22/2 Flashcards
what oxygen mask is used in copd
venturi mask
what is a seretide inhaler
fluticasone (ICS) and salmeterol (LABA)
IE - indications for surgery
haem instability severe HF severe sepsis depsite abx valvular obstruction infected prosthetic valve persistent bacteraemia repeated emboli aortic root abscess
mx - IE
long term IV abx for 6 weeks min
opioid of choice in renal impairment
oxycodone
how much breakthrough pain relief should be prescribed
1/6th total daily opioid dose
DKA - fluid bolus dose
10ml/kg 0.9% saline
classical findings - pancreatic pseudocyst
mild jaundice, raised WCC, fluid-filled mass on CT
death confirmation n
check identity check signs of life response to verbal and painful stimuli assess pupils central puls HS and RS for 5 mins
GCS - motor
6 - obey comands 5 - localise to pain 4 - withdraw from pain 3 - flexor response to pain 2- extensor response to pain 1 - no response
ECG territories
II, III, aVF - inferior, RCA V1-4 - anterior, LAD V5-6 - apex - distal LAD, LCx, RCA I, aVL, V5-6 - lateral - lcx V7-v9 (ST depression V1-3) - posterolat - RCA, LCx
sarcoidosis - presentation
parenchymal lung disease
uveitis
hypercalcaemia
neuro and cardiac involvement e.g. LV aneurysm
Mx - corticosteroids
score for prostate cancer
Gleason score
Mx MRSA
nasal mupirocin and chlorhexidine for skin
cause of decrease haptoglobin level
intravascular haemolysis
causes of intravascular haemolysis
G6PD
autoimmune haem anaemia
HELLP
ECG changes - pericarditis
ST elevated - widespread
saddle shaped ST elevation
PR depression