EKG Flashcards
Hypercalcemia changes (3)?
Shortening of the QTc interval
PR prolongation
QRS widening
sgarbossa criteria
- UP- concordant QRS T w/ 1 mm or elevation
- DOWN- concordant down 1 mm depression V1-V3
- Discordant down, up- 5 mm elevation from baseline
what is trigeminy?
regular irregularity- draw out the R’s on paper and they will march out irregular for 3 beats, but those 3 beat complexes will be regular
usualy contains a regular PVC in there
when can you not send a kid home with brocnhilotiis?
90% sats perisstently cant feed well lots fo wall suction needed retracting looking overall unwell
MOst common side effects of Ketamine sedation?
N/V
laryngospasm (pushed too fast)=
larygnsopsasm treatment?
Sux or roc
pressure behind mastoids
jaw thrust and give it a little time
strep high or lode abx?
Otitis hihg or low dose?
throat= low dose amoxicillin
ears= hihg (cefidnir (14 mg/kg) amox (85 mg/kg)
PNA high dose
why dose hemmocult not work well?
What 3 things shoudl you look at in a GIB?
DOesnt say acute blled?
- High BUN
- H/H
- vitals
TIA work up?
Just liek a stroke, if it is ongoing = STROKE ALERT!
when is it okay to not stroke alert an ongoing TIA patient?
- not large vessel occulsion disease
2. time of onset and tpa/thrombectomy is out the wndow
what can you give with opiods to and contipation to let them poop?
Methylnaltrexone
bradycardia in a heart transplant pt, what do you give them?
epi
atropine wont work no vagus nerve
Cancer patient that is aenmic, what type of blood do you give them and when you give them plateltes if they ar enot actively bleeding?
irradiated blood
10 k plateltes
20k if actively vbleeding
what clincal scoring tool has high mortality rate and needs ICU admit?
qsofa
Clinical PNA signs?
- hypoxia.
- retractions
- tacypnea
- fever
- cough
- ill