رتبها

سؤال وجواب لقسم الطواريء والمهتمين بالطواريء مع rationale للاجابه #التمريض #التمريض_السعودي #تمريضنا #التمريض_قادة_التغيير #nursing_intern #ernurses واتمنى المشاركه من الجميع

يعطيكم العافيه
ETCO2 monitoring with waveform capnography is the most sensitive and specific way to confirm and continuously monitor the position of a tracheal tube in a patient in cardiac arrest and should supplement clinical assessment

Q:2

Increasing the IPAP increases the pressure support (IPAP–EPAP) provided by the ventilator. Pressure support augments the tidal volume during a spontaneous breath and reduces the work of breathing, resulting in increased alveolar ventilation, and therefore reduced CO2.

There is high-quality evidence that NIV decreases the need for intubation and induces a more rapid improvement in respiratory distress and metabolic disturbance than does standard oxygen therapy in patients with acute cardiogenic pulmonary oedema

C

D

هنا الاجابه A لان الهيستوري من الاشياء المهمه

C is the correct answer
Approximately half of the patients with AMI will have an initial ECG showing a new ST segment elevation ≥1 mm in two contiguous leads. Its positive predictive value for diagnosis of AMI has been described as >90%.

Intrepret this?
pH: 7.45
PCO2: 52
HCO3: 37

Answer is A
Although at least 50% of patients with heart failure have a low ejection fraction of 40% or less on echocardiography, approximately one-third of all patients have a normal or near normal ejection fraction.

Calculate the hours the IV order will run. 500ml LR IV run at 75 ml/hr.

B

سؤال اليوم
How to monitor the interstetial space during and after fluid resuscitation in ICU ?

with a diphenhydramine overdose.
Which of the following signs and symptoms are you likely to find :
A) Bradycardia, dilated pupils, flushing.
B) Bradycardia, pinpoint pupils, flushing.
C) Tachycardia, dilated pupils, diaphoresis.
D) Tachycardia, dilated pupils, flushing.

Can MI happened coz of nonobstructive coronary artery disease ?

ليش مانعطي bronchodilators لمرضى ال croup ؟

لمحبين الطواريء
من يعرف ال 5Ds وال Cs المهمه جدا بالطواريء كعلامات ؟

D means deadly
C means critical

C is the answer

oxygen in acute STEMI patient should be given ;
A. At presentation despite his current O2 saturation.
B. O2 sat. level between 90 and 95%.
C. O2 sat. level below 90%.
D. O2 sat. level below 80%.
E. Whenever the patient asks for oxygen.

C is the correct answer

A mother brings in her 3-year-old child because of difficulty in breathing. On assessment, you hear loud, high-pitched sounds when the child breathes in. What is the most immediate concern?
A. Severe infection
B. Shock
C. Asthma attack
D. Upper airway obstruction

Caused by medication ? What is it ?

انسألت هالسؤال اليوم
احد عنده اجابه ؟
سؤال بليز
ليش نخلي المريض على target temperature management
في حاله ROSC .? ممكن توضيح

Ma explanation

A young man has a fever. He denies chest pain, dyspnic , and recent URTI. His physical examination WASN’t remarkable.
1. What is the most likely diagnosis?
2. Management.

Burgada syndrome

ايش تعني ؟؟

patient who received tissue plasminogen activator (tPA) for acute ischemic stroke, when is the most appropriate time to start ASA and DVT prophylaxis?
A- Immediately after the tPA
B- 4 hours after tPA
C- 24 hours after tPA
E- 48 hours after tPA
D- should not be used

C is the correct answer bro and sisters

Using Canadian C-spine Rules, which of the pts requires xray evaluation of the c-spine?
A-22y m bicyclist struck by car
B-36y f with delayed onset of neck pain
C-48y m initially ambulatory at scene of MVC
D-52y m involved in a rear-end collision
E-60y f after ground level Fall

Arterial line reading , who can intrpret it ?

سؤال اليوم ؟

What is this ?

ايش يعني DO2 و VO2 ؟

سؤال اليوم
Does heart rate and pulse rate is the same ?

HR : electrical impulse of the heart ( physiologic )
Pulse rate : mechanical contraction

سؤال اليوم
تنقل مريض عمره ٤٣ سنه على ETT مشخص بجلطه دماغيه وانت تنقله حصل التغيرات الواضحه بالمونيتور ، ايش راح تكون ردة فعلك واجراءك المبدئي

بالنسبه للمريض هذا صار tachycardic فالحل الاسلم بنزود جرعة ال sedation

سؤال اليوم تروما ياأهل التروما

What is this ?

سؤال اليوم ؟

سؤال اليوم : ايش الموجود بهالصوره ؟

صحيح jvd وايش كمان ؟

سؤال اليوم :
في حالات ال hypoglycemia ايش الافضل نعطي حليب ولا عصير ؟وليش ؟

العصير يحتوي على سكرصح
والحليب
contains both a simple sugar, lactose, and proteins.

ايش الدواء اللي ممكن يسبب هالتأثير ؟

Why is TCP (Transcutaneous pacing) contraindicated in hypothermia?

سؤال اليوم
لوجاك مريض بهالصوره او الشكل كيف راح تعطيه ال rescue breath ؟

Why was hypoglycemia removed from the H's and T's of ACLS?

ايش تتوقعوا السبب ؟

ايش ذي ؟

bags of saline in stockinette is the equivalent of 8.8 pounds. This setup is useful when weights are not available to distract a fracture.

ايش العلامتين ذي ؟

?ullen’s = around umbili?us due to damage to abdominal organs leading to hemorrhage. Can be also seen in ruptured ectopic pregnancy.
Turner’s = bilateral flank bruising/ecchymosis due to bleeding around kidneys and pancreas. Can predict severe acute pancreatitis.
احسنتم جميعا

Cause ?

طيب وذي ؟

Plavix toxicity

Why do patients with a Glasgow Coma Scale score equal to or less than 8 points need intubation?

A 50 years old male complaining of SOB , DRAWZY, and arm radiated pain with tingling, since 30 minutes ago while he was parking his car in his garage.

Upon the history given it is PE

What is this ?

Iridodonesis ( read about it )

سؤال اليوم ( أطفال )
What is ( fat baby )syndrome ?

في ال #trauma شرط اساسي انك تتوقع ان المريض هذا ممكن يكون حالته اكبر من قدرة المستشفى انها تعالجه مثلا عنده كسر بالحوض وماعندي ortho او يحتاج له laboratomy وماعندي عمليات كبيره وicu فلازم افكر بالنقل حتى لو ماخلصت ال primary survey

اليوم سؤال مع جوابه

Sign ?

One of the most common complication of trauma is compartment syndrome
راح اتكلم عنها قريبا تلقرام ان شالله

Posted

What is this ?

Hi guys , missing you . For how long i should wait between syncronized shocks?

هل فيه حالات ممكن مااعملها CPR واذا فيه ايش هي ؟

- valid DNAR order.
• The patient has signs of irreversible death (eg, rigor mortis,
decapitation, decomposition, or dependent lividity).
• No physiologic benefit expected because vital functions have deteriorated despite maximal therapy (progressive septic ,cardiogenic shock).

هذا الوضع للعمليات في اي حالات ممكن يستخدم ؟

ايش هذا الجهاز ومن شافه قبل ؟

Lofgren syndrome ?? ايش هي

اين تقع ال morphy eye وايش وظيفتها ؟

patient with atrial fibrillation, with HR 160/min and BP 84/54 mmHg, is treated with:
A. Esmolol
B. Diltiazem
C. Lidocaine
D. Cardioversion

دام فيه sign of shock نعتبره unstable فالمنجمنت راح تكون cardioversion

1. Shock in sepsis is of the following type
A. Cardiogenic
B. Vasodilatory
C. Toxic
D. Hypovolemic
2. Nitric oxide is a pulmonary
A. Vasoconstrictor
B. Vasodilator
C. Neither A nor B
D. Artery pressure autoregulator

3. All of the following are end points in resuscitation of shock, except
A. Systolic blood pressure of >90 mmHg
B. Mean arterial pressure of > 65 mmHg
C. Urine output of >0.5 ml/kg/min
D. Lactate of <6 mmol/L

الاجابه الصحيحه
B
B
D

متى تكون ال chest compression مؤذيه او harmfull للمريض ؟

هنا الاجابه
Patidnts with LVAD ( left ventricular assist devise
and patient with total artificial heart
طبعا ليش هنا دوركم تبحثوا

ايش هي ال POLAND SYNDROME ؟

الاجابه الصحيحه A

A 17-year-old male is brought to the ED after being assaulted to the head with a lead pipe. He opens his eyes briefly to deep painful stimuli, mumbles incomprehensible sounds, and withdraws to painful stimuli. What is his initial GCS?
(A) 10
(B) 9
(C) 8
(D) 7
(E) 6

Does the patient with CAD’s hemoglobin is same level as non CAD ?

Why shoul anaphylactic patient should be placed on supine position ?

In which cases may we see this color ?

A serum potassium level of 8 mg/dl may be best treated with:
A. Calcium chloride
B. Kayexalate
C. Glucose and insulin
D. Hemodialysis

هل من الممكن وضع المريض على mechanical ventilation وقت ال CPR وليش ؟

من يعرف ايش ذي ؟

ايش رايكم ؟

ايش هي ال epley maneuver ؟

The most important, immediate step in the management of an open pneumothorax is:
a. ETT
b. OR to close the wound
c. placine chest tube through the chest wound.
d. placement of an occlusive dressing over the wound.
e. initiation of two large-caliber IVs with crystalloid solution.