Sharp ESO/MOCK
Chest Pain - ANS - Aspirin 325 mg non enteric coated
O2 at 4L/min NC
NTG 0.4 mg SL if SBP greater than 90 and HR greater than 50. Repeat q3-5 min x 2
Morphine 2mg IVP q 5 min up to total of 10 mg
If hypotension develops and no evidence of pulm congestion, give 250 mL NS
Dopamine for Bradycardia - ANS - If atropine ineffective, start Dopamine 400 mg/250 mK D5W
at 5 mcg/kg/min, titrate up to 20 mcg/kg/min.
If Dopamine ineffective, start epinephrine drip 2 mg/250mL NS at 2 mcg/min, titrate up to 10
mcg/min
For Increased ICP - ANS - Raise HOB at least 30 degrees, and place head midline
Hyperventilate intubated patient with FiO2 100% to maintain CO2 30-35
Mannitol 20% (100 gm/500mL) rapid IVP
Draw serum K, Na, BUN, Cr, Glucose, ABG
Insert urinary catheter
Hypotension Symptomatic - ANS - O2 at 10 L/min NRBM
If hypovolemia suspected infuse 250 mL NS
*If SBP less than 90, start dopamine 400 mg/250 D5W at 5 mcg/kg/min until greater or equal to
90
In the presence of obvious blood loss, draw stat H&H, and Type and Cross 2 units PRBC
If IV access unavailable, what meds can you administer through endotracheal route? - ANS -
Narcan, Atropine, Epinephrine
Pulseless Electrical Activity - ANS - Treat like asystole- CPR for 2 min,
O2 at 15 via ambubag,
Epinephrine 1 mg IVP q 3-5 min,
Stat CXR,
if hypovolemia suspected infuse 250 mL NS
Respiratory Depression due to narcotics/benzo - ANS - O2 at min 10 L NRBM
Narcan 0.1 mg IVP q 1 min if RR <10
Narcan 0.4 mg IVP once if apnea
Flumazenil o.2 mgIVP for benzo
Chest Pain - ANS - Aspirin 325 mg non enteric coated
O2 at 4L/min NC
NTG 0.4 mg SL if SBP greater than 90 and HR greater than 50. Repeat q3-5 min x 2
Morphine 2mg IVP q 5 min up to total of 10 mg
If hypotension develops and no evidence of pulm congestion, give 250 mL NS
Dopamine for Bradycardia - ANS - If atropine ineffective, start Dopamine 400 mg/250 mK D5W
at 5 mcg/kg/min, titrate up to 20 mcg/kg/min.
If Dopamine ineffective, start epinephrine drip 2 mg/250mL NS at 2 mcg/min, titrate up to 10
mcg/min
For Increased ICP - ANS - Raise HOB at least 30 degrees, and place head midline
Hyperventilate intubated patient with FiO2 100% to maintain CO2 30-35
Mannitol 20% (100 gm/500mL) rapid IVP
Draw serum K, Na, BUN, Cr, Glucose, ABG
Insert urinary catheter
Hypotension Symptomatic - ANS - O2 at 10 L/min NRBM
If hypovolemia suspected infuse 250 mL NS
*If SBP less than 90, start dopamine 400 mg/250 D5W at 5 mcg/kg/min until greater or equal to
90
In the presence of obvious blood loss, draw stat H&H, and Type and Cross 2 units PRBC
If IV access unavailable, what meds can you administer through endotracheal route? - ANS -
Narcan, Atropine, Epinephrine
Pulseless Electrical Activity - ANS - Treat like asystole- CPR for 2 min,
O2 at 15 via ambubag,
Epinephrine 1 mg IVP q 3-5 min,
Stat CXR,
if hypovolemia suspected infuse 250 mL NS
Respiratory Depression due to narcotics/benzo - ANS - O2 at min 10 L NRBM
Narcan 0.1 mg IVP q 1 min if RR <10
Narcan 0.4 mg IVP once if apnea
Flumazenil o.2 mgIVP for benzo
