Acronyms & Mneumonics Flashcards
CT BEPR
inducers: increase clearance, decrease plasma drug level –> dose increases may be required
“CTBEPR”
Carbamazepine, tobacco smoke, barbituates, ethanol, phenytoin, rifampin
Most vascular to least vascular
CREST syndrome
Seen in Sclerodema
CREST syndrome:
1) Calcinosis
2) Raynaud’s
3) Esophageal hypomotility
4) Sclerodactyly
5) Telangiectasis (T- spider veins and bleeding in mucosa)
Excessive fibrosis, and micro vascular involvement in organs: think pulmonary hypertension, blood pressure hypertension membrane bleeding, and kidney issues
FLAT PIG
These are anterior pituitary hormones, it’s also called Adenohypophysis!!!!!
- Follicule-stimulating
- Luteinizing hormone
- Adrenocorticotropic
- Thyroid
- Prolactin
- Growth
(Posterior pituitary hormones: ADH and Oxytocin)
BONES
5 risk factors for difficult mask airway
Beard
Obese
No teeth
Elderly > 55 years
Snoring
VACTERL Association
V = Vertebral defects
A = imperforated Anus
C = Cardiac anomalies
T = Tracheoesophageal fistula
E = Esophageal atresia
R = Renal dysplasia
L = Limb anomalies
CHARGE Association
C = Coloboma (a hole in one of the eye structure)
H = Heart defects
A = Choanal atresia (back of nasal passage is obstructed)
R = Retardation of growth and development
G = Genitourinary problems
E = Ear anomalies.
CATCH 22
C = Cardiac defects
A = Abnormal face
T = Thymic hypoplasia
C = Cleft palate
H = hypocalcemia, due to hypoparathyroidism
22 = 22q11.2 gene deletion, the cause of the syndrome
POINTES
Conditions that increase the risk of torsades de pointes:
P = phenothiazides
O = Other meds: methadone, droperidol, amiodarone with hypokalemia
I = intracranial bleed
N = no known cause
T = type 1 antiarrhythmics
E = Electrolyte disturbances: low potassium, calcium, or magnesium
S = Syndromes: Romano-ward, Timothy.
HELLP syndrome
H = Hemolysis;
EL = Elevated Liver enzymes;
LP = Low Platelet count.
It develops in 5 to 10% of those with preeclampsia.
These patients experience epigastric pain and upper abdominal tenderness. Treatment, like for preeclampsia, is delivery of the fetus.
CLOSE-P
Closing Volume is the point at which dynamic compression of the airways begins. Said another way, it’s the volume above residual volume where the small airways begin to close during expiration.
C = COPD
L = Left ventricular failure
O = Obesity
S = Smoking
E = Extreme age
P = Pregnancy
PISSED CHIMP
Drugs that can exacerbate Systemic Lupus Erythematosus:
P = Pregnancy
I = Infection
S = Surgery
S = Stress
E = Enalapril
D = D-penicillamine
C = Captopril
H = Hydralazine
I = Isoniazid
M = Methyldopa
P = Procainamide
SAIL - VAN
Landmarks for femoral nerve block:
S = Sartorius muscle;
A = Adductor longus muscle;
IL = Inguinal Ligament.
V = Vein;
A = Artery;
N = Nerve;
From medial to Lateral.
HARDUP
Possible causes of a non-anion gap acidosis:
H = Hypoaldosteronism;
A = Acetazolamide;
R = Renal tubular acidosis;
D = Diarrhea;
U = Ureterosigmoid fistula;
P = Pancreatic fistula.
Large volume resuscitation with NaCl solutions can cause a non-gap metabolic acidosis with hyperchloremia (think trauma).
Foolish People Try Climbing Long Slopes After Christmas Some People Have Fallen.
Foolish = Fibrinogen - 1.
People = Prothrombin - 2.
Try = Tissue factor - 3. Not made in liver
Climbing = Calcium ions - 4. Not made in liver
Long = Labile factor - 5.
Slopes = Stable factor - 7.
After = Antihemophilic - 8. Not made in liver
Christmas = Christmas - 9.
Some = Stuart-Prower - 10.
People = Plasma Thromboplastin antecedent - 11.
Have = Hageman factor - 12.
Fallen = Fibrin stabilizing factor - 13.
I invariably get lazy on Fridays
6 terminal branches of the lumbar plexus L1-L4
Iliohypogastric
Ilioinguinal
Genitofemoral
Lateral femoral cutaneous
Obturator
Femoral
VHARD
Things that increase the A-a gradient
- Vasodilators
- High FiO2
- Aging
- R to left shunt (atelectasis, pneumonia, bronchial intubation, Intracardiac defect)
- Diffusion limitation (pulmonary fibrosis, emphysema, ILD)
Love my three and four little miniature schnauzers
CSF FLOW:
Lateral ventricles
Monroe
3rd ventricle
Aqueduct of Sylvius
4th ventricle
Luschka or Magendie
subarachnoid space
PABL
Weak acids:
Propofol, ASA, Barbituates, Lasix
VEP
Imidazole ring:
Versed, Etomidate, Precedex
DUMBBELLS
“Pretty Cats Take Long Breaks, Really Like Peaceful Moments.”
“Pretty Cats Take Long Breaks, Really Like Peaceful Moments.”
- Lower pKa: Faster onset (more unionized at physiological pH).
Rank pka of local anesthetics:
procaine 8.9
chloroprocaine 8.7
tetracaine 8.5
Levo-bupivicaine 8.1
bupivicaine 8.1
ropivicaine 8.1
lidocaine 7.9
prilocaine 7.9
mepivicaine 7.6
Larry Brown Runs Monster Trucks Like Prince Phillip & Charles
Rank protein binding
O o o to touch and feel a girl’s vagina, ah heavenly
12 Cranial nerves:
1 olfactory
2 optic
3 oculomotor
4 trochlear
5 trigeminal
6 abducens
7 facial
8 Acoustic
9 glossopharyngeal
10 vagus
11 spinal accessory
12 hypoglossal
~~~
O o o to touch and feel a girl’s vagina, ah heavenly
How to know which are sensory, motor, or both:
1 Some
2 Say
3 Marry
4 Money
5 But
6 My
7 Brother
8 Says
9 Bad
10 Business
11 Marrying
12 Money
Some Say Marry Money But My Brother Says Bad Business Marrying Money
How to know which cranial nerves are sensory, motor, or both:
1 Some
2 Say
3 Marry
4 Money
5 But
6 My
7 Brother
8 Says
9 Bad
10 Business
11 Marrying
12 Money
REVSS
REVSS Regurgitation, eccentric, volume, series, systolic HF- reduced EF
SCPPD Stenosis, concentric, pressure, parallel, diastolic HF- preserved EF
SCPPD
SCPPD Stenosis, concentric, pressure, parallel, diastolic HF with preserved HF
SAM
paralytics that cause histamine release: SAM: Sux, Atracurium, Mivacurium
Histamine effects release include:
• Increased airway resistance
• Increased heart rate
• Decreased systemic vascular resistance
• Decreased blood pressure
• Skin flushing
(Cisatracurium can cause histamine release only in high doses)
Two Zebras Bit My Cat
CN 7:
Temporal, zygomatic, buccal, Mandibular, cervical
DAD
Kappa receptor
Dynorphins, anti-shivering, diuresis
Also miosis!
MUDPILES
Etiologies of anion gap acidosis:
M = Methanol;
U = Uremia;
D = Diabetic ketoacidosis;
P = Paraldehyde;
I = Isoniazid;
L = Lactate - sepsis or cyanide poisoning;
E = Ethanol;
S = Salicylates.
G HIP
Glyco, Heparin, Insulin, Paralytics
These drugs can be given to pregnant mom because they don’t cross the placenta
BEKKA CB
things to avoid with porphyria!
AVOID BEKKACB: Barbs, etomidate, ketorlac, ketamine, CCB, birth control
Stimulation of ALA synthetase, emotional stress, prolonged NPO, CYP450 induction
RACCO
5 things to be ready for in Aldrete score you need greater than 9 to be discharged
1) Respiratory: deep breathing or shallow breathing
2) Activity
3) Consciousness
4) Circulation
5) O2 satuation. Scoring 2 means SpO2 >92%
Scored 0,1,2
SIPPS
Sacral plexus
KEO
Drugs that DO NOT AFFECT SSEPs
They increase amplitude and decrease latency. It’s the opposite of DAIL
Ketamine, opioids, etomidate
PCA
Think PCA: pregnancy, cricoid pressure, and anticholinergics like glyco decrease LES tone
So more at risk of aspiration
IGECKOS
Enzyme inhibitors- will need to reduce the dose of the drug
- Isoniazid
- Grapefruit
- Ezthromycin
- Cemetidine
- Ketoconazole
- Omeprazole
- SSRIs
G D M A M H
Great decisions make amazing mental health
Some diseases that are sensitive to sux and can cause hyperkalemia, and they’re also sensitive to ROCURONIUM
Gillian barre
Duchennes
MS
ALS
MG
Huntingon’s
GD MAM
Don’t give sux, but they are sensitive to roc**
Gbs
Duchenne’s
MS
ALS
MG
Other: (Huntington’s chorea)
