Cram Flashcards
What is the equation for osmolality?
2Na + glu/18 + BUN/2.8 + etoh/4.6
What is the parkland formula?
4kgtbsa. First half given in the first 8 hours, the next over 12
What is the formula for sodium correction for elevated glucose?
Add 1.6 to the sodium for every 100 mg/dL of glucose over 100
What is the formula for Aa gradient at room air?
(150 - (5/4)(PCO2)) - PaO2
What is the formula for FeNa?
FENa = (PCr * UNa)/(PNa * UCr) x 100. Prerenal <1%, Intrinsic >1%, Postrenal >4%
What is the spinal level tested with the Achilles reflex?
S1
What is the spinal level tested with the Patellar reflex?
L4
What is the spinal level tested with the brachioradialis reflex?
C5, C6
What is the spinal level tested with the Biceps reflex?
C5, C6
What is the spinal level tested with the triceps reflex?
C7
What is the classic adverse effect of indanavir?
Renal stones
What is the treatment for ciguatera poisoning?
Mannitol
What is the treatment for jellyfish stings?
Acetic acid
What is the treatment for stingray wounds?
Hot water
What is the treatment for tularemia?
Streptomycin
What are the s/sx of tularemia?
Fever
skin ulcers
LAD
Pneumonia
What are the five states of Fe poisoning?
Stage 1: Abdominal pain/vomiting (hours) Stage 2: Quiescent period Stage 3: Shock and metabolic acidosis Stage 4: Elevated liver enzymes Stage 5: GI scarring
What level of lymphocytes at 48 hours indicates severe radiation poisoning?
less than 1500
What are the SIRS criteria?
- Fever more than 38 ° C (100.4 ° F) or less than 36 ° C (96.8 ° F)
- HR over 90
- RR over 20 or PaCO2 less than32 mmHg
- WBC more than 12,000/mm3 or less than 4,000/mm3, or >10% bands
