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4/20 Flashcards

1
Q

which type of water causes pulmonary edema when in lungs

A

salt water-electrolytes

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2
Q

Acetaminophen toxicity symptoms and tx

A

nausea and hepatic failure

tx: n-acytlcysteine

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3
Q

Anticholenergic toxicity sx and tx

A

Dry mouth, urniary retention,QRS widening

tx: pyhostigmine

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4
Q

Benzo toxicity sx and tx

A

sedation/respiratory depression

tx: flumazeniel for acute not chronic

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5
Q

BB blocker toxicity sx and tx

A

Brady, hypotension, hypoglycemia, pulmonary edema

tx:glucagon, calcium, insulin, dextrose

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6
Q

CCB toxicity sx and tx

A

Brady, hypotension, EUglycemia

tx:glucagon, calcium, insulin, dextrose

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7
Q

Cocaine toxicity sx and tx

A

tacky, agitation, vasospasm =mi

tx: supportive

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8
Q

cyanide toxicity sx and tx

A

HA nausea, vomiting, AMS

tx: nitrates, hydroxycobalmin

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9
Q

Digoxin toxicity sx and tx

A

nausea vomiting visual changes arrhythmia

tx digoxin antibodies

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10
Q

Heparin toxicity sx tx

A

bleeding and bruising TX: Protamine sulfate

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11
Q

Isoniazide toxicity sx and tx

A

neuropathy and hepatotoxicity

tx: B6

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12
Q

isopropyl alcohol toxicity sx and tx

A

⬇️ consciousness, nausea, abdominal pain

tx: supportive care

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13
Q

METHANOL toxicity sx and tx

A

HA, dizziness, visual changes

tx: fomepizole, ethanol, dialysis

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14
Q

opioid toxicity sx and tx

A

pinpoint pupil respiratory depression

tx:naloxone

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15
Q

Salicylates toxicity sx and tx

A

NA, vomiting, tinnitus, hyperventilation, anion gap, metabolic acidosis
tx: charcoal, dialysis, sodium bicarb

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16
Q

sulfonylureas toxicity sx and tx

A

hypoglycemia

tx :octerotide and dextrose

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17
Q

TCA toxicity sx and tx

A

dry mouth, urinary retention, wide QRS, torasades de pointes
tx: sodium bicard, diazepam

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18
Q

warfarin toxicity sx and tx

A

bleeding and bruising

tx: ffp vitamin k

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19
Q

organophosphate toxicity tx

A

atropine, pralidoxime, supportive care

20
Q

lead toxicity tx

A

dimercaprol EDTA succimer

21
Q

iron toxicity tx

A

deferoxamine

22
Q

mercury sx and tx

A

turns probs, tremor, AMS

tx: dimercaprol

23
Q

components of Glasgow comma scale

A

eye opening
verbal response
motor response

24
Q

Cushing reflex

A

HTN and bradychardia, indicative of increased intracranial pressure

25
Q

prego trauma, what position is CV exam in

A

LLD, decreases pressure on IVC

26
Q

wedge pressure estimates

A

left atrium

27
Q

which blood product for loc Hct from anemia of blood loss

A

PRBC’s

28
Q

what blood product for warfarin overdose, clotting factor deficiency, DIC, TTP

A

plasma

29
Q

when is greatest risk for post op MI

A

first 48 hrs after surgery

30
Q

Phenylephrine MOA, Effect, indication

A

MOA: alpha agonist a1>a2
Effect: vasoconstriction, reflex bradychardia
Indication: sepsis ans shock

31
Q

Norepi MOA, Effect, indication

A

MOA: a1 b1 agonist
Effect: vasconstriction, mild increased contractility
Indication: schock

32
Q

EPI MOA, Effect, indication

A

MOA: B1 >B2>A1 alpha effects predominate at high doses
Effect: increased contractility vasodilation low dose, vast constriction high dose
Indication: anaphylaxis, shock, septic shock, post bipasshypotension

33
Q

Dopamine MOA, Effect, indication

A

MOA: agonist for B1 low dose, and alpha at high dose
Effect: increased heart rate and contractility , vasoconstriction at high dose only
Indication: shock

34
Q

Dobuatamine MOA, Effect, indication

A

MOA:B1 agonist
Effect: increased hr and contractility , mild reflex vasodilation
Indication:CHF, cariogenic shock

35
Q

Isoproterenol MOA, Effect, indication

A

MOA:B1 and B2 agonist
Effect: increased Hr and contractility, vasodilation
Indication:Contractility stimulation in cardiac arrest

36
Q

Vasopressin MOA, Effect, indication

A

MOA:ADH analog with week pressor effect
Effect: vasoconstriction
Indication: resistant septic shock, second vasopressor

37
Q

lactose intolerance test

A

breathe hydrogen test

38
Q

meds that cause pill induced esophagitis most often

A

tetracylines, aspirine, NSAIDS,bisphosphinates,KCL Fe

39
Q

reflux alarm sx

A

dysphasia, weight loss, anemia, go bleed, vomiting

40
Q

most common arrhythmia in sudden cardiac arrest

A

Vfib

41
Q

what toxicity can nitroprusside cause in patients with kidney failure

A

cyanide

42
Q

what causes low amplitude sinusoidal fetal heart rate tracings

A

fetal anemia and blood loss

43
Q

oxytocin toxicity electrolytes

A

hyponatremia = neuro sx

44
Q

Congenital CMV ultrasound findings

A 
periventricular calcifications,
venticrolomegly
microcephaly
intrahepatic calcifications
hydros fetalis
45
Q

neonatal CMV ffeatures

A

Petechiae
hepatiosplenomegaly
chorioretinitis
microcephaly

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