Exam (elaborations)
Emergency Medicine (COMAT) TEST |Q&A’s Latest Update| Verified
- Course
- Institution
Emergency Medicine (COMAT) TEST |Q&A’s Latest Update| Verified
[Show more]
Content preview
Emergency Medicine (COMAT) TEST |Q&A’sLatest Update| Verified
Treatment for patient with beta-blocker over dose and unstable vital signs - ✔✔Glucagon
infusion (competitively inhibits beta receptor in heart muscle)
Normal vital signs in children - ✔✔HR = 80-140/min
RR = 20-30/min
BP = 90-105/55-70 mmHg
Treatment of Lithium, lead or iron overdose - ✔✔Activated charcoal (within 1 hour of
ingestion)
OMT to relieve diarrhea should focused on what spinal segments.. - ✔✔S2-S4
parasympathetics
Treatment alcohol ketoacidosis - ✔✔1st - Thiamine
2nd - Glucose (increase insulin secretion & reduce glucagon secretion which will trigger the
cessation of fatty acid breakdown) & IVF
3rd - correct electrolyte abnormalities (phosphate, potassium, & magnesium)
What unknown substance was consumed in a patient with acute intoxication followed by
stupor and visual disturbances? - ✔✔Alcoholic
Next step in a pregnancy patient with vaginal bleeding - ✔✔1- Nonstress test (NST)
-Nonreactive test is asst'd with adverse fetal or neonatal outcomes
Digital vaginal exam should never be performed in pts in 2nd half of their pregnancy
,Fetal Fibronectin (fFN) - ✔✔Used to distinuish women in true preterm labor from those with
false labor.
FFN - extracellular matrix protein present at the decidual-chorionic interface
Treatment of bite - ✔✔In bites to the hand and/or those that are infected, coverage for P.
multocida is recommended with amoxicillin-clavulanate or the second or third generation
cephalosporins. Rabies and tetanus prophylaxis should also be considered for all bite wounds.
Treatment of SVT - ✔✔1st-vagal maneuvers
2nd-Adenosine
Treatment of unstable SVT - ✔✔cardioversion
Treatment of Ventricular fibrillation & Ventricular tachycardia - ✔✔Amiodarone (class III
anti-arrhythmic agent)
Treatment of Bradycardia - ✔✔Atropine
If atropine fails - use dopamine, epinephrine, & transcutaneous pacing
Treatment of ventricular tachycardia with a pulse - ✔✔Cardioversion
V. tach = absent P waves & widened QRS complex occurring at a rate of 120/min
Treatment of pulseless v. tach or ventricular fibrillation - ✔✔Defibrillation
, Acute Variceal hemorrhage - ✔✔1) Remember A,B,Cs
2) Hemodynamic stabilization: IVF or blood products (for massive hemorrhage) as well as
continual Octreotide
3) Treat Coagulopathies. Reverse if pt is on Coumadin (Vit K & FFP)
4) Empirical antibiotics - Fluoroquinolone or a 3rd generation Cephalosporin
5) Emergent EGD
1st- Variceal ligation
2nd-TIPS procedure (if bleeding continues)
MELD - ✔✔Model for end-stage liver disease (MELD) score is an estimated rate of 3-month
survival in those with cirrhosis. It takes the following variables into account: Creatinine,
bilirubin, INR, dialysis.
Somatovisceral reflexes of small bowel - ✔✔T8-T10 (eg, Ileus)
Three main approaches for the reversal of warfarin-induced coagulopathy - ✔✔1st - stop
warfarin therapy
2nd - is to administer vitamin K
3rd - administer fresh frozen plasma (FFP), prothrombin complex concentrate, or recombinant
Factor VIIa.
For INR between 3.5 and 5 without major bleeding - ✔✔the recommended therapy is to
lower the dose or omit a dose.
For INR of 5 to 9 without major bleeding - ✔✔The recommended therapy is to skip the next
one or two doses or administer 1 to 2.5 mg of vitamin K orally.
The benefits of buying summaries with Stuvia:
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
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
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 Examsplug. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $13.49. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
77764 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now
