9/15 Flashcards
when to use hypertonic saline
with patients with severe hyponatremia and symptoms (seizures/coma)
regular narrow complex tachycardia
SVT
treatment for hemodynamically unstable SVT
synchronized cardioversion
use for antiarrhythmics (amiodarone/procainamide)
wide complex tachycardia
medical treatment for SVT
adenosine
when to do unsynchronized cardioversion
pulseless cardiac arrest with shockable rhythm
treatment of SIADH
demeclocycline, blocks AADH
MOA of tolvaptan
V2 vasopressin receptor antagonist
test for lactose intolerance
hydrogen breath test
MEN1
- parathyroid adenoma
- pituitary
- pancreas/gastric (ZE syndrome)
treatment for frostbite
warm water rewarming
triad of invasive pulmonary aspergillosis
fever, hemoptysis, and pleuritic chest pain
CT in invasive pulmonary aspergillosis
nodules with surrounding ground glass opacities
treatment for aspergillosis
vorconizole + echinocandin
haptoglobin
binds to free hemoglobin in blood, is lower in hemolytic disorders
presentation of dermatomyositis
symmetric proximal muscle weakness, erythematous rash on dorsum of finger (Gottron) and upper eyelids
meds causing hyperkalemia
- beta blockers - blocks beta2 mediated uptake
- some diuretics
- digitalis
- cyclosporine - blocks aldo
- heparin - blocks aldo
- NSAIDs - decreased renal perfusion
- bactrim - block sodium channel
med avoided in acute glaucoma
atropine, can dilate and make worse
meds used in acute glaucoma
mannitol, acetazolamide, timolol, pilocarpine
COPD treatment
Oxygen Steroids Nebs Antibiotics PPV
septic pulmonary emboli on imaging
round alveolar infiltrates on CT
treatment of testicular cancer
orchiectomy
EKG findings of LVH
high voltage QRS, lateral ST depression, lateral T wave inversion
presentation of coarc
epistaxis, headaches and limb claudication
black box in PTU
liver injury and failure, but preferred in pregnancy
serious side effect of hyperthyroid meds
agranulocytosis
osmolarity equation
2NA + glucose/18 + BUN/2.8
first line for fibromyalgia
TCAs
false RPR
anti-phospholipid syndrome
treatment of DVT
direct Xa inhibitors, fibrinolytics if hemodynamically unstable
fat strnding
seen in pancreatitis
drugs causing pancreatitis
- diuretics
- drugs for IBD
- immunosuppressants
- HIV meds
- antibiotics
most common site of ulnar nerve entrapment
medial epicondyle