11/8 2.0 Flashcards

1
Q

Absolute contraindications to adenosine

A

Absolute contraindications include irregular or polymorphic rhythms and ventricular pre-excitation.

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2
Q

For conversion of paroxysmal SVT, ______ are an effective alternative to adenosine.

A

non-dihydropyridine calcium channel blockers (verapamil and diltiazem)

*If given to patients with VT, calcium channel blockers can cause hemodynamic collapse, whereas adenosine is safe

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3
Q

Diltiazem Dose

A

Dosed at 0.25 mg/kg IV over 2 min

A subsequent dose of 0.35 mg/kg IV is administered if no response is seen and no significant drug-induced adverse event occurs.

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4
Q

If stable paroxysmal SVT does not respond to adenosine or a calcium channel blocker, ______________ is indicated.

A

electrical cardioversion with appropriate sedation

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5
Q

If the QRS complex is ________________ AV nodal blockers should be avoided.

A

widened (or of changing morphology) or the rhythm is irregular

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6
Q

______ on ECG is diagnostic of Wolff-Parkinson-White syndrome.

A

Evidence of shortened PR interval (<120 ms) and delta wave during sinus rhythm

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7
Q

Appropriate fluid and volume for pancreatitis

A

2 L LR

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8
Q

IVF to avoid in Hypercalcemia

A

LR- has a small amount of calcium

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9
Q

GCS eye opening

A

Spontaneous 4
To sound 3
To pain 2
None 1

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10
Q

GCS verbal response

A

Orientated 5
Confused 4
Inappropriate Words 3
Sounds 2
None 1

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11
Q

GCS motor

A

Obeys 6
Localize to pain 5
Withdrawal from pain 4
Flexion to pain 3
Extension to pain 2
None 1

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12
Q

Diagnosis of DIC involves a combination of laboratory tests and clinical evaluation. Laboratory findings suggestive of DIC include

A

low platelets
elevated D-dimer
decreased fibrinogen
prolongation of clotting times ie PT

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13
Q

_____________ has long been the first-line drug for anticoagulation in patients with HIT

A

Argatroban

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14
Q

The traditional pentad of fever, microangiopathic hemolytic anemia, thrombocytopenia, renal dysfunction and neurologic deficits reflects?

A

TTP

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15
Q

HUS shares some clinical features with TTP. Both manifest as microangiopathic hemolytic anemia and thrombocytopenia; however, HUS emphasizes renal injury while TTP shows minimal renal injury, instead causing ___________________

A

neurologic dysfunction in up to 50% of affected patients.

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16
Q

Hemolytic uremic syndrome (HUS) - should you use antibiotics?

A

the current recommendation is not to use antibiotics due to evidence that they may increase shiga toxin production or release