DM, CHF, COPD, GI bleed Flashcards
LDL should be what in patient with DM vs CV dz
DM: <100
CV: <70
urine microalbumin: Cr ratio should be
30
30-300: microalbum
>300: macro
>3000: nephrotic syn
indications to admit for CHF exacerbation
desat <90% Dyspnea at rest ACS, arrythmia lytes abnl repeat defib firings worsening sxs new HF
contraindications to starting BB in CHF
acute
class IV
bradyarrythmias, heart block
CXR findings of COPD
increased AP diameter
blebs
cardiomegaly
are steroids used in chronic COPD management
rarely
how long of prednisone for COPD exacerbation
5 days, then taper off over 2-3 weeks
what qualification of SpO2 and PO2 marks criteria for home supp O2?
PO2<55 or sat<88%
or <60 with cor pulmonale
who should be screened for alpha 1 anti trypsin?
young people with no risk factors who present with COPD
when do you use narcotics in COPD
end stage- “air hunger” - hospice/palliative
colors of bile in NG tube to indicate upper vs lower GI bleed
bile- lower
red- upper
clear- idk ask my bff jill
gross hematuria causes
bladder cancer trauma RCC ADPKD nephrolithiasis hemorrhagic cystitis
dysphagia solids–> liquids , think..
malignancy
dysphagia solids + liquids, think…
achalasia