SAEM MS4 Curriculum Exam with Questions and Answers
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Course
SAEM
Institution
SAEM
SAEM MS4 Curriculum Exam with Questions and Answers
First steps for SOB ANSWER 1. Vitals
2. O2 via NC or NRB, BVM if not breathing adequately on their own
3. IV access
4. Cardiac and pulse Ox monitoring
5. EKG
6. CXR
7. US
8. Ddimer
9. BNP
10. trops
When do you use Non-Invasive PPV? ...
SAEM MS4 Curriculum Exam with Questions and Answers
First steps for SOB ANSWER 1. Vitals
2. O2 via NC or NRB, BVM if not breathing adequately on their own
3. IV access
4. Cardiac and pulse Ox monitoring
5. EKG
6. CXR
7. US
8. Ddimer
9. BNP
10. trops
When do you use Non-Invasive PPV? ANSWER -moderate to severe dyspnea
-accessory muscle use
-paradoxical abdominal movement
-fatigue
-RR > 25 bpm
-pH < 7.35
-pCO2 > 45
When do you not use NIPPV? ANSWER -respiratory arrest
-hemodynamic instability
-aspiration risk
-airway obstruction -unable to tolerate mask
-AMS
DDx for SOB? ANSWER - CHF exacerbation
- ACS
- Anaphylaxis
- Asthma/COPD
- Tamponade
- PE
- PNA
- airway obstruction
Causes of systolic heart failure ANSWER Heart cannot "squeeze" due to: - ischemic heart disease
- CAD
- Hypertension
- fluid overload - arrhythmia
- renal DZ
- regurgitant valvular disease Leads to eccentric hypertrophy
Causes of diastolic heart failure ANSWER Heart cannot "relax" due to:
- hypertension
- cardiomyopathy
- CAD
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