ANSWERS!!UPDATED
Primary Survey (ABCDE) - Airway
Breathing
Circulation
Disability
Exposure
Cardiac tamponade symptom - mu!led heart sounds
In an acutely poisoned patient, gastric lavage carries the lowest risk ofwhat
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
E!ective 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 ofacquiring a nosocomial infection - TPN through a central line
Obstruction of CSF symptoms - Bradycardia
HTN
NV