In an acutely poisoned patient, gastric lavage carries the lowest risk of what complication? -
hypernatremia
Complications of gastric lavage - Aspiration
Esophageal or gastric perforation
desat during procedure
hyponatremia
water intoxication
Which is the most important indicator for avoiding alveolar overdistention and barotrauma - Peak
inspiratory pressure
With carbon monoxide poisoning, pulse ox reading should be interpreted how? - Higher than the true
value
Infants presenting with cardiomegaly and cardiac shock symptoms should be started on what? -
Prostaglandin E1
Greatest risk for iatrogenic injury or death during transport? - Communication errors?
, DIRECT stands for - Detection
Intervention
Reassessment
Effective communication
Teamwork
Moderate sedation drug for hypotensive patient - ketamine
Drugs to be avoided with hypotensive patients - Versed
Ativan
pentobarbital
propofol
Patient in shock with 60 ml/kg on board, epi and dopamine. Next step for drug choice? - Nitroprusside
b/c shorter half-life than milrinone and therefore more appropriate for short-term use
Greatest risk of acquiring a nosocomial infection - TPN through a central line
Obstruction of CSF symptoms - Bradycardia
HTN
NV
Seizures
Mass casualty scenario, green indicates what? - Minimal care
Common s/s hemorrhagic shock - Decreased central venous oxygen saturations
Decreased mental status
Thrombocytopenia
External bleeding
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