider UPPER AIRWAY OBSTRUCTION
think two causes likely

infection - epiglottitis
mechanical - choking, heimlich

12

how many heimlich thrusts? and where to thrust?

5
above umbilicus unless pregN or obese then chest

13

prevent choking in unconscious victim by

head tilt - lift chin

14

DDx choking - airway obstruction or cough?

if coughing, do not intervene

15

Choking conscious infant

5 to back
check for object
5 chest
check for object
repeat

16

Choking unconscious infant

2 breaths
check for object
2 breaths
if breaths dont go in, do compressions
30 compressions
check
2 breaths

17

What do you do if IV in pt starts anaphylactic?
SXS

keep IV in, change bag to NS
SXS: urticaria, edema, thraot sensations, increase HR, decrease BP

18

Biggest sign of anaphylactic shock?

decrease in BP, increase HR

19

Check pulses manually - what systolic BP?
radial
femoral
carotid

80 systolic
70 systolic
60 systolic

20

1:1000 EPI used for

IM, SQ
takes 2-10 min to be effective
IM 0.5-1.0 mg/mL
SQ 0.2-0.5 mg/mL

21

1:10,000 EPI used for

IV
0.1-0.2 mg of 1-2 mL
repeat q 3-5 min

22

When to use diphenhydramine and how much for anaphylactic shock?

after epi
50 mg of 1 ML IV or IM

23

Steps for anaphylactic shock:
EPI, diphenhydramine, 02, steroids
how much 02?
which steroid? how much?

15 L/min mask
if COPD, reduce to < 3L/min or max which is 3 L
IV dexamethasone 10-20 mg
IV hydrocortisone 100-500 mg
IV prednisone 30-60 mg

24

Tx anthrax with what drug

doxy or minocycline or cipro

25

Tx head injuries

with 100% 02 and as if C-spine is injured
non-rebreather if conscious
BVM if unconscious

26

BURNS grading by nine's for adults

head - 9
both arms - 9
legs - 9, 9, 9, 9
torso - 18, 18
genitalia - 1

27

Burn Tx

non-rebreather 100% 15 LPM
if 15%+ burns, IV fluid resuscitation
lactated ringer