Diagnosis Flashcards
Diagnosing brain dead criterion
48 hr rule if no family,
If there is a family. You need two physicians 6 hrs apart.
How long is persistent vegetative state
3 months is persistent
Under is non persistent vegetative
Pseudotadiculaopathy
Muscle spasm
Diagnosing orthostatic in elderly?
Below 90 systolic or drop in 20
How do you r/o ortho?
Did it happen with.
Exertion
Sitting
Standing
Stupid cz of orthostatic?
Anemia Bed rest Dehydration (etoh, diuretic, Heat (bath) Meds (diuretic, antidepressant, sedatives,
Treatment for ortho
Saline to expand plasma volume Support stocking prevent pooling Exercise Coffee/ tea Mineral cortisol Desmopressin
How to mineral corticoids tx orthostatic.
Increases salt retention. Increasing plasma volume. Midodrine.
What is an example of minerolocorticoids.
Midodrine
How does midpdrine work?
Alpha agonist
Increase tone.
How do you does midrodrine.
2 to 3. But avoid night time.
What happens if you give midrodrine at night
Supine hypertension.
What is it called then pulse jumps up while sitting.
Postural tachycardia
Operates mnemonic
Onset Progression Exacerbates Radiates Alleviates Timing Episodes of symptoms free Systems
Do you any double vision or balance issues
Ms