02 APR 2017 2154 MIX Flashcards
what is the treatment for pelvic inflammatory disease?
- 3rd gen ceph PLUS
- azithromycin OR doxycycline
why is augmentin used prophylactically for cat bites?
it has activity against p. multocida
preeclampsia at less than 20 weeks can be a complication of ______________________
hydatidiform mole
what is the proposed cause of preeclampsia?
abnormal spiral artery development, causing placental hypoperfusion, placental ischemia, and maternal hypertension
what are causes of early fetal decelerations?
- fetal head compression
- can be normal
what is the main cause of late fetal decelerations?
uteroplacental insufficiency
what are three causes of variable fetal decelerations?
- cord compression
- oligoydramnios
- cord prolapse
fetal anemia is associated with what type of FHR tracing?
sinusoidal
recurrent variable decelerations occur with over ____% of contractions and require treatment, as _________________ can develop with increasing frequency and severity of decelerations
- 50%
- fetal acidosis
what is the first line option for umbilical cord compression? what is the second line?
- maternal repositioning
- amnioinfusion
what is the MOA of beta blockers in the context of esophageal varices?
decrease adrenergic tone in mesenteric arterioles, which results in unopposed alpha-mediated vasoconstriction and decreased portal venous flow
what is the tetrad of neuroleptic malignant syndrome?
- mental status changes
- rigidity
- fever
- autonomic dysregulation
how is neuroleptic malignant syndrome different from serotonin syndrome?
in serotonin syndrome:
- fever is not as high
- there is muscular irritibility (tremors, hyperreflexia, myoclonus) but NOT rigidity
- more GI symptoms (diarrhea)
