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Medicine > CCS 2 > Flashcards

CCS 2 Flashcards

1
Q

Stroke-TIA orders

A 
Head-CT
CBC
BMP
ECG
cardiac monitor
carotid doppler
Blood glucose
Echo
lipid 
HBA1C
MRI head
MRA brain
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2
Q

Stroke-TIA therapy

A

IV access
ASA
Consider CEA
Counseling

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3
Q

Stroke-TIA steps

A 
Exam
STAT orders (CBC, CT-head, BMP, ECG)
ASA as soon as CT head negative
Transfer patient to ward
Ward orders
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4
Q

Stroke-TIA ward orders

A

diabetic diet, glucose q8h, STAT imaging (MRA, etc.)

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5
Q

PID workup

A 
HCG
Gram stain, cervix
Gonorrhea culture
Chlamydia culture
UA
Urine culture
CBC
BMP
RPR
HIV
Pap smear
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6
Q

PID therapy

A 
IV access
IVF
IV clinda + IV gentamicin inpatient, outpatient CTX + doxy for 14 days
Phenergan IV
Acetaminophen IV
Morphine IV
NPO 
bedrest
Counseling
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7
Q

bleeding diathesis orders in kid

A 
CBC
BMP
Bleeding time
PT/PTT
LFTs
Factor VIII, IX, XI
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8
Q

hemophilia therapy

A 
Factor replacement
No ASA
Counseling
Genetics consult
Admit to ward
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9
Q

hemophilia monitoring

A

PTT

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10
Q

ACS emergency orders

A 
Pulse ox
O2
Cardiac monitor
Continuous BP
12 lead
IV access
**ASA
nitroglycerin
IV access
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11
Q

ACS workup

A 
12 lead
Troponin
CXR
CBC
BMP
LFT's
lipids
PT-PTT-INR
Echo
cardiology consult
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12
Q

ACS therap

A 
MONA-BASH
ASA
Nitro
**Heparin
metoprolol
Eptifibatide
Statin
Cardiology consult
Cath
NPO
Bedrest
Counseling
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13
Q

croup workup + emergency orders

A

EMERGENCY orders STAT (oxygen, pulse ox)
STAT CBC
BMP
Neck x-ray STAT

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14
Q

croup therapy

A

Humidified air
Epinephrine, inhaled
Dexamethasone oral
Counsel patient

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15
Q

asthma exacerbation emergency orders

A 
Pulse ox q 1 hour
Oxygen
IV access
Head elevation
Cardiac monitor
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16
Q

Asthma exacerbation workup

A 
peak flow (PEFR)
ABG
ECG
CXR
CBC
BMP
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17
Q

asthma exacerbation therapy

A 
Oxygen  
Albuterol
Iptratropium bromide
steroids
Counseling
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18
Q

asthma monitoring

A

pulse ox
Peak flow q 1 hour
IF not responding, admit

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19
Q

meds that can cause constipation

A

CCB’s, opioids, anticholinergics, iron replacement

20
Q

constipation workup

A 
CBC
BMP
Serum mag
serum phos
TSH
FOBT
colonoscopy
HBA1C
21
Q

constipation therapy

A 
High fiber diet
**metamucil
oral hydration
low salt diet
low fat diet
Exercise program
Patient counseling

*don’t start second line therapies first

22
Q

constipation first line and second line

A

Initial measures:
Fiber + fluids
Bulk forming laxatives (psyllium/metamucil, methylcellulose)
IF refractory:
Softeners (docusate), osmolar agents (lactulose, sorbitol, mag citrate), stimulants (senna, bisacodyl)
Disimpaction
GI referral for colonic transit, anorectal manometry

23
Q

physical exam + location also for acute appendicitis

A

rectal

*transfer immediately to ER after exam, then admit to ward before surgery

24
Q

appendicitis workup in kids

A 
CBC
BMP
LFTs
FOBT
UA
coags
abdominal US (CT only if US equivocal or child is obese)
25
appendicitis therapy
``` NPO IV access NS morphine IV zofran cefoxitin IV surgery consult laparoscopy ```
26
septic arthritis workup
``` CBC BMP Blood cultures coags X-ray knee synovial fluid analysis synovial fluid gram stain and culture and sensitivity Synovial fluid crystals ```
27
septic arthritis therapy
``` IV access IV NS NPO morphine iV IV CTX + vanc STAT Ortho consult + arthroscopy if inadequate drainage Counseling *admit to ward ```
28
most common cause of abnormal uterine bleeding in non-pregnant adolescent females
dysfunctional uterine bleeding (anovulation and unopposed stimulation of endometrium by estrogen. HPO axis is underdeveloped)
29
dysfunctional uterine bleeding workup
``` qualitative urine HCG serum TSH serum prolactin CBC coags ```
30
dysfunctional uterine bleeding therapy
OCP Iron sulfate Reassurance Counseling (med compliance, safe sex, regular exercise) *rule out pregnancy before starting therapy
31
emergency orders for pericarditis
``` pulse ox oxygen cardiac monitor BP monitor 12 lead ECG IV access ```
32
pericarditis orders
ECG + CXR first ``` CBC BMP Troponin ESR Blood cultures ECHO ```
33
blunt abdominal trauma emergency orders | EMERGENCY TRAUMA ORDERS
``` C-spine immobilization IV access IV NS Pulse ox oxygen BP monitor cardiac monitor ```
34
Blood abdominal trauma workup
``` CBC BMP LFTs Serum amylase Serum lipase UA ABG coags type and cross blood ethanol Utox Urine HCG 12 lead ECG Spine + chest X-ray abdominal CT UOP ```
35
blunt abdominal trauma therapy
``` NPO General surgery Foley IV morphine IV zofran Counseling (no contact sports) ```
36
blunt abdominal trauma monitoring
serial exams | H&H q6h
37
Blunt abdominal trauma timing
Initial ABCDE C-spine immobilization before exam Surgery consult immediately following exam
38
cellulitis orders
CBC with diff BMP x-ray Blood cultures
39
cellulitis therapy
``` IV access IV NS Leg elevation Clindamycin IV Percocet oral ```
40
gout workup
``` CBC BMP Coags ESR Serum uric acid X-ray of joint synovial fluid analysis ```
41
gout therapy
``` Indomethacin Counseling (low protein diet, no alcohol, no smoking, medication compliance) ```
42
PCP pneumonia workup
``` Pulse ox CBC BMP ABG (to determine need for steroids) Serum LDH Serum PCP stain CXR Blood G6PD HIV elisa + western blot + viral load + CD4 count ```
43
PCP therapy
``` Empiric bactrim after CXR STeroids if PO2 less than 70 or A-a gradient over 35 O2 Influenza vaccine + pneumococcal HAART Counseling Pulse ox ```
44
general cancer workup
``` CBC BMP LFTs UA FOBT Abdominal + chest CT Serum iron TIBC Ferritin Coags type and cross ```
45
general emergency orders
``` IV access pulse ox Oxygen BP monitor cardiac monitor ECG ```
46
acute abdomen-perforated ulcer workup
``` CBC BMP LFTs lipase, amylase abdominal or CXR Coags type and cross ```
47
perofrated ulcers order
``` NPO Bedrest NG tube NS morphine zofran PPI IV ampicillin-sulbactam surgery consult laparoscopy ```

Medicine (71 decks)

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