8/28/21 Flashcards
Targeted Temperature Management
Inclusion Criteria: Post cardiac arrest ROSC < 30 minutes Induction time < 6 hrs from ROSC Comatose MAP > 65 mm Hg Best location for temperature probe: esophagus Target temperature: 32–36°C
Rheumatic Fever JONES criteria:
Joints Oh no, carditis! Nodules Erythema marginatum Sydenham chorea
Anterior wall ST elevation in leads
V1 through V4
Inferior wall ST elevation in leads
II, III, and AVF
Lateral wall ST elevation in leads
I, AVL, V5, and V6
Posterior wall ST depressions V1 through V3 and elevations in ____________
V8 and V9
Posterior wall ST depressions ___________ and elevations in V8 and V9
V1 through V3
Right Ventricular Infarction ecg
ST elevation in V4R–V6R
ST elevation lead III > lead II
Primary Immune Thrombocytopenia (formerly ITP) treatment
Treatment is observation, steroids, IVIG
Primary Immune Thrombocytopenia (formerly ITP) exam findings
PE will show petechiae, purpura, and gingival bleeding
Labs will show platelets < 100,000 µL
What is the major risk of using lithium in pregnancy?
Cardiac toxicity and Ebstein anomaly.
Complaining of ataxia and confusion
PE will show nystagmus, lateral rectus palsy
Wernicke Encephalopathy
Most commonly caused by thiamine (B1) deficiency
Treatment is aggressive thiamine repletion
Comments: replace thiamine BEFORE glucose
________ should be given after thiamine for the theoretical prevention of Wernicke-Korsakoff syndrome.
Dextrose
Ventricular tachycardia ecg
wide-complex tachycardia
ventricular rate > 100 bpm
QRS duration > 0.12 seconds
originates within or below the Bundle of His.
What is the single oral dose of dexamethasone that is recommended for the treatment of croup in children?
0.6 mg/kg orally
