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NPLEX II - Emergency Medicine (Anderson) Questions and Answers well Explained Latest 2024/2025 Update 100% Correct. $7.99   Add to cart

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NPLEX II - Emergency Medicine (Anderson) Questions and Answers well Explained Latest 2024/2025 Update 100% Correct.

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  • NPLEX II - Emergency Medicine
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  • NPLEX II - Emergency Medicine

Tx of anaphylaxis with diphenhydramine (dosage) - 50 mg (1ml) IV stat Note: this is NOT done before Epi; in allergy may start with 12.5 to 25 mg IVP Assessing peripheral (emergency) blood pressure; no BP cuffs - Radial pulse = AT LEAST 80 (Systolic) Femoral pulse = AT LEAST 70 Carotid pulse = ...

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  • September 9, 2024
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  • 2024/2025
  • Exam (elaborations)
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  • NPLEX II - Emergency Medicine
  • NPLEX II - Emergency Medicine
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ACADEMICMATERIALS
NPLEX II - Emergency Medicine
(Anderson)
Tx of anaphylaxis with diphenhydramine (dosage) - 50 mg (1ml) IV stat

Note: this is NOT done before Epi; in allergy may start with 12.5 to 25 mg IVP



Assessing peripheral (emergency) blood pressure; no BP cuffs - Radial pulse = AT LEAST 80
(Systolic)

Femoral pulse = AT LEAST 70

Carotid pulse = AT LEAST 60



Emergency oxygen** - Adult RR <12 or >20

Child RR <15 or >30

Infant RR <25 or >50



Croup Tx - Supportive care, watch child, have parents watch for fever, dyspnea; PE for tonsillitis



Croup on x-ray - Steeple sign (for croup = laryngotracheobronchitis), which is narrowing of the
subglottic airway



Epiglottitis - 3-10 yo, d/t having tiny airway; can be from H. influ or beta hemolytic strep inxn;

fever, dyspnea, inspiratory stridor, drooling, head down --> don't open their mouths or bring their heads
back



Epiglottitis Tx - Send to hospital, NOT in parent's car bc no airway management capabilities; will
be given Abx



Epiglottitis on x-ray - Thumbprint sign, big swollen epiglottis

, Flow rates for devices - Nasal cannula = 1-6L, 24-44% O2

Resuscitation mask = 6-15L, 35-55% O2

Non-rebreather mask = 10-15L, 90%+ O2

BVM = 15L+, 90%+ O2 (bag valve mask)



Sign of upper airway obstruction - Possible retractions of the thorax: intercostal, suprasternal,
supraclavicular; and stridor, blueish flush, drooling, LOC



Most common reason for choking - Tongue obstruction in unconscious victim (head tilt, chin lift)



What do you do if pt is coughing strongly? - Do not intervene; support if they fall over; encourage
them to keep coughing



Heimlich alternative for pregnant or obese - 5 chest thrusts: fists on sternum; upward/inward
thrusts; f unsuccessful, support chest with one hand and give back blows with the other



If enter room and find unconscious victim, what do you do? - Assess the victim (RAPCAB);

Give CPR if needed;

After giving compressions: look for object in throat, then give breaths

Seal bark - Stridor breathing = airway compromise! Doesn't have to be croup - can be a FB,
asthma, etc.



Choking, conscious infant - Position with head downward

5 back blows (check for expelled object)

5 chest thrusts (check for expelled object)

Repeat



Choking, unconscious infant - RAPAB

if the first breaths don't go in, check for FB then try 2 more breaths.

If neither set of breaths goes in, suspect choking => BEGIN 30 compressions;

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