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Nitroglycerine Drip - Answer✅✅10 mcg/min
titrate 10 mcg
max 200 mcg/min
Lasix Dose - Answer✅✅40 mg
2X daily dose
200 mg/day max
Norepinephrine Drip - Answer✅✅5-10 mcg/min
Epinephrine Drip - Answer✅✅2-10 mcg/min
SIRS (systemic inflammatory response syndrome) - Answer✅✅Temperature < 36
or > 38
HR > 90
RR > 20 or PaCO2 < 32
WBC < 4,0000 or > 12,000, or > 10% bands
Early sepsis.
Sepsis - Answer✅✅SIRS + a documented infection
, Severe Sepsis - Answer✅✅Sepsis + end organ damage/tissue hypoperfusion
(hypotension, elevated lacate, decreased urine output)
Septic Shock - Answer✅✅Severe sepsis + hypotension despite fluid administration
Treatment if not eligible for tPA - Answer✅✅Treat if: SBP >200 and/or DBP > 120
Options:
Labetalol 10-20 mg, may repeat x1 to max total of 40 mg
Cardene 5 mg/hr, titrated by 2.5 mg/hr to max of 15 mg/hr. Reduce to 3 mg/min
when target met.
Treatment for known hemorrhagic stroke - Answer✅✅Treat pain, anxiety, nausea
If SBP remains > 150: (target 140)
Labetalol 10 mg q 10 min to max of 300 mg
Cardene 5 mg/hr titrated by 2.5 mg/hr to max of 15 mg/hr
If SBP > 220:
Contact medical control or receiving facility
Treatment for unknown stroke type (scene flights) - Answer✅✅Treat if SBP >220 or
DBP > 120
Options:
Labetalol 10 mg q 10 min to max of 40 mg
Cardene 5 mg/hr, titrated by 2.5 mg/hr
Target 185/110
Ruptured AAA treatment - Answer✅✅Target: SBP 80-100 and/or HR 60
Treat pain with morphine
Labetalol 20 mg q 10 minutes doubling each dose to max total of 300 mg
Hypertensive Emergency treatment - Answer✅✅If symptomatic with SBP > 180
and/or SBP > 120
Labetalol 20 mg q 10 min doubling each dose to max total of 300 mg
* MAP should not decrease by > 20% in first hour.
* Contact medical control if Labetalol is ineffective or if cocaine is suspected
Thoracic Aneurysm treatment - Answer✅✅Target: SBP 80-100 and/or HR 60