Cross-cover knowledge

Question 1

patients who generally have very low BP

Answer 1

cirrhotics (typically systolic in mid-80s)

Question 2

perinephric abscess classic clinical course

Answer 2

originally responding to abx, then gets worse again

Question 3

fever that improves then gets worse again..

Answer 3

always think about abscess

Question 4

best med for dropping BP

Answer 4

hydralazine (safe if given low dose). BUT if HR high or can handle it, labetalol works better.

Question 5

permissive HTN

Answer 5

high pressure after stroke, which is good.

Question 6

Fever spikes overnight

Answer 6

UA
BCX x 2
CXR
Paracentesis if cirrhotic

Question 7

how to approach ordering overnight

Answer 7

be liberal

Question 8

Fall, no-one saw, in dementia patient

Answer 8

CT-head

possible Xray for fractures

Question 9

Patient meets Sepsis alert…

Answer 9

Order a lactate

Question 10

O2 in 80s

Answer 10

Order ABG (AA gradient will tell you whether it's a lung problem or not)
Order CXR

Question 11

acute onset hypoxia ddx

Answer 11

sleep apnea
PE
mucuous plugging
aspiration PNA
pneumo
HF

Question 12

how to order ABG

Answer 12

get it on room air so you can calculate AA gradient

Question 13

If patient needs more than 5L oxygen

Answer 13

high flow nasal cannula

Question 14

if they need more than 10L oxygen

Answer 14

nonrebreather

Question 15

how to give fluids when managing BP

Answer 15

always bolus

Question 16

HA management

Answer 16

don’t give narcotics

Question 17

rib pain management

Answer 17

narcotics okay