11/6 Flashcards
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
Status Algorithm
1st: Benzo-Lorazepam 2 mg
2nd- Keppra 60 mg/kg
3rd- Ketamine/ Phenobarb
4th- Propofol
Shortest Time to Onset Benzo
Midazolam- 5-10 mg
Management of Provoked Seizures- Hyponatremia
3% sodium chloride, 100 mL infusion over 10 minutes
Management of Provoked Seizures - Isoniazid overdose
Pyridoxine
Status epilepticus can be defined as
a seizure lasting ≥5 minutes
or
≥2 seizures without complete recovery of consciousness between them.
Often Forgotten Admit recommendation
Isolation Precautions
Digoxin-Fab dose is
10 vials for adults and 5 vials for children.
Neurogenic shock treatment
Treat with volume resuscitation and norepinephrine.
Intubate complete spinal cord injuries at_____ level and above.
C5
The hypotension of neurogenic shock is a ______ process, resulting in dry, warm/flushed skin with good peripheral pulses.
distributive
*responsive to pressors
This must always be preformed with adenosine
Ensure rapid push
Rhythm Strip
All AV nodal blocking agents, including adenosine, should be avoided in
wide complex tachycardias that are irregular and polymorphic (ie, beat-to-beat variation in QRS complex morphology)
and/or
extremely short R-R interval which indicates an accessory pathway of Wolff-Parkinson-White syndrome
All AV nodal blocking agents, including adenosine, should be avoided in
wide complex tachycardias that are irregular and polymorphic (ie, beat-to-beat variation in QRS complex morphology)
and/or
extremely short R-R interval which indicates an accessory pathway of Wolff-Parkinson-White syndrome
