100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
Previously searched by you
Previously searched by you
logo
CDEM M4 Curriculum Comprehensive Review Exams_ Answered 2022/2023. $15.49
Add to cart
Quickly navigate to
Preview
  2.  
  3. Palm Beach State College
  4.  
  5. Emergency Medicine CDEM (CDEM)

Other

CDEM M4 Curriculum Comprehensive Review Exams_ Answered 2022/2023.
 0 purchase
  • Course
  • Emergency Medicine CDEM (CDEM)
  • Institution
  • Palm Beach State College
  • Book
  • Emergency Nurse Practitioner Core Curriculum

CDEM M4 Curriculum Comprehensive Review Exams_ Answered 2022/2023. how many pts with aortic dissection have normal CXR? - 40% initial actions in abdominal pain patients? - UPT, blood products for hemorrhage, abx, bedside ultrasound, immediate surgical consult if unstable or rigid abdomen,...

[Show more]

Preview 4 out of 51  pages

Document information

  • April 20, 2022
  • 51
  • 2022/2023
  • Other
  • Unknown

Subjects

  • cdem m4 curriculum
  • cdem m4 curriculum test
  • cdem m4 curriculum comprehensive review exams
  • how many pts with aortic dissection have normal cxr

Connected book

book image

Book Title:

Author(s):

  • Edition:
  • ISBN:
  • Edition:

More summaries for

  • CDEM M4 Curriculum Comprehensive Review Exams_ Answered 2022/2023.
All for this textbook (1)

Written for

  • Palm Beach State College
  • Emergency Medicine CDEM (CDEM)
All documents for this subject (2)

Seller

avatar-seller
chloemurimi

Reviews received

Content preview

CDEM M4 Curriculum Comprehensive Review Exams_
Answered 2022/2023.
how many pts with aortic dissection have normal CXR?
✅- 40%

initial actions in abdominal pain patients?
✅- UPT, blood products for hemorrhage, abx, bedside ultrasound, immediate surgical consult if
unstable or rigid abdomen, analgesia

hemodynamic instability and abdominal pain should alert you to...
✅- possible AAA, hemorrhage, sepsis, perforated viscus, necrotic bowel - think bowel edema or
fluid placing pressure on IVC and splinting breathing

hemodynamic instability and abdominal pain immediate actions...
✅- consult surgery, 2 PIV large bores, NS bolus, O2, monitors, type and cross (give type O if
needed)

differential for life/organ threatening abdominal pain:
✅- Infectious: sepsis
GI: biliary, appendicitis, SBO, perforated bowel, mesenteric ischemia, pancreatitis, diverticulitis
GU: PID, tubo-ovarian abscess, testicular/ovarian torsion, ectopic pregnancy
CV: AAA, dissection, schemia, CAS

initial actions in patient presenting with AMS?
✅- ABCDE-G:
- airway: visual check, pulse O2, O2 prn
- breathing - RR (i.e. narcan?), ventilation (BVM?)
- circulation - rhythm monitor vs EKG, BP, pulses, fluids, PIV access
- disability - GCS, neuro deficits, pupils, trauma, pain (imaging?)
- exposure - undress, trauma, patches, PIC or dialysis access, petechiae, bruising
- GLUCOSE

AMS differential for: Primary CNS/Structural
✅- - tumors: primary vs mets
- hemorrahge: spontaneous vs trauma
- edema: HTN, hydrocephalus, tumor
- seizure: post-ictal vs todd paralysis
- dementia: degenerative vs vascular

,AMS differential for: Metabolic/autoregulatory
✅- - high/low: glucose, sodium, calcium, thyroid, temperature
- hypercarbia - poor ventilation?
- hypoxemia

AMS differential for: pharm/toxic
✅- - Meds: HTN, anti/pro-epileptics, overdose, sedatives, opiods, TCA, anticholinergics,
polypharmacy, steroids, sleep aids, tylenol
- Toxins: ETOH, methanol (WWF) vs ethylene glycol (antifreeze)
- Illicit drug use
- Withdrawal: benzos, cocaine, ETOH, opiods

AMS differential for: infectious
✅- CNS: meningitis, encephalitis, abscess (viral vs bacterial...)
Other: UTI, pneumonia, cellulitis, GI,

AMS differential for: CV
✅- hemorrhagic, cardiogenic, hypovolemic, distributive, anaphylaxis

AMS differential for: psych
✅- migraine, psych dx, psychosis, psychosomatic

mnemonic for AMS
✅- AEIOU TIPS
A: alcohol
E: ethylene glycol, epilepsy, encephalopathy
I: insulin
O: opiates, O2
U: uremia
T: temp, TCA, trauma
I: infecious
P: poisons, psychogenic
S: sex (TSS vs PID), stroke, subarachnoid, space lesions

petechiae differential; labs?
✅- low plts, meninococcemia, emesis, ITP, HTP, HSP, DRESS

Rocky Mountain spotted fever,

,Labs: CBC with diff, retic count, smear, Ig levels, HIV, Hep C, H. pylori, LFTs,
antiphospholipid Abs, SLE serology,

Diagnostic testing to consider for AMS
✅- No shotgun orders unless absolutely necessary:
- Met/Endo - fingerstick glucose, BMP (Na, Ca, BUN, Cr), ABG/VGB, TSH, T4, ammonia,
cortisol
- Meds/toxins - serum osmolality, ETOH, drug screen, drug levels (i.e. antiepileptics)
- CBC w/ diff, UA, UC, BC, LP
- CXR, CT head/spine, MRI, EEG
- Cardiac: ECG, trops, cardiac echo, carotid/vertebral US

vasogenic edema from CNS lesions. give
✅- glucocorticoids

what are the goals of BLS primary survey?
✅- support or restore early oxygenation, ventilation, and circulation until you get a return of
spontaneous circulation or until ACLS can be initiated

T/F patients with shockable rhythm and in desperate need for intubation should be intubated first
✅- F: pts with shockable rhythm should be defibrillated without delay

What consists ABC of ACLS?
✅- Airway - jaw thrust, oropharyngeal or nasopharyngeal airways, or intubation
Breathing - auscultation of lung sounds, ETCO2, CZR, etc.
Circulation - IV/IO access

What drugs are safe for ET administration? What dosage shuold be used?
✅- NAVEL
Naloxone, atropine, vasopressin, epinephrine, lidocaine
2-2.5 times the IV route dosage

ACLS recommends that compressions should be interrupted for...
✅- ventilation, rhythm checks, and shock delivery

after how many minutes of resuscitation with BLS and ACLS is it okay to cesate?
✅- 20 minutes of unsuccessful rescucustation - studies have shown that resuscitation efforts are
unlikely to be successful

what are the two shockable rhythms? ✅- V fib and V-tach

, you see a patient with cardiac arrest. what should you do first?
✅- 1) shout for help, activate emergency response
2) start CPR
3) give O2, attack monitors and defibrillator
4) determine whether rhythm is shockable (VF/VT) or not (asystole or PEA)

you see a patient with cardiac arrest, initiate CPR, and determine has shockable rhythm. What
are the next few steps?
✅- 1) shock immediately w/o delay
2) Give CPR 2 minutes while you obtain IO/IV access
3) determine rhythm again
4) repeat if still shockable rhythm starting epinephrine 1 mg q3-5m IV/IO, consider advanced
airway
5)continue algorithm until develops ROSC or non-shockable rhythm

you see patient with shockable rhythm, received CPR, 3x defibrillations, and epinephrine q2-
q5m, and got LMA and continues to have a shockable rhythm. What additional step do you take?
✅- - Continue CPR, shocks, and epineprhine q2-5m
- Add antiarrhythmics: amiodarone 300 mg bolus, 150 every 2 shocks until no longer has
shockable rhythm, or lidocaine 1-1.5 mg/kg bolus, then 0.5-0.75 mg/kg q5-10m

you see a pt in cardiac arrest, obtain help, start CPR and determine they have a non-shockable
rhythm. What are your next steps?
✅- - Continue CPR
- Establish IV/IO access
- Administer Epinephrine 1 mg q2-5m
- Consider advanced airway
- Check if they have shockable rhythm
- Treat reversible causes

you see a pt in cardiac arrest, start CPR, and determine they have shockable rhythm. You initiate
the algorithm and determine they V-tach developed into Torsades de Pointes. In addition to the
normal shockable algorithm. What medication can you administer?
✅- Magnesium 1-2 g (in 10 mL of D5W) bolus, then 0.5-1 g/hr

in ACLS, what mediation can you substitute once for epinephrine
✅- 40 U of vasopressin

you see a pt in cardiac arrest without shockable rhythm, start CPR, and epinephrine q2-5m. In
addition to aforementioned a`lgorithm, what medication should you consider in PEA or asytole?
✅- 1 mg atropine IV/IO q3-5m x3 doses

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

Guaranteed quality through customer reviews

Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.

Quick and easy check-out

Quick and easy check-out

You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.

Focus on what matters

Focus on what matters

Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!

Frequently asked questions

What do I get when I buy this document?

You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.

Satisfaction guarantee: how does it work?

Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.

Who am I buying these notes from?

Stuvia is a marketplace, so you are not buying this document from us, but from seller chloemurimi. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for $15.49. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

69252 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 15 years now

Start selling
$15.49
  • (0)
Add to cart
Added