WorksheetsEmergency Medicine Quiz
Total questions: 2
Worksheet time: 6mins
A 37-year-old female presents to the ED complaining of palpitations and dyspnea. Her vital signs reveal tachycardia, hypertension, and a fever of 104.1◦F. She is breathing rapidly and her O2 saturation is 99% on room air. She is thin and anxious. Her ECG shows atrial fibrillation. She denies drug use and has not had any recent illnesses. There I anterior neck swelling. After initiating supportive care, which of the following describes the appropriate treatment priorities for this patient?
Dexamethasone, PTU, iodine, propranolol
Iodine, propranolol, dexamethasone, PTU
Propranolol, dexamethasone, PTU, iodine
PTU, iodine, propranolol, dexamethasone
Propranolol, PTU, iodine, dexamethasone
A 37-year-old male presents to the ED with altered mental status. He was found unconscious in the bathroom at work. On exam, he is arousable to painful stimulus, muttering incoherently. His airway is intact and he has bilateral breath sounds. His initial vital signs are blood pressure (BP) 95/47, P 110, respiratory rate (RR) 14, O2% 97% on room air, T 99.4. He has dry mucus membranes. Fingerstick glucose is 396. Lab work reveals a normal CBC, 3 + acetone, Na 121, Cl− 97, HCO3 9, K 3.0, Mg 2.9, Phos 1.5, AG 29. Which of the following is the first priority in caring for this patient?
IV bicarbonate
IV lactated ringers
IV phosphate
IV potassium
IV saline
