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