10/30 Flashcards
Acute Chest Syndrome
new pulmonary infiltrate in conjunction with some of the following:
leukocytosis
fever
cough
chest pain
dyspnea
What would be considered as pneumonia in patients without SCD usually fulfils the criteria for acute chest syndrome
Acute Chest Syndrome
new pulmonary infiltrate in conjunction with some of the following:
leukocytosis
fever
cough
chest pain
dyspnea
What would be considered as pneumonia in patients without SCD usually fulfils the criteria for acute chest syndrome
In Sickle Cell Disease Consider exchange transfusion for:
acute chest syndrome
ischemic stroke
acute intrahepatic cholestasis.
Status epilepticus Definition
Seizures lasting >5 min
or
having > 1 seizure within a 5 minutes without return to baseline
Intussusception consult
Treat as a surgical diagnosis with early surgical consultation, although most cases are amenable to non-operative (enema) management.
Often forgotten respiratory lab
ABG
Symptomatic treatment for acute alcohol withdrawal w/ Diazepam
Give 10 mg intravenous, and increase by 10 mg or double the dose every 5-10 minutes. Repeat dose as needed.
Symptomatic treatment for acute alcohol withdrawal w/ Lorazepam
Lorazepam: Give 2-4 mg intravenous. Dose may be doubled every 15-20 minutes.
Administer benzodiazepines for any seizure lasting ≥5 minutes, eg:
Diazepam dose
Lorazepam dose
Midazolam dose
Diazepam 5 mg intravenously
Lorazepam 2 mg intravenously or intramuscularly
Midazolam 10 mg intravenously, intramuscularly, or intranasally
Status Algorithm
1st: Benzo-Lorazepam 2-4 mg
2nd- Keppra 60 mg/kg
3rd- Ketamine/ Phenobarb
4th- Propofol
Management of Provoked Seizures- Hyponatremia
3% sodium chloride, 100 mL infusion over 10 minutes
Management of Provoked Seizures - Isoniazid overdose
Pyridoxine
Often Forgotten Admit recoomendation
Isolation Precautions
Digoxin-Fab dose is
10 vials for adults and 5 vials for children.
Adenosine Side Effects
nausea, chest tightness, shortness of breath, facial flushing, headache, dizziness, and a sense of impending doom
