Dubin CIS

Question 1

Whats the difference between hypertensive emergency and hypertensive urgency?

Answer 1

With hypertensive emergency you’ll sill end organ damage and you want to treat STRAIGHT away.
With hypertensive urgency you have 24-36 hours to treat.

Question 2

You would see positive Chvostek sign with kind of deficiency?

Answer 2

Hypocalcemia

Question 3

What does BUN:CR ratio greater than 20:1 indicate?

Answer 3

prerenal problem = dehydrated

Question 4

What does BUN: Cr ration less than 10:1 indicate?

Answer 4

It’s a renal or intrarenal probelm. DO NOT GIVE THEM fluid

Question 5

In chronic renal failure, you would see what kind of anemia?

Answer 5

Normocytic normalchromic anemia. Everything is normal but just not enough of it. THis is because the kidney isn’t making erythropoietin.

Question 6

By looking at a pt’s urinalysis, what is the easiest/fasting way to tell if the patient is dehydrated?

Answer 6

If their specific gravity is high.

Question 7

Fraction excretion of Na is below 1% means _

Answer 7

patient is dehyrated.

Question 8

Fraction excretion of Na is greater than 3% means _

Answer 8

kidney problems. pt is NOT dehydrated. dont give them fluid.

Question 9

how do you treat hyperkalemia?

Answer 9

insulin, glucose, Ca, or albuterol.