Deck 2 Flashcards
Cow Milk Protein Allergy
Rash, vomiting, Diarrhea, irritability
IgE or NonIg E Mediated
Bloody stools: + fecal occult blood test
Mother and infant should avoid milk containing products
Hydrolyzed formula over soy formula
Lactose intolerance
Flatuence, bloating
Non allergic
No blood in stool
rare in infants
Trach size
Age/4 + 4 for size
trach length
based on weight
What is distributive shock, what type?
Decreased vascular resistance profound vasodilation
Hypotension
Warm
Types of distributive shock
Anaphylaxis- histamine is a vasodilator
Neurogenic
Septic shock
Neurogenic shock
From spinal cord injury
Vasodilation from loss of sympathetic tone, hypotension without reflex tachycardia
Obstructive shock
Impaired blood flow from physical impediment
Cardiac tamponade
Tension pneumo
PE
What food can cause folate deficiency?
Goats milk
What diet can cause B12 deficiency?
Vegetarian
BLS
No lines no meds no airway
Just minor
EMTs
TCAS
Nortripllyine and amitripllyijr
Attrition bias
Loss to follow up
Most common wbc in breast milk?
Macrophage
CRMO
Chronic Recurrent Multifocal Osteo
Not an infection but autoinflammatory and sterile
Osteo or septic arthritis should delay abx for cultures?
Osteo do delay, septic tx right away
Post op care tonsils and adenoids
Yes ibuprofen and dex
No codeine (black box warning) and abx
Minimal sedation
Respond normally to verbal commands
Cognition and coordination may be impaired
No change to CR function
Moderate sedation
Depressed consciousness, respond purposefully to verbal commands and light touch
Deep sedation
Can not be aroused, respond only to noxious
Need airway/ventilation assistance, CR maintained
Dissociative/Ketamine
What give with SE if hallucinations?
Trance like with analgesia AND amnesia
Benzo/versed
NPO time
No real time, probably 4 hours
Ketamine 2-4 hours
Severe hypothermia is what?
Under 82, under 28 degrees
CPAP vs BiPap
Increase patients PIP and PEEP
Does that plus increase tidal volume
Mild intermittent Asthma
2 days or less of sympotms a week
No interference of daily activities
< 2 days of nighttime a month
Normal PFT
Mild persistent Asthma
2 days or more
Interferes with daily activities
3-4 times a month of nighttime
Normal PFT
Well controlled with low dose controller
Moderate Persistent Asthma
Daily symptoms
Interferes with daily activiteis
Weekly nightime
60-80% of PFT
Well controleld with combined ICS-LABA
Severe Persistent Asthma
Throught out the day
Severely interfers
Most nights
< 60% PFTS
Well controlled with high dose ICS-LABA
Nephrotic Syndrome predisposes to what?
Clots!
What causes ITP
Anti platelet Antibodies, usually GpIIb,IIIA
Preceding URI
Bernard Soulier
Large platelets, low platelets
What bumps up to asthma severity?
Two or more exacerbations that require steroids increase a patient to categories of persistent asthma regardless of other reported daytime or nighttime symptoms
Fever + RUQ pain + AMS and hypotension
Cholangititia
