Chapter 13: Special Considerations Flashcards
Does a V/Q scan use contrast
no
how long should oral anticoagulation be continued PE
3 months at least
An inferior vena cava filter should be considered in patients with PE when
Anticoagulation is strongly contraindicated
emboli recur during anticoagulation
bleeding occurs during anticoagulation
Somatostatin and octreotide doses when uncontrolled varicella bleeding is suspected
Somatostain 250 micrograms followed by 250/hr
octreotide 25-100 mi programs followed by 25 to 50/hr
hoe long to give somatostatin analog varicella bleeding is suspected
3-5 days
GI bleed how long IV PPI post endoscopy
72 hours
RF for stress related gastritis
mechanical ventilation for > 48 hrs sever infection coagulopathy hypotension sever head trauma sever trauma or burns renal or hepatic failure major surgery prolonged ICU stay
2 med classes to prevent stress gastritis
H2 blocker and PPI
Consider administering what 3 agents with AMS
Naloxone (opioids)
dextrose 50% (hypoglycemia)
Thiamine (OH)- give before dextrose to lower risk of Wernicke’s
Acetaminophen tx
N-acetylcysteine
methanol and ethylene glycol tx
ethanol, fomepizole, dialysis
amphetamine tx
Benzos
Benzo tx
Flumazenil (acute only not for chronic users)
B-Blockers tx
Glucagon, calcium chloride, pacing, insulin and dextrose
CCB tx
Calcium chloride, glucagon, insulin and dextrose, pacing
CO tx
100% O2, hyperbaric O2
Cocain tx
Benzos
Cyaninde tx
Nitrites and thiosulfate, hydroxycobalamin
TCA tx
Benzos (for seizures), blood alkalization, hypertonic saline, Mg, A agonist for hypotension
Digoxin tx
Digoxin-Fab fragments, atropine, lido, pacing
heparin reversal
protamine sulfate
Hypoglycemic agents tx
50% dextrose, somatostatin, octreotide
iron tx
deferoxamine
Isoniazid tx
pyridoxine (B6)
