Exam (elaborations)
SHARP ESO/MOCK QUESTIONS AND ANSWERS
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SHARP ESO/MOCK QUESTIONS AND ANSWERS
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SHARP ESO/MOCK QUESTIONS AND ANSWERSIf IV access unavailable, what meds can you administer through endotracheal route? -
Answers -Narcan, Atropine, Epinephrine
What dosage can you administer Narcan, Atropine, Epinephrine through ET tube? -
Answers -2-2 1/2 times the IV dose diluted in 10 mL NS flush
Tx: Asystole - Answers -CPR for 2 min.
O2 at 15L via Bambu bag,
Epinephrine 1 mg IVP repeat q 3-5 min
Tx: Bradycardia - Answers -O2 at minimum 10L/min nonrebreather mask, Atropine 0.5
mg IVP/IO, repeat q 3-5 min (max 3mg),
transcutaneous pacing as soon as available
Dopamine for Bradycardia - Answers -If atropine ineffective, start Dopamine 400
mg/250 mK D5W at 5 mcg/kg/min, titrate up to 20 mcg/kg/min.
Respiratory Depression due to narcotics/benzo - Answers -O2 at min 10 L NRBM
Narcan 0.1 mg IVP q 1 min if RR <10
Narcan 0.4 mg IVP once if apnea
Flumazenil o.2 mgIVP for benzo
Respiratory Distress- causing ALOC, cyanotic nail beds - Answers -O2 at min 10 L
NRBM
Stat portable CXR
if bronchospasm, Albuterol 0.5 mL in 3 mL NS
RRT to get ABG
Use non-invasive ventilation for COPD, Asthma, CHF
Status Epilepticus - Answers -Protect airway, protect from injury
O2 at min 10 L NRBM
Ativan 2 mg IVP
Draw Na, K, glucose, BUN, Cr, and anticonvulsant levels as poss
Severe anaphylaxis - Answers -O2 at min 10 L NRBM
Epinephrine 0.3 mg IM, repeat in 5 min if no improv
If no response, give epinephrine 0.1 mg IV
Solucortef 100 mg IVP
Benadryl 25 mg IVP
Infuse 250 mL NS
If Dopamine ineffective, start epinephrine drip 2 mg/250mL NS at 2 mcg/min, titrate up
to 10 mcg/min
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