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WGU D116 Study Guide – Complete With Solutions
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WGU D116 Study Guide – Complete With Solutions
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WGU D116 Study Guide – Complete With SolutionsCommon Office Emergencies (adult) Right Ans - asthma, anaphylaxis,
shock, seizures, hypoglycemia, ALOC, poisioning, drug OD, cardiac arrect
Common Office Emergencies (Peds) Right Ans - asthma, respiratory
distress, seizure, apnea, anaphylaxis, shock, epiglottis
Recommended Emergency Supplies Right Ans - AED, intubation
equipment, cardiac meds, atropine, IV fluids, BVM, BP cuff, BGM, IO needles, IV
starts, nasal airways, NG tubes, O2 masks, pulse ox, suction, nebulizers
Presentation of Anaphylaxis Right Ans - Uniphasic: minutes - 12hr post
exposure.
Protracted: 12-72H
Urticarial rash, flushing, hypotension, bronchospasm, vasodilation, smooth
muscle contraction, coronary vasoconstriction, tachycardia, arrythmias,
diaphoresis, syncope, pruritus, cutaneous wheals, angioedema, coryza, n/v,
cramping, vertigo, flushing, substernal pain, weakness, headache.
Diagnosis of Anaphylaxis Right Ans - O2, cardiac monitoring, do ABG to r/o
PE.
Labs: serum histamine to confirm, serum tryptase levels, 24H urine specimen
for histamine metabolites.
MUST R/O PE, MI, SEIZURE, HYPOGLYCEMIA, SHOCK, AND FOREIGN BODY
ASPIRATION.
Treatment of Anaphylaxis Right Ans - Adults: IM Epi 1:1000, 0.2-0.5mg IM
repeated 5-15 min w/ max dose of 1mg
Pediatric: 1:1000, 0.01mg/kg subq or IM repeated 5-20 minutes w/ max dose
of 0.3mg.
Benadryl 20-50mg adults, 1-2mg/kg children, Albuterol.
, 1-5mg IV glucagon for pts on B-Blockers.
Brown Recluse Bite Presentation Right Ans - PAINLESS bite, mild and red
lesion that becomes firm and heals, then discolors to blue w/i 24H and
necrotic in 3-4 days.
1-30cm wound, can take months to heal.
Symptoms of Brown Recluse Bite Right Ans - chills, fevers, n/v, myalgia,
arthralgia, petechiae, hemolysis, seizures
Labs for Brown Recluse Bite Right Ans - CBC, BUN, glucose, electrolytes,
glucose, creatinine, coags, and urinalysis (HEMOGLOBINURIA).
Symptoms of Black Widow Bite Right Ans - PAINFUL bite, redness,
swelling, and muscle cramping beginning from site within 30 min-12H,
abdominal cramping mimicking PERITONITIS, weakness/spasms persist for
weeks-months. Severe hypertension
Diagnostics for Black Widow bite Right Ans - No specific labs/imaging
Do CBC, UA, BUN/Cr, glucose, electrolytes, and acute abdominal series d/t bite
mimicking peritonitis.
Management of Brown Recluse Bite Right Ans - Tetanus prophylaxis,
supportive measures, wound care for necrotic lesions, debridement for
necrotic lesions >2cm.
Management of Black Widow Bite Right Ans - ABCs, tetanus,
narcotics/benzos/calcium gluconate for muscle relaxation.
ED transfer for severe bites (anti-venom)
Anti-venom for confirmed severe bite ONLY, can only be used in those not
previously exposed to horse serum.
Treatment of Lice Right Ans - 30mL Lindane to dry hair for 4min, add
water, use small comb to get lice out.
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