Save
Busy. Please wait.
Log in using Clever
or

show password
Forgot Password?

Don't have an account?  Sign up 
Sign up using Clever
or

Username is available taken
show password

why


Make sure to remember your password. If you forget it there is no way for StudyStack to send you a reset link. You would need to create a new account.
Your email address is only used to allow you to reset your password. See our Privacy Policy and Terms of Service.


Already a StudyStack user? Log In

Reset Password
Enter the associated with your account, and we'll email you a link to reset your password.
focusNode
Didn't know it?
click below
 
Knew it?
click below
Don't know
Remaining cards (0)
Know
0:00
share
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.

  Normal Size     Small Size show me how

Emergencies

QuestionAnswer
Airway obstruction secondary to posterior positioning of the tongue or a foreign body #1 A.100% O2 via nasal mask, B. place patient Tren.Burg. Position, C. digital traction of tongue with gauze/tongue forceps/hemostat or tongue suture, D. suction the oropharynx.
Airway obstruction secondary to posterior positioning of the tongue or a foreign body #2 if tongue continues to fall into throat. A. nasopharyngeal airway can be utilized in a conscious or semi con. PT., B. unconscious patient an oropharyngeal airway can be used, C. consider using LMA or supraglottic airway. D. Endotracheal intubation
Airway obstruction secondary to posterior positioning of the tongue or a foreign body #3 cricothyrotomy A. Cleanse the overlying skin. B. Locate cricothyroid membrane by palpation. C. Utilize emergency cricothyrotomy needle/ cannula kit or large gauge to enter trachea beneath vocal cords through crico. membrane. D. Attach tube to oxygen source 100% O2
Laryngospasm 1. 100% O2 via Basel hood, 2. Head position to maintain airway, 3. Pack off surgical site, 4. Suction oral cavity/ oropharynx with tonsil suction, 5. Positive pressure 100% O2 bag mask system
Bronchospasm 1. 100% O2 bag mask, 2. Albuterol, 3. Ipratropine bromide, 4. Epi. Injection, 5. Intubation/ventilation, 6. Steroid injection such as dexamethasone, 7. Benydryl, 8. Aminophylline no longer considered first. 9. EMS if all else fails
Emesis with aspiration 1. Act. EMS protect IV catheter, 2. 100% O2 bag/mask, 3. Turn PT. On side with head down T.burg, 4. Tonsil suction, 5. Removal of visible foreign bodies with laryngoscope and magill forceps, 6. Intubation with suction catheter. 7. Transport to care fclty.
Hyperventilation 1. Terminate tx. Remove foreign bodies from mouth, 2. Maintain airway, 3. Verbally try to calm PT. 4. Monitor vitals, 5. Do not give O2, 6. Have PT. Breathe into bag.
Hyperventilation Advanced 1. Non sedated patient fails to respond, administer IV medazolam, diazepam, propofol, etc. 2. Con. Monitor vitals, 3. Discontinue rebreathing bag as breathing returns to normal, 4. Activate EMS if condition deteriorates.
Myocardial Infarction 1. EMS closely observe vitals, 2. 100%O2, 3. Make PT. Comfrtble/ reassure, 4. Attach AED or defib, 5. Aspirin 325mg, 6. IV access w/ normal saline slow drip, 7. Morphine for pain 2-4mg IV. Repeat every 5-10 min as needed.
Symptomatic bradycardia 1. Terminate procedure, 2. 100%O2, 3. IV if not already placed, 4. Atropine 0.5mg ( no more than 3mg) 5. PT. May need to to transported to ER for transcutaneous pacing
Supraventricular tachycardia 1. Supine position, 2. Adenosine 6mg IV push over 1-3 sec. followed by immediate flush of 20cc saline. Asystole may occur 6-10 secs. 30 at most. 3. After 1-2 min, Adenosine 12mg. Rapidly flush as above. 4. Third dose may be given 1-2 min if needed.
Premature ventricular contractions 1. Determine cause of PVCs ( e.g., hypoxia) and correct, 2. Lidocaine 0.5 - 1.5mg/kg IV; repeat 0.5 - 0.75 mg/kg every 5 - 10 min. Up too 3mg/kg
Ventricular tachycardia 1. 100% O2., 2. Amiodarone 150 mg IV over 10 min. Max dose 2.2 gms in 24 hours. 3. Prepare for synchronous cardioversion.
Ventricular fibrillation. 1. Check lead placement, if v fib. Confirmed call 911. 2. CPR, attach AED, shock if advised, 3. Con. CPR, est. IV, shock if indicated, 4. Con. CPR, give epi. 1mg IV. Prep amiodarone. 5. CPR, amiodarone 300mg, 6. CPR, epi. 1mg, 7. CPR, amiodarone 150mg,
Asystole/PEA 1. CPR, 2. Epi. 1mg IV. May repeat every 3-5 minutes. May I've one dose of vasopressin 40 U to replace 1st and second dose of epi.
Hypertension 1. Stop procedure, 2. Check monitor/cuff malfunction, 3. Determine cause(pain or anxiety) 4. Record vital signs 5 mins. 5. Consider EMS. 6. IV access. 7. Beta blockers A. Labetalol. B. Esmolol. C. Atenolol
Hypotension 1. Trendelenburg position. 2. Support airway 100% O2, monitor vitals. 3. Consider EMS. 4. IV. 5. Saline 10-20 mL/ kg. 6 Ephedrine 2.5 - 5mg IV
Intra-arterial injection 1. Activate EMS. 2. Secure catheter DO NOT REMOVE. 3. 10cc of 1% lidocaine without epinephrine Injected into catheter. 4. Ice pack to limb
Severe hypoglycemia 1. Activate EMS. 2. IV. 3. Measure blood sugar w/ glucometer. 4. 1 all of IV glucose(50 mL of 50% glucose solution) 5. IV infusion of dextrose, if no IV access then 1 mg glucagon IM
Acute adrenal insufficiency 1. Stop procedure. 2. Monitor vitals. 3. Trendelenburg position if hypotensive. 4. EMS. 5. IV access ( if not already done) 6. Steroid administration. Dexamethasone 4mg IV or IM hydrocortisone 100mg IV. 7. Fluid bolus of normal saline. 8. Trans. To hsptl
Syncope 1. Trendelenburg position. 2. ABCs. 3. Head tilt/chin lift to maintain airway. 4. 100%O2. 5. Monitor vitals. 6. If bradycardia persists, consider atropine 0.5 mg IV q 3-5 minutes to a total dose of 0.03 mg/kg. 7. Reassure and relax patient.
Seizures 1. Obtain IV access. 2. Midazolam 3mg/min IV or IM up to 6 mg or Valium 5mg IV/min up to 10 mg or 3. Continue to monitor and support. 4. Activate EMS if refractory or recurrent seizures
CVA or stroke 1. EMS note time of incident. 2. Place in position of comfort. 3. 100%O2. Mask/nasal cannula. 4. IV NS or lactated ringer. 5. Do not treat BP if > 220/120. 6. Transport to stroke center ASAP.
Allergic reaction MILD 1. Place PT. Upright. 2. 100%O2. 3. Monitor vitals. 4. Benadryl 25-50 mg orally every 4-5 hours max 300 mg/day
Allergic reaction severe / anaphylaxis 1. EMS. 2. 100%O2. 3. Monitor vitals. 4. Epi. 5. Benadryl. 6. Decadron. 7. ACLS protocols while awaiting EMTs
Malignant hyperthermia 1. EMS. 2. Hyperventilate with 100%O2. 3. Dantrolene sodium 2.5 mg/kg rapid injection IV. 4. IV cold saline( not ringers lactate) 5. Ice pack to grain, axilla, neck. 6. Cold saline lavage to stomach, bladder, rectum. 7. Transport to hospital.
Created by: Oliverhart
 

 



Voices

Use these flashcards to help memorize information. Look at the large card and try to recall what is on the other side. Then click the card to flip it. If you knew the answer, click the green Know box. Otherwise, click the red Don't know box.

When you've placed seven or more cards in the Don't know box, click "retry" to try those cards again.

If you've accidentally put the card in the wrong box, just click on the card to take it out of the box.

You can also use your keyboard to move the cards as follows:

If you are logged in to your account, this website will remember which cards you know and don't know so that they are in the same box the next time you log in.

When you need a break, try one of the other activities listed below the flashcards like Matching, Snowman, or Hungry Bug. Although it may feel like you're playing a game, your brain is still making more connections with the information to help you out.

To see how well you know the information, try the Quiz or Test activity.

Pass complete!

"Know" box contains:
Time elapsed:
Retries:
restart all cards