Emergency med

Question 1

speed shock & vasovagal syncope - what happens to pulse and BP

Answer 1

both drop

Question 2

Anaphylactic shock pulse and BP

Answer 2

pulse high, BP low

Question 3

First 3 steps of oxygen therapy procedure

Answer 3

1. Open O2 tank to main valve (one full turn)
2. check pressure gauge
3. open flow meter (range 1-15 L/min)

Question 4

Nasal cannula flow rate

Answer 4

1-6 L/min

Question 5

Nasal cannula O2 concentration

Answer 5

24-44%

Question 6

Nasal cannula for what Pts

Answer 6

breathing OR COPD w/ low O2

Question 7

Pocket mask O2 conc

Answer 7

16% (mouth to mouth) or 21% (room air)

Question 8

Pocket mask with Oxygen flow rate & O2 concentration

Answer 8

6-8 L/min; 44-55%

Question 9

simple face mask: flow rate, O2 conc, type Pt

Answer 9

6-10 L/min, 40-60%; breathing or mild-mod resp distress

Question 10

venturi mask (controls humidity) - flow rate, O2 conc, type Pt

Answer 10

4-15 L/min; 24-40%; Pt breathing, COPD, Asthma, stable patients (not for non-breathing)

Question 11

Bag valve without O2 - Oxygen conc, Pt type

Answer 11

21 % (room air), Pt either NOT breathing, or breathing

Question 12

Bag valve WITH O2 - flow rate, O2 conc, Pt type

Answer 12

10-15 (FIFTEEN!) L/min; 90-100 (ONE HUNDRED!)% O2, Pt breathing or Not, Tx for Burns, apnea, inadequate respirations
- note caps letters are what Anderson said vs Book

Question 13

how to squeeze bag for bag valve )2

Answer 13

squeeze for 2 secs, every 5-6 secs for adults; every 3-5 secs for infants and kids

Question 14

Partial breathing mask - flow rate, O2 conc, Pt type

Answer 14

8-15 L/min, 60-80%, breathe or Non-breathe

Question 15

Non-rebreathing mask - flow rate, O2 conc, Pt type

Answer 15

10-15 L/min, 90-100%, for COPD, smoke or carbon monoxide, burn Pts, or Pts that need O2 but ARE breathing (not for Non-breathing)

Question 16

Epinephrine dose for IM and SubQ

Answer 16

1:1000 strength (non-IV)
- IM: 0.5 - 1 mg/mL
- SubQ: 0.3 - 0.5 mL
up to 1 mL (1 mg) total; repeat every 5-10 mins prn

Question 17

Epinephrine dose for IV

Answer 17

1:10,000
1-2.5 mL per push (0.1 to 0.25 mg IV slowly once)
- for 1mg of epinephrine, you would draw up 10ml of epinephrine (1:10,000); MAX safe dose = 1mg IV/IO q3-5 min prn

Question 18

what oxygen by mask flow rate to start for anaphylaxis

Answer 18

15 L/min (unless COPD, then 3L/min)

Question 19

dose of benadryl to give after Epi

Answer 19

50 mg (1 mL) IV

Question 20

last step after epi and benadryl of IV steroids and dose

Answer 20

administer ONE of the following IV:

• Dexamethasone 10-20 mg (2.5-5 mL)
• Hydrocortisone 100-500 mL
• Prednisone 30-60 mL