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11 Cards in this Set

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Patient: 27 y.o.f.
C/C: her heart started racing while she was eating a bowl of cereal.
Monitor indicates PSVT (sinus Tach is ruled out) No prior hx
Status: stable

What is your treatment?
1. Attempt Valsalva maneuver with ECG monitor contineously running.

(If not converted by valsalvo maneuver)
2. Administer 12 mg Adenosine rapid IV push followed by 20 mL saline rapid IV push / if no conversion in 1 or 2 minutes, administer another 12 mg. dose of adenosine followed again by 20 mL saline rapid IVP.
Patient: 27 y.o.f.
C/C: her heart started racing while she was eating a bowl of cereal.
Monitor indicates PSVT (sinus Tach is ruled out)
No prior hx
Status: Unstable conscious (signs of hypoperfusion are present)

What is your treatment?
Administer 2.5 mg to 5 mg (up to 10 mg max) diazapam prior to immediate synchronized cardioversion at 70, 100, 200, 300, 360 j.
Patient: 27 y.o.f.
C/C: her heart started racing while she was eating a bowl of cereal.
Monitor indicates PSVT (sinus Tach is ruled out)
No prior hx
Status: Unstable/Unconscious

What is your treatment?
Immediate synchronized cardioversion at 70, 100, 200, 300, 360 j.
Patient: 18 y.o.m.
C/C: SOB
Hx of Asthma
Respirations are 19 and labored with audible wheezing

What is your treatment?
Treatment: O2 with 2.5 mg albuterol.

If no improvement after first dose, combine with 2.5 mg Ipratropium Bromide (Atrovent) for doses 2 and 3.
Patient: 18 y.o. pregnant female.
C/C: SOB
Hx of Asthma
Respirations are 19 and labored with audible wheezing.

What is your treatment?
Call Medical control. Albuterol is contraindicated for pregnant patients except for life threatening situations due to it's "smooth muscle relaxant" properties causing possible premature labor.
Patient: 55 y.o.m.
C/C: SOB
Hx of COPD
Respirations are 19 and labored with audible wheezing
SPO2 is 85%

What is your treatment?
O2 with 2.5 mg albuterol inhaled. Titrated to achieve between 88% to 92% SP02. May be repeated two more times q 5 to 15 minutes if improvement noted. If no improvment, combine with Atrivent (Ipratropium Bromide) for doses 2 and 3
Patient: 15 y.o.m.
C/C: Difficulty breathing secondary to chemical toxins
Respirations are 19 and labored with audible wheezing.
SP02 is 94%

What is your drug treatment?
2.5 mg albuterol q 5 to 15 minutes/if improvement, two more doses may be given.

If no improvment, combine with Atrivent (Ipratropium Bromide) for does 2 and 3
24 y.o.m with urticaria and wheezing after working in the yard. Patient complains of difficulty breathing but is conscious and alert. You have administered 0.3 mgs of Epinephrine SQ and 50 mg of Diphenhydramine five minutes ago and the urticaria has begun to subside but the epinephrine has had little effect on the wheezing and difficulty breathing.

What is your next drug to administer?
2.5 mg albuterol q 5 minutes for a total of three doses.
You arrive at the home of a 63 y.o.m. who became unresponsive while sitting and watching television. When you arrive, he is pulseless and apneic. The monitor reads sinus bradycardia. You have been performing CPR on the patient for two full minutes with high-flow Oxygen. After the administration of 1 mg Epinephrine 1:10,000 IVP, what other drug do you need to immediately prepared for this patient?
1 mg Atropine rapid IV push max dose 0.4 mg/kg (usually approximately three doses for adults).
You arrive at the home of a 15 y.o.m. who is "acting funny and doesn't look right" according to his mother. When you begin your assesment, you notice that the patient's skin is red, hot and dry. Pt. complains of blurry vision and is agitated easily and cannot seem to sit still. What drug do you suspect this patient may have taken and what toxidrome does the drug belong to?
Atropine belongs to the anticholinergic toxidrom
You are called to the home on a possible poisoning. When you arrive, you find your patient unconscious and unresponsive in the yard. Patient was working in the yard according to neighbors and spraying something around the foundation of the home. The pt. presents with frothy mucus from the mouth and nose as well as lacrimation from the eyes and heavy sweating. What do you suspect and what is your drug treatment?
Organophosphate poisoning.
2 mg rapid IV Push Atropine q 5 to 15 minutes until secretions diminish.