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Emergency Medicine > EM III > Flashcards

EM III Flashcards

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1
Q

ASA OD hemodialysis indications: (6)

  • ASA >100mg/dL (>50 if chronic)
  • […]
  • oliguric renal failure
  • pulmonary/cerebral edema
  • AMS
  • clinical deterioration
A

ASA OD hemodialysis indications: (6)

  • ASA >100mg/dL (>50 if chronic)
  • intubated
  • oliguric renal failure
  • pulmonary/cerebral edema
  • AMS
  • clinical deterioration
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2
Q

ASA OD hemodialysis indications: (6)

  • ASA >100mg/dL (>50 if chronic)
  • intubated
  • […]
  • pulmonary/cerebral edema
  • AMS
  • clinical deterioration
A

ASA OD hemodialysis indications: (6)

  • ASA >100mg/dL (>50 if chronic)
  • intubated
  • oliguric renal failure
  • pulmonary/cerebral edema
  • AMS
  • clinical deterioration
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3
Q

ASA OD hemodialysis indications: (6)

  • ASA >100mg/dL (>50 if chronic)
  • intubated
  • oliguric renal failure
  • […]
  • AMS
  • clinical deterioration
A

ASA OD hemodialysis indications: (6)

  • ASA >100mg/dL (>50 if chronic)
  • intubated
  • oliguric renal failure
  • pulmonary/cerebral edema
  • AMS
  • clinical deterioration
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4
Q

ASA OD hemodialysis indications: (6)

  • ASA >100mg/dL (>50 if chronic)
  • intubated
  • oliguric renal failure
  • pulmonary/cerebral edema
  • […]
  • clinical deterioration
A

ASA OD hemodialysis indications: (6)

  • ASA >100mg/dL (>50 if chronic)
  • intubated
  • oliguric renal failure
  • pulmonary/cerebral edema
  • AMS
  • clinical deterioration
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5
Q

ASA OD hemodialysis indications: (6)

  • ASA >100mg/dL (>50 if chronic)
  • intubated
  • oliguric renal failure
  • pulmonary/cerebral edema
  • AMS
  • […]
A

ASA OD hemodialysis indications: (6)

  • ASA >100mg/dL (>50 if chronic)
  • intubated
  • oliguric renal failure
  • pulmonary/cerebral edema
  • AMS
  • clinical deterioration
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6
Q

ASA OD NaHCO3 titration goals:

  • blood pH= […]
  • urine pH= 7.5-8
A

ASA OD NaHCO3 titration goals:

  • blood pH= b/t 7.5-7.6
  • urine pH= 7.5-8
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7
Q

ASA OD NaHCO3 titration goals:

  • blood pH= b/t 7.5-7.6
  • urine pH= […]
A

ASA OD NaHCO3 titration goals:

  • blood pH= b/t 7.5-7.6
  • urine pH= 7.5-8
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8
Q

ASA OD pts need serum ASA lvl Q2 until:

  • […]
  • lvl <40mg/dL
  • pt asx
  • normal rate/depth of breathing
A

ASA OD pts need serum ASA lvl Q2 until:

  • decreased from peak lvl
  • lvl <40mg/dL
  • pt asx
  • normal rate/depth of breathing

don’t stop ASA lvl until downtrending

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9
Q

ASA OD pts need serum ASA lvl Q2 until:

  • decreased from peak lvl
  • […]
  • pt asx
  • normal rate/depth of breathing
A

ASA OD pts need serum ASA lvl Q2 until:

  • decreased from peak lvl
  • lvl <40mg/dL
  • pt asx
  • normal rate/depth of breathing

don’t stop ASA lvl until downtrending

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10
Q

ASA OD pts need serum ASA lvl Q2 until:

  • decreased from peak lvl
  • lvl <40mg/dL
  • […]
  • normal rate/depth of breathing
A

ASA OD pts need serum ASA lvl Q2 until:

  • decreased from peak lvl
  • lvl <40mg/dL
  • pt asx
  • normal rate/depth of breathing

don’t stop ASA lvl until downtrending

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11
Q

ASA OD pts need serum ASA lvl Q2 until:

  • decreased from peak lvl
  • lvl <40mg/dL
  • pt asx
  • […]
A

ASA OD pts need serum ASA lvl Q2 until:

  • decreased from peak lvl
  • lvl <40mg/dL
  • pt asx
  • normal rate/depth of breathing

don’t stop ASA lvl until downtrending

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12
Q

ASA OD sxs:

  • […]
  • tinnitus
  • hearing loss
  • AMS
  • SOB
  • hyperpnea
A

ASA OD sxs:

  • N/V
  • tinnitus
  • hearing loss
  • AMS
  • SOB
  • hyperpnea
  • diaphoresis
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13
Q

ASA OD sxs:

  • N/V
  • […]
  • hearing loss
  • AMS
  • SOB
  • hyperpnea
  • diaphoresis
A

ASA OD sxs:

  • N/V
  • tinnitus
  • hearing loss
  • AMS
  • SOB
  • hyperpnea
  • diaphoresis
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14
Q

ASA OD sxs:

  • N/V
  • tinnitus
  • […]
  • AMS
  • SOB
  • hyperpnea
  • diaphoresis
A

ASA OD sxs:

  • N/V
  • tinnitus
  • hearing loss
  • AMS
  • SOB
  • hyperpnea
  • diaphoresis
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15
Q

ASA OD sxs:

  • N/V
  • tinnitus
  • hearing loss
  • […]
  • SOB
  • hyperpnea
  • diaphoresis
A

ASA OD sxs:

  • N/V
  • tinnitus
  • hearing loss
  • AMS
  • SOB
  • hyperpnea
  • diaphoresis
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16
Q

ASA OD sxs:

  • N/V
  • tinnitus
  • hearing loss
  • AMS
  • […]
  • hyperpnea
  • diaphoresis
A

ASA OD sxs:

  • N/V
  • tinnitus
  • hearing loss
  • AMS
  • SOB
  • hyperpnea
  • diaphoresis
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17
Q

ASA OD sxs:

  • N/V
  • tinnitus
  • hearing loss
  • AMS
  • SOB
  • […]
  • diaphoresis
A

ASA OD sxs:

  • N/V
  • tinnitus
  • hearing loss
  • AMS
  • SOB
  • hyperpnea
  • diaphoresis
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18
Q

ASA OD sxs:

  • N/V
  • tinnitus
  • hearing loss
  • AMS
  • SOB
  • hyperpnea
  • […]
A

ASA OD sxs:

  • N/V
  • tinnitus
  • hearing loss
  • AMS
  • SOB
  • hyperpnea
  • diaphoresis
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19
Q

ASA OD tx:

  • […]
  • D5W IVFs (regardless of BG)
  • bicarb 2 amps IV (1mEq/kg) => 3 amp bicarb in 1L D5W at 2-3mL/kg/hr
  • activated charcoal 1g/kg PO (50g max)
  • K replacement
A

ASA OD tx:

  • ABCs- O2, inital NS 10-15ml/kg/hr => D5W
  • D5W IVFs (regardless of BG)
  • bicarb 2 amps IV (1mEq/kg) => 3 amp bicarb in 1L D5W at 2-3mL/kg/hr
  • activated charcoal 1g/kg PO (50g max)
  • K replacement

ASA impairs glucose metabolism = all IVFs D5

1 amp bicarb ~ 45 mEq

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20
Q

ASA OD tx:

  • ABCs- O2, inital NS 10-15ml/kg/hr => D5W
  • D5W IVFs (regardless of BG)
  • bicarb 2 amps IV (1mEq/kg) => 3 amp bicarb in 1L D5W at 2-3mL/kg/hr
  • […]
  • K replacement
A

ASA OD tx:

  • ABCs- O2, inital NS 10-15ml/kg/hr => D5W
  • D5W IVFs (regardless of BG)
  • bicarb 2 amps IV (1mEq/kg) => 3 amp bicarb in 1L D5W at 2-3mL/kg/hr
  • activated charcoal 1g/kg PO (50g max)
  • K replacement

ASA impairs glucose metabolism = all IVFs D5

1 amp bicarb ~ 45 mEq

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1
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21
Q

ASA OD tx:

  • ABCs- O2, inital NS 10-15ml/kg/hr => D5W
  • […]
  • bicarb 2 amps IV (1mEq/kg) => 3 amp bicarb in 1L D5W at 2-3mL/kg/hr
  • activated charcoal 1g/kg PO (50g max)
  • K replacement
A

ASA OD tx:

  • ABCs- O2, inital NS 10-15ml/kg/hr => D5W
  • D5W IVFs (regardless of BG)
  • bicarb 2 amps IV (1mEq/kg) => 3 amp bicarb in 1L D5W at 2-3mL/kg/hr
  • activated charcoal 1g/kg PO (50g max)
  • K replacement

ASA impairs glucose metabolism = all IVFs D5

1 amp bicarb ~ 45 mEq

How well did you know this?
1
Not at all
2
3
4
5
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22
Q

ASA OD tx:

  • ABCs- O2, inital NS 10-15ml/kg/hr => D5W
  • D5W IVFs (regardless of BG)
  • […] => […]
  • activated charcoal 1g/kg PO (50g max)
  • K replacement
A

ASA OD tx:

  • ABCs- O2, inital NS 10-15ml/kg/hr => D5W
  • D5W IVFs (regardless of BG)
  • bicarb 2 amps IV (1mEq/kg) => 3 amp bicarb in 1L D5W at 2-3mL/kg/hr
  • activated charcoal 1g/kg PO (50g max)
  • K replacement

ASA impairs glucose metabolism = all IVFs D5

1 amp bicarb ~ 45 mEq

How well did you know this?
1
Not at all
2
3
4
5
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23
Q

ASA OD tx:

  • ABCs- O2, inital NS 10-15ml/kg/hr => D5W
  • D5W IVFs (regardless of BG)
  • bicarb 2 amps IV (1mEq/kg) => 3 amp bicarb in 1L D5W at 2-3mL/kg/hr
  • activated charcoal 1g/kg PO (50g max)
  • […]
A

ASA OD tx:

  • ABCs- O2, inital NS 10-15ml/kg/hr => D5W
  • D5W IVFs (regardless of BG)
  • bicarb 2 amps IV (1mEq/kg) => 3 amp bicarb in 1L D5W at 2-3mL/kg/hr
  • activated charcoal 1g/kg PO (50g max)
  • K replacement

ASA impairs glucose metabolism = all IVFs D5

1 amp bicarb ~ 45 mEq

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24
Q

ASA OD w/u:

  • […]
  • CBC/CMP
  • ABG
  • EKG
  • APAP lvl
  • CT head
  • CXR
A

ASA OD w/u:

  • ASA lvl (>40mg/dL = toxicity)
  • CBC/CMP
  • ABG
  • EKG
  • APAP lvl
  • CT head
  • CXR
  • TCA occult ingestion = widening of QRS
  • primary respiratory alkalosis + primary metabolic acidosis
  • QTc prolongation, tall R wave in aVR
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25
Q

ASA OD w/u:

  • ASA lvl (>40mg/dL = toxicity)
  • […]
  • ABG
  • EKG
  • APAP lvl
  • CT he
A

ASA OD w/u:

  • ASA lvl (>40mg/dL = toxicity)
  • CBC/CMP
  • ABG
  • EKG
  • APAP lvl
  • CT head
  • CXR
  • TCA occult ingestion = widening of QRS
  • primary respiratory alkalosis + primary metabolic acidosis
  • QTc prolongation, tall R wave in aVR
How well did you know this?
1
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3
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26
Q

ASA OD w/u:

  • ASA lvl (>40mg/dL = toxicity)
  • CBC/CMP
  • […]
  • EKG
  • APAP lvl
  • CT he
A

ASA OD w/u:

  • ASA lvl (>40mg/dL = toxicity)
  • CBC/CMP
  • ABG
  • EKG
  • APAP lvl
  • CT head
  • CXR
  • TCA occult ingestion = widening of QRS
  • primary respiratory alkalosis + primary metabolic acidosis
  • QTc prolongation, tall R wave in aVR
How well did you know this?
1
Not at all
2
3
4
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27
Q

ASA OD w/u:

  • ASA lvl (>40mg/dL = toxicity)
  • CBC/CMP
  • ABG
  • […]
  • APAP lvl
  • CT head
  • CXR
A

ASA OD w/u:

  • ASA lvl (>40mg/dL = toxicity)
  • CBC/CMP
  • ABG
  • EKG
  • APAP lvl
  • CT head
  • CXR
  • TCA occult ingestion = widening of QRS
  • primary respiratory alkalosis + primary metabolic acidosis
  • QTc prolongation, tall R wave in aVR
How well did you know this?
1
Not at all
2
3
4
5
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28
Q

ASA OD w/u:

  • ASA lvl (>40mg/dL = toxicity)
  • CBC/CMP
  • ABG
  • EKG
  • […]
  • CT head
  • CXR
A

ASA OD w/u:

  • ASA lvl (>40mg/dL = toxicity)
  • CBC/CMP
  • ABG
  • EKG
  • APAP lvl
  • CT head
  • CXR
  • TCA occult ingestion = widening of QRS
  • primary respiratory alkalosis + primary metabolic acidosis
  • QTc prolongation, tall R wave in aVR
How well did you know this?
1
Not at all
2
3
4
5
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29
Q

ASA OD w/u:

  • ASA lvl (>40mg/dL = toxicity)
  • CBC/CMP
  • ABG
  • EKG
  • APAP lvl
  • […]
  • CXR
A

ASA OD w/u:

  • ASA lvl (>40mg/dL = toxicity)
  • CBC/CMP
  • ABG
  • EKG
  • APAP lvl
  • CT head
  • CXR
  • TCA occult ingestion = widening of QRS
  • primary respiratory alkalosis + primary metabolic acidosis
  • QTc prolongation, tall R wave in aVR
How well did you know this?
1
Not at all
2
3
4
5
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30
Q

ASA OD w/u:

  • ASA lvl (>40mg/dL = toxicity)
  • CBC/CMP
  • ABG
  • EKG
  • APAP lvl
  • CT head
  • […]
A

ASA OD w/u:

  • ASA lvl (>40mg/dL = toxicity)
  • CBC/CMP
  • ABG
  • EKG
  • APAP lvl
  • CT head
  • CXR
  • TCA occult ingestion = widening of QRS
  • primary respiratory alkalosis + primary metabolic acidosis
  • QTc prolongation, tall R wave in aVR
How well did you know this?
1
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31
Q

ASA toxidrome:

  • […]
  • respiratory alkalosis
  • tinnitus
  • HA
  • plt dysfunction
  • hyperthermia
A

ASA toxidrome:

  • tachypnea
  • respiratory alkalosis
  • tinnitus
  • HA
  • plt dysfunction
  • hyperthermia
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32
Q

ASA toxidrome:

  • tachypnea
  • […]
  • tinnitus
  • HA
  • plt dysfunction
  • hyperthermia
A

ASA toxidrome:

  • tachypnea
  • respiratory alkalosis
  • tinnitus
  • HA
  • plt dysfunction
  • hyperthermia
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33
Q

ASA toxidrome:

  • tachypnea
  • respiratory alkalosis
  • […]
  • HA
  • plt dysfunction
  • hyperthermia
A

ASA toxidrome:

  • tachypnea
  • respiratory alkalosis
  • tinnitus
  • HA
  • plt dysfunction
  • hyperthermia
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34
Q

ASA toxidrome:

  • tachypnea
  • respiratory alkalosis
  • tinnitus
  • […]
  • plt dysfunction
  • hyperthermia
A

ASA toxidrome:

  • tachypnea
  • respiratory alkalosis
  • tinnitus
  • HA
  • plt dysfunction
  • hyperthermia
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35
Q

ASA toxidrome:

  • tachypnea
  • respiratory alkalosis
  • tinnitus
  • HA
  • […]
  • hyperthermia
A

ASA toxidrome:

  • tachypnea
  • respiratory alkalosis
  • tinnitus
  • HA
  • plt dysfunction
  • hyperthermia
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36
Q

ASA toxidrome:

  • tachypnea
  • respiratory alkalosis
  • tinnitus
  • HA
  • plt dysfunction
  • […]
A

ASA toxidrome:

  • tachypnea
  • respiratory alkalosis
  • tinnitus
  • HA
  • plt dysfunction
  • hyperthermia
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37
Q

Asthma/COPD initial nebulized tx is […].

A

Asthma/COPD initial nebulized tx is 1 dose duoneb + 2 doses albuterol.

Duoneb (ipratropium / albuterol) is a combination of two medications that help you breathe. Ipratropium is a short-acting muscarinic antagonist (SAMA). Albuterol is a short-acting beta-agonist (SABA).

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38
Q

Asthma/COPD tx:

  • […]
  • ipratropium 0.5mg (lasts 4-6 hrs, no benefit repeat dosing)
  • prednisone 40mg PO x 5 days // solumedrol (methylprednisolone) 125mg IV
  • kids= decadron (dexamethasone) 0.6mg/kg IV
  • +/- epinephrine 0.5mg (1:1000)
  • +/- magnesium sulfate 1-2g
A

Asthma/COPD tx:

  • albuterol 5mg (continuous 5mg kids/10mg adults)
  • ipratropium 0.5mg (lasts 4-6 hrs, no benefit repeat dosing)
  • prednisone 40mg PO x 5 days // solumedrol (methylprednisolone) 125mg IV
  • kids= decadron (dexamethasone) 0.6mg/kg IV
  • +/- epinephrine 0.5mg (1:1000)
  • +/- magnesium sulfate 1-2g

Asthma = “BIOMES” beta agonists, ipra, o2, mag, epi, steroids

Magnesium = smooth muscle relaxation

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39
Q

Asthma/COPD tx:

  • albuterol 5mg (continuous 5mg kids/10mg adults)
  • […]
  • prednisone 40mg PO x 5 days // solumedrol (methylprednisolone) 125mg IV
  • kids= decadron (dexamethasone) 0.6mg/kg IV
  • +/- epinephrine 0.5mg (1:1000)
  • +/- magnesium sulfate 1-2g
A

Asthma/COPD tx:

  • albuterol 5mg (continuous 5mg kids/10mg adults)
  • ipratropium 0.5mg (lasts 4-6 hrs, no benefit repeat dosing)
  • prednisone 40mg PO x 5 days // solumedrol (methylprednisolone) 125mg IV
  • kids= decadron (dexamethasone) 0.6mg/kg IV
  • +/- epinephrine 0.5mg (1:1000)
  • +/- magnesium sulfate 1-2g

Asthma = “BIOMES” beta agonists, ipra, o2, mag, epi, steroids

Magnesium = smooth muscle relaxation

How well did you know this?
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40
Q

Asthma/COPD tx:

  • albuterol 5mg (continuous 5mg kids/10mg adults)
  • ipratropium 0.5mg (lasts 4-6 hrs, no benefit repeat dosing)
  • […] // solumedrol (methylprednisolone) 125mg IV
  • kids= decadron (dexamethasone) 0.6mg/kg IV
  • +/- epinephrine 0.5mg (1:1000)
  • +/- magnesium sulfate 1-2g
A

Asthma/COPD tx:

  • albuterol 5mg (continuous 5mg kids/10mg adults)
  • ipratropium 0.5mg (lasts 4-6 hrs, no benefit repeat dosing)
  • prednisone 40mg PO x 5 days // solumedrol (methylprednisolone) 125mg IV
  • kids= decadron (dexamethasone) 0.6mg/kg IV
  • +/- epinephrine 0.5mg (1:1000)
  • +/- magnesium sulfate 1-2g

Asthma = “BIOMES” beta agonists, ipra, o2, mag, epi, steroids

Magnesium = smooth muscle relaxation

How well did you know this?
1
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41
Q

Asthma/COPD tx:

  • albuterol 5mg (continuous 5mg kids/10mg adults)
  • ipratropium 0.5mg (lasts 4-6 hrs, no benefit repeat dosing)
  • prednisone 40mg PO x 5 days // […]
  • kids= decadron (dexamethasone) 0.6mg/kg IV
  • +/- epinephrine 0.5mg (1:1000)
  • +/- magnesium sulfate 1-2g
A

Asthma/COPD tx:

  • albuterol 5mg (continuous 5mg kids/10mg adults)
  • ipratropium 0.5mg (lasts 4-6 hrs, no benefit repeat dosing)
  • prednisone 40mg PO x 5 days // solumedrol (methylprednisolone) 125mg IV
  • kids= decadron (dexamethasone) 0.6mg/kg IV
  • +/- epinephrine 0.5mg (1:1000)
  • +/- magnesium sulfate 1-2g

Asthma = “BIOMES” beta agonists, ipra, o2, mag, epi, steroids

Magnesium = smooth muscle relaxation

How well did you know this?
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42
Q

Asthma/COPD tx:

  • albuterol 5mg (continuous 5mg kids/10mg adults)
  • ipratropium 0.5mg (lasts 4-6 hrs, no benefit repeat dosing)
  • prednisone 40mg PO x 5 days // solumedrol (methylprednisolone) 125mg IV
  • kids= […]
  • +/- epinephrine 0.5mg (1:1000)
  • +/- magnesium sulfate 1-2g
A

Asthma/COPD tx:

  • albuterol 5mg (continuous 5mg kids/10mg adults)
  • ipratropium 0.5mg (lasts 4-6 hrs, no benefit repeat dosing)
  • prednisone 40mg PO x 5 days // solumedrol (methylprednisolone) 125mg IV
  • kids= decadron (dexamethasone) 0.6mg/kg IV
  • +/- epinephrine 0.5mg (1:1000)
  • +/- magnesium sulfate 1-2g

Asthma = “BIOMES” beta agonists, ipra, o2, mag, epi, steroids

Magnesium = smooth muscle relaxation

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43
Q

Asthma/COPD tx:

  • albuterol 5mg (continuous 5mg kids/10mg adults)
  • ipratropium 0.5mg (lasts 4-6 hrs, no benefit repeat dosing)
  • prednisone 40mg PO x 5 days // solumedrol (methylprednisolone) 125mg IV
  • kids= decadron (dexamethasone) 0.6mg/kg IV
  • +/- […]
  • +/- magnesium sulfate 1-2g
A

Asthma/COPD tx:

  • albuterol 5mg (continuous 5mg kids/10mg adults)
  • ipratropium 0.5mg (lasts 4-6 hrs, no benefit repeat dosing)
  • prednisone 40mg PO x 5 days // solumedrol (methylprednisolone) 125mg IV
  • kids= decadron (dexamethasone) 0.6mg/kg IV
  • +/- epinephrine 0.5mg (1:1000)
  • +/- magnesium sulfate 1-2g

Asthma = “BIOMES” beta agonists, ipra, o2, mag, epi, steroids

Magnesium = smooth muscle relaxation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
44
Q

Asthma/COPD tx:

  • albuterol 5mg (continuous 5mg kids/10mg adults)
  • ipratropium 0.5mg (lasts 4-6 hrs, no benefit repeat dosing)
  • prednisone 40mg PO x 5 days // solumedrol (methylprednisolone) 125mg IV
  • kids= decadron (dexamethasone) 0.6mg/kg IV
  • +/- epinephrine 0.5mg (1:1000)
  • +/- […]
A

Asthma/COPD tx:

  • albuterol 5mg (continuous 5mg kids/10mg adults)
  • ipratropium 0.5mg (lasts 4-6 hrs, no benefit repeat dosing)
  • prednisone 40mg PO x 5 days // solumedrol (methylprednisolone) 125mg IV
  • kids= decadron (dexamethasone) 0.6mg/kg IV
  • +/- epinephrine 0.5mg (1:1000)
  • +/- magnesium sulfate 1-2g

Asthma = “BIOMES” beta agonists, ipra, o2, mag, epi, steroids

Magnesium = smooth muscle relaxation

How well did you know this?
1
Not at all
2
3
4
5
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45
Q

Asthmatic kids who can’t tolerate PO should receive [steroid].

A

Asthmatic kids who can’t tolerate PO should receive prednisolone IV 125mg (or 2mg/kg).

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46
Q

Asx HTN dispo needs […].

A

Asx HTN dispo needs lytes checked before starting oral meds.

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47
Q

Asx HTN dispo:

  • access to PCP => […]
  • no PCP => consider PO RX
A

Asx HTN dispo:

  • access to PCP => d/c w/out RX
  • no PCP => consider PO RX
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48
Q

Asx HTN dispo:

  • access to PCP => d/c w/out RX
  • no PCP => […]
A

Asx HTN dispo:

  • access to PCP => d/c w/out RX
  • no PCP => consider PO RX
How well did you know this?
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49
Q

Asx HTN med contraindications:

  • abnormal Cr => […]
  • abnormal Na => no HCTZ
A

Asx HTN med contraindications:

  • abnormal Cr => no lisinopril
  • abnormal Na => no HCTZ
50
Q

Asx HTN med contraindications:

  • abnormal Cr => no lisinopril
  • abnormal Na => […]
A

Asx HTN med contraindications:

  • abnormal Cr => no lisinopril
  • abnormal Na => no HCTZ
51
Q

Asx HTN med RX:

  • […]
  • hydrochlorothiazide 25mg daily
A

Asx HTN med RX:

  • lisinopril 10mg daily
  • hydrochlorothiazide 25mg daily

don’t give more than 14 days worth

52
Q

Asx HTN med RX:

  • lisinopril 10mg daily
  • […]
A

Asx HTN med RX:

  • lisinopril 10mg daily
  • hydrochlorothiazide 25mg daily

don’t give more than 14 days worth

53
Q

Asx HTN rules:

  1. […]
  2. do as little as possible
A

Asx HTN rules:

  1. DON’T FREAK OUT
  2. do as little as possible
54
Q

Asx HTN rules:

  1. DON’T FREAK OUT
  2. […]
A

Asx HTN rules:

  1. DON’T FREAK OUT
  2. do as little as possible
55
Q

Asx HTN tx:

• […]

A

Asx HTN tx:

• if truly asx do nothing

56
Q

Asx HTN w/u:

  • +/- […]
  • +/- CBC/CMP (if starting oral meds)
A

Asx HTN w/u:

  • +/- EKG
  • +/- CBC/CMP (if starting oral meds)

NOT ROUTINE: use to look for end organ damage

57
Q

Asx HTN w/u:

  • +/- EKG
  • +/- […]
A

Asx HTN w/u:

  • +/- EKG
  • +/- CBC/CMP (if starting oral meds)

NOT ROUTINE: use to look for end organ damage

58
Q

Asx Hyponatremia tx is […].

A

Asx Hyponatremia tx is water restriction.

59
Q

Asx Hyponatremic w/u steps:

  • […]
  • acute vs chronic? (look at hx)
  • cause?
  • admit
A

Asx Hyponatremic w/u steps:

  • water restrict/NS
  • acute vs chronic? (look at hx)
  • cause?
  • admit
60
Q

Asx Hyponatremic w/u steps:

  • water restrict/NS
  • […]
  • cause?
  • admit
A

Asx Hyponatremic w/u steps:

  • water restrict/NS
  • acute vs chronic? (look at hx)
  • cause?
  • admit
61
Q

Asx Hyponatremic w/u steps:

  • water restrict/NS
  • acute vs chronic? (look at hx)
  • […]
  • admit
A

Asx Hyponatremic w/u steps:

  • water restrict/NS
  • acute vs chronic? (look at hx)
  • cause?
  • admit
62
Q

Asx Hyponatremic w/u steps:

  • water restrict/NS
  • acute vs chronic? (look at hx)
  • cause?
  • […]
A

Asx Hyponatremic w/u steps:

  • water restrict/NS
  • acute vs chronic? (look at hx)
  • cause?
  • admit
63
Q

AV nodal blocking agents:

  • […]
  • CCB
  • BB
  • digoxin
A

AV nodal blocking agents:

  • adenosine
  • CCB
  • BB
  • digoxin
64
Q

AV nodal blocking agents:

  • adenosine
  • […]
  • BB
  • digoxin
A

AV nodal blocking agents:

  • adenosine
  • CCB
  • BB
  • digoxin
65
Q

AV nodal blocking agents:

  • adenosine
  • CCB
  • […]
  • digoxin
A

AV nodal blocking agents:

  • adenosine
  • CCB
  • BB
  • digoxin
66
Q

AV nodal blocking agents:

  • adenosine
  • CCB
  • BB
  • […]
A

AV nodal blocking agents:

  • adenosine
  • CCB
  • BB
  • digoxin
67
Q

Back Pain dangerous causes: (CRAFTI)

  • C[…]
  • Renal
  • Aorta
  • Fracture
  • Tumor
  • Infection
A

Back Pain dangerous causes: (CRAFTI)

  • Cauda Equina
  • Renal
  • Aorta
  • Fracture
  • Tumor
  • Infection
68
Q

Back Pain dangerous causes: (CRAFTI)

  • Cauda Equina
  • R[…]
  • Aorta
  • Fracture
  • Tumor
  • Infection
A

Back Pain dangerous causes: (CRAFTI)

  • Cauda Equina
  • Renal
  • Aorta
  • Fracture
  • Tumor
  • Infection
69
Q

Back Pain dangerous causes: (CRAFTI)

  • Cauda Equina
  • Renal
  • A[…]
  • Fracture
  • Tumor
  • Infection
A

Back Pain dangerous causes: (CRAFTI)

  • Cauda Equina
  • Renal
  • Aorta
  • Fracture
  • Tumor
  • Infection
70
Q

Back Pain dangerous causes: (CRAFTI)

  • Cauda Equina
  • Renal
  • Aorta
  • F[…]
  • Tumor
  • Infection
A

Back Pain dangerous causes: (CRAFTI)

  • Cauda Equina
  • Renal
  • Aorta
  • Fracture
  • Tumor
  • Infection
71
Q

Back Pain dangerous causes: (CRAFTI)

  • Cauda Equina
  • Renal
  • Aorta
  • Fracture
  • T[…]
  • Infection
A

Back Pain dangerous causes: (CRAFTI)

  • Cauda Equina
  • Renal
  • Aorta
  • Fracture
  • Tumor
  • Infection
72
Q

Back Pain dangerous causes: (CRAFTI)

  • Cauda Equina
  • Renal
  • Aorta
  • Fracture
  • Tumor
  • I[…]
A

Back Pain dangerous causes: (CRAFTI)

  • Cauda Equina
  • Renal
  • Aorta
  • Fracture
  • Tumor
  • Infection
73
Q

Back Pain ddx:

  • […]
  • aortic dissection
  • cauda equina syndrome
  • epidural abscess
  • tumor/mass
  • renal colic/stone
  • pyelonephritis
  • abd pathology
  • fracture
  • zoster
  • MSK sprain
A

Back Pain ddx:

  • AAA
  • aortic dissection
  • cauda equina syndrome
  • epidural abscess
  • tumor/mass
  • renal colic/stone
  • pyelonephritis
  • abd pathology
  • fracture
  • zoster
  • MSK sprain
74
Q

Back Pain ddx:

  • AAA
  • […]
  • cauda equina syndrome
  • epidural abscess
  • tumor/mass
  • renal colic/stone
  • pyelonephritis
  • abd pathology
  • fracture
  • zoster
  • MSK sprain
A

Back Pain ddx:

  • AAA
  • aortic dissection
  • cauda equina syndrome
  • epidural abscess
  • tumor/mass
  • renal colic/stone
  • pyelonephritis
  • abd pathology
  • fracture
  • zoster
  • MSK sprain
75
Q

Back Pain ddx:

  • AAA
  • aortic dissection
  • cauda equina syndrome
  • epidural abscess
  • tumor/mass
  • […]
  • pyelonephritis
  • abd pathology
  • fracture
  • zoster
  • MSK sprain
A

Back Pain ddx:

  • AAA
  • aortic dissection
  • cauda equina syndrome
  • epidural abscess
  • tumor/mass
  • renal colic/stone
  • pyelonephritis
  • abd pathology
  • fracture
  • zoster
  • MSK sprain
76
Q

Back Pain ddx:

  • AAA
  • aortic dissection
  • […]
  • epidural abscess
  • tumor/mass
  • renal colic/stone
  • pyelonephritis
  • abd pathology
  • fracture
  • zoster
  • MSK sprain
A

Back Pain ddx:

  • AAA
  • aortic dissection
  • cauda equina syndrome
  • epidural abscess
  • tumor/mass
  • renal colic/stone
  • pyelonephritis
  • abd pathology
  • fracture
  • zoster
  • MSK sprain
77
Q

Back Pain ddx:

  • AAA
  • aortic dissection
  • cauda equina syndrome
  • […]
  • tumor/mass
  • renal colic/stone
  • pyelonephritis
  • abd pathology
  • fracture
  • zoster
  • MSK sprain
A

Back Pain ddx:

  • AAA
  • aortic dissection
  • cauda equina syndrome
  • epidural abscess
  • tumor/mass
  • renal colic/stone
  • pyelonephritis
  • abd pathology
  • fracture
  • zoster
  • MSK sprain
78
Q

Back Pain ddx:

  • AAA
  • aortic dissection
  • cauda equina syndrome
  • epidural abscess
  • […]
  • renal colic/stone
  • pyelonephritis
  • abd pathology
  • fracture
  • zoster
  • MSK sprain
A

Back Pain ddx:

  • AAA
  • aortic dissection
  • cauda equina syndrome
  • epidural abscess
  • tumor/mass
  • renal colic/stone
  • pyelonephritis
  • abd pathology
  • fracture
  • zoster
  • MSK sprain
79
Q

Back Pain ddx:

  • AAA
  • aortic dissection
  • cauda equina syndrome
  • epidural abscess
  • tumor/mass
  • renal colic/stone
  • pyelonephritis
  • abd pathology
  • […]
  • zoster
  • MSK sprain
A

Back Pain ddx:

  • AAA
  • aortic dissection
  • cauda equina syndrome
  • epidural abscess
  • tumor/mass
  • renal colic/stone
  • pyelonephritis
  • abd pathology
  • fracture
  • zoster
  • MSK sprain
80
Q

Back Pain ddx:

  • AAA
  • aortic dissection
  • cauda equina syndrome
  • epidural abscess
  • tumor/mass
  • renal colic/stone
  • […]
  • abd pathology
  • fracture
  • zoster
  • MSK sprain
A

Back Pain ddx:

  • AAA
  • aortic dissection
  • cauda equina syndrome
  • epidural abscess
  • tumor/mass
  • renal colic/stone
  • pyelonephritis
  • abd pathology
  • fracture
  • zoster
  • MSK sprain
81
Q

Back Pain ddx:

  • AAA
  • aortic dissection
  • cauda equina syndrome
  • epidural abscess
  • tumor/mass
  • renal colic/stone
  • pyelonephritis
  • […]
  • fracture
  • zoster
  • MSK sprain
A

Back Pain ddx:

  • AAA
  • aortic dissection
  • cauda equina syndrome
  • epidural abscess
  • tumor/mass
  • renal colic/stone
  • pyelonephritis
  • abd pathology
  • fracture
  • zoster
  • MSK sprain
82
Q

Back Pain ddx:

  • AAA
  • aortic dissection
  • cauda equina syndrome
  • epidural abscess
  • tumor/mass
  • renal colic/stone
  • pyelonephritis
  • abd pathology
  • fracture
  • […]
  • MSK sprain
A

Back Pain ddx:

  • AAA
  • aortic dissection
  • cauda equina syndrome
  • epidural abscess
  • tumor/mass
  • renal colic/stone
  • pyelonephritis
  • abd pathology
  • fracture
  • zoster
  • MSK sprain
83
Q

Back Pain ddx:

  • AAA
  • aortic dissection
  • cauda equina syndrome
  • epidural abscess
  • tumor/mass
  • renal colic/stone
  • pyelonephritis
  • abd pathology
  • fracture
  • zoster
  • […]
A

Back Pain ddx:

  • AAA
  • aortic dissection
  • cauda equina syndrome
  • epidural abscess
  • tumor/mass
  • renal colic/stone
  • pyelonephritis
  • abd pathology
  • fracture
  • zoster
  • MSK sprain
84
Q

Back Pain red flags:

  • […]
  • fever
  • IVD
  • neuro deficit
  • point tenderness
  • saddle anesthesia
  • trauma
  • urinary retention
  • weight loss
A

Back Pain red flags:

  • CA
  • fever
  • IVD
  • neuro deficit
  • point tenderness
  • saddle anesthesia
  • trauma
  • urinary retention
  • weight loss
85
Q

Back Pain red flags:

  • CA
  • […]
  • IVD
  • neuro deficit
  • point tenderness
  • saddle anesthesia
  • trauma
  • urinary retention
  • weight loss
A

Back Pain red flags:

  • CA
  • fever
  • IVD
  • neuro deficit
  • point tenderness
  • saddle anesthesia
  • trauma
  • urinary retention
  • weight loss
86
Q

Back Pain red flags:

  • CA
  • fever
  • […]
  • neuro deficit
  • point tenderness
  • saddle anesthesia
  • trauma
  • urinary retention
  • weight loss
A

Back Pain red flags:

  • CA
  • fever
  • IVD
  • neuro deficit
  • point tenderness
  • saddle anesthesia
  • trauma
  • urinary retention
  • weight loss
87
Q

Back Pain red flags:

  • CA
  • fever
  • IVD
  • […]
  • point tenderness
  • saddle anesthesia
  • trauma
  • urinary retention
  • weight loss
A

Back Pain red flags:

  • CA
  • fever
  • IVD
  • neuro deficit
  • point tenderness
  • saddle anesthesia
  • trauma
  • urinary retention
  • weight loss
88
Q

Back Pain red flags:

  • CA
  • fever
  • IVD
  • neuro deficit
  • […]
  • saddle anesthesia
  • trauma
  • urinary rete
A

Back Pain red flags:

  • CA
  • fever
  • IVD
  • neuro deficit
  • point tenderness
  • saddle anesthesia
  • trauma
  • urinary retention
  • weight loss
89
Q

Back Pain red flags:

  • CA
  • fever
  • IVD
  • neuro deficit
  • point tenderness
  • […]
  • trauma
  • urinary retention
  • weight loss
A

Back Pain red flags:

  • CA
  • fever
  • IVD
  • neuro deficit
  • point tenderness
  • saddle anesthesia
  • trauma
  • urinary retention
  • weight loss
90
Q

Back Pain red flags:

  • CA
  • fever
  • IVD
  • neuro deficit
  • point tenderness
  • saddle anesthesia
  • […]
  • urinary retention
  • weight loss
A

Back Pain red flags:

  • CA
  • fever
  • IVD
  • neuro deficit
  • point tenderness
  • saddle anesthesia
  • trauma
  • urinary retention
  • weight loss
91
Q

Back Pain red flags:

  • CA
  • fever
  • IVD
  • neuro deficit
  • point tenderness
  • saddle anesthesia
  • trauma
  • […]
  • weight loss
A

Back Pain red flags:

  • CA
  • fever
  • IVD
  • neuro deficit
  • point tenderness
  • saddle anesthesia
  • trauma
  • urinary retention
  • weight loss
92
Q

Back Pain red flags:

  • CA
  • fever
  • IVD
  • neuro deficit
  • point tenderness
  • saddle anesthesia
  • trauma
  • urinary retention
  • […]
A

Back Pain red flags:

  • CA
  • fever
  • IVD
  • neuro deficit
  • point tenderness
  • saddle anesthesia
  • trauma
  • urinary retention
  • weight loss
93
Q

Back Pain specific PE:

  • […]
  • testicular exam
  • saddle sensation
  • rectal exam (use discretion)
  • LE Motor
  • LE sensory
  • straight leg test (sciatic distribution = herniated disc)
A

Back Pain specific PE:

  • back exam (CVA vs midline)
  • testicular exam
  • saddle sensation
  • rectal exam (use discretion)
  • LE Motor
  • LE sensory
  • straight leg test (sciatic distribution = herniated disc)
94
Q

Back Pain specific PE:

  • back exam (CVA vs midline)
  • […]
  • saddle sensation
  • rectal exam (use discretion)
  • LE Motor
  • LE sensory
  • straight leg test (sciatic distribution = herniated disc)
A

Back Pain specific PE:

  • back exam (CVA vs midline)
  • testicular exam
  • saddle sensation
  • rectal exam (use discretion)
  • LE Motor
  • LE sensory
  • straight leg test (sciatic distribution = herniated disc)
95
Q

Back Pain specific PE:

  • back exam (CVA vs midline)
  • testicular exam
  • […]
  • rectal exam (use discretion)
  • LE Motor
  • LE sensory
  • straight leg test (sciatic distribution = herniated disc)
A

Back Pain specific PE:

  • back exam (CVA vs midline)
  • testicular exam
  • saddle sensation
  • rectal exam (use discretion)
  • LE Motor
  • LE sensory
  • straight leg test (sciatic distribution = herniated disc)
96
Q

Back Pain specific PE:

  • back exam (CVA vs midline)
  • testicular exam
  • saddle sensation
  • […]
  • LE Motor
  • LE sensory
  • straight leg test (sciatic distribution = herniated disc)
A

Back Pain specific PE:

  • back exam (CVA vs midline)
  • testicular exam
  • saddle sensation
  • rectal exam (use discretion)
  • LE Motor
  • LE sensory
  • straight leg test (sciatic distribution = herniated disc)
97
Q

Back Pain specific PE:

  • back exam (CVA vs midline)
  • testicular exam
  • saddle sensation
  • rectal exam (use discretion)
  • […]
  • LE sensory
  • straight leg test (sciatic distribution = herniated disc)
A

Back Pain specific PE:

  • back exam (CVA vs midline)
  • testicular exam
  • saddle sensation
  • rectal exam (use discretion)
  • LE Motor
  • LE sensory
  • straight leg test (sciatic distribution = herniated disc)
98
Q

Back Pain specific PE:

  • back exam (CVA vs midline)
  • testicular exam
  • saddle sensation
  • rectal exam (use discretion)
  • LE Motor
  • […]
  • straight leg test (sciatic distribution = herniated disc)
A

Back Pain specific PE:

  • back exam (CVA vs midline)
  • testicular exam
  • saddle sensation
  • rectal exam (use discretion)
  • LE Motor
  • LE sensory
  • straight leg test (sciatic distribution = herniated disc)
99
Q

Back Pain specific PE:

  • back exam (CVA vs midline)
  • testicular exam
  • saddle sensation
  • rectal exam (use discretion)
  • LE Motor
  • LE sensory
  • […]
A

Back Pain specific PE:

  • back exam (CVA vs midline)
  • testicular exam
  • saddle sensation
  • rectal exam (use discretion)
  • LE Motor
  • LE sensory
  • straight leg test (sciatic distribution = herniated disc)

If you have pain down the back of your leg below the knee when your affected leg is raised, the test is positive (abnormal). It means that one or more of the nerve roots leading to your sciatic nerve may be compressed or irritated.

100
Q

Back Pain tx: (+doses)

  • […] => d/c ibuprofen 400mg Q8
  • morphine 4mg IV + zofran 4mg IV => d/c hydrocodone 5mg Q6 PRN
  • flexeril (cyclobenzaprine) 10 mg Q8
  • valium (diazepam) 5mg Q8
A

Back Pain tx: (+doses)

  • toradol (ketorolac) 20mg IV => d/c ibuprofen 400mg Q8
  • morphine 4mg IV + zofran 4mg IV => d/c hydrocodone 5mg Q6 PRN
  • flexeril (cyclobenzaprine) 10 mg Q8
  • valium (diazepam) 5mg Q8
101
Q

Back Pain tx: (+doses)

  • toradol (ketorolac) 20mg IV => d/c […]
  • morphine 4mg IV + zofran 4mg IV => d/c hydrocodone 5mg Q6 PRN
  • flexeril (cyclobenzaprine) 10 mg Q8
  • valium (diazepam) 5mg Q8
A

Back Pain tx: (+doses)

  • toradol (ketorolac) 20mg IV => d/c ibuprofen 400mg Q8
  • morphine 4mg IV + zofran 4mg IV => d/c hydrocodone 5mg Q6 PRN
  • flexeril (cyclobenzaprine) 10 mg Q8
  • valium (diazepam) 5mg Q8
102
Q

Back Pain tx: (+doses)

  • toradol (ketorolac) 20mg IV => d/c ibuprofen 400mg Q8
  • […] => d/c hydrocodone 5mg Q6 PRN
  • flexeril (cyclobenzaprine) 10 mg Q8
  • valium (diazepam) 5mg Q8
A

Back Pain tx: (+doses)

  • toradol (ketorolac) 20mg IV => d/c ibuprofen 400mg Q8
  • morphine 4mg IV + zofran 4mg IV => d/c hydrocodone 5mg Q6 PRN
  • flexeril (cyclobenzaprine) 10 mg Q8
  • valium (diazepam) 5mg Q8
103
Q

Back Pain tx: (+doses)

  • toradol (ketorolac) 20mg IV => d/c ibuprofen 400mg Q8
  • morphine 4mg IV + zofran 4mg IV => d/c […]
  • flexeril (cyclobenzaprine) 10 mg Q8
  • valium (diazepam) 5mg Q8
A

Back Pain tx: (+doses)

  • toradol (ketorolac) 20mg IV => d/c ibuprofen 400mg Q8
  • morphine 4mg IV + zofran 4mg IV => d/c hydrocodone 5mg Q6 PRN
  • flexeril (cyclobenzaprine) 10 mg Q8
  • valium (diazepam) 5mg Q8
104
Q

Back Pain tx: (+doses)

  • toradol (ketorolac) 20mg IV => d/c ibuprofen 400mg Q8
  • morphine 4mg IV + zofran 4mg IV => d/c hydrocodone 5mg Q6 PRN
  • […]
  • valium (diazepam) 5mg Q8
A

Back Pain tx: (+doses)

  • toradol (ketorolac) 20mg IV => d/c ibuprofen 400mg Q8
  • morphine 4mg IV + zofran 4mg IV => d/c hydrocodone 5mg Q6 PRN
  • flexeril (cyclobenzaprine) 10 mg Q8
  • valium (diazepam) 5mg Q8
105
Q

Back Pain tx: (+doses)

  • toradol (ketorolac) 20mg IV => d/c ibuprofen 400mg Q8
  • morphine 4mg IV + zofran 4mg IV => d/c hydrocodone 5mg Q6 PRN
  • flexeril (cyclobenzaprine) 10 mg Q8
  • […]
A

Back Pain tx: (+doses)

  • toradol (ketorolac) 20mg IV => d/c ibuprofen 400mg Q8
  • morphine 4mg IV + zofran 4mg IV => d/c hydrocodone 5mg Q6 PRN
  • flexeril (cyclobenzaprine) 10 mg Q8
  • valium (diazepam) 5mg Q8
106
Q

Back Pain w/u:

  • […]
  • CBC/CMP (low yield)
  • type & cross (if suspected AAA)
  • ESR/CRP (elevated in epidural abscess)
  • bedside US
  • CT (aorta, abd/pelvis)
  • plain films (low yield)
  • emergent MRI (cauda equina/abscess)
  • post void residual (cauda equina)
A

Back Pain w/u:

  • UA (female UTI pts)
  • CBC/CMP (low yield)
  • type & cross (if suspected AAA)
  • ESR/CRP (elevated in epidural abscess)
  • bedside US
  • CT (aorta, abd/pelvis)
  • plain films (low yield)
  • emergent MRI (cauda equina/abscess)
  • post void residual (cauda equina)
107
Q

Back Pain w/u:

  • UA (female UTI pts)
  • […]
  • type & cross (if suspected AAA)
  • ESR/CRP (elevated in epidural abscess)
  • bedside US
  • CT (aorta, abd/pelvis)
  • plain films (low yield)
  • emergent MRI (cauda equina/abscess)
  • post void residual (cauda equina)
A

Back Pain w/u:

  • UA (female UTI pts)
  • CBC/CMP (low yield)
  • type & cross (if suspected AAA)
  • ESR/CRP (elevated in epidural abscess)
  • bedside US
  • CT (aorta, abd/pelvis)
  • plain films (low yield)
  • emergent MRI (cauda equina/abscess)
  • post void residual (cauda equina)
108
Q

Back Pain w/u:

  • UA (female UTI pts)
  • CBC/CMP (low yield)
  • […]
  • ESR/CRP (elevated in epidural abscess)
  • bedside US
  • CT (aorta, abd/pelvis)
  • plain films (low yield)
  • emergent MRI (cauda equina/abscess)
  • post void residual (cauda equina)
A

Back Pain w/u:

  • UA (female UTI pts)
  • CBC/CMP (low yield)
  • type & cross (if suspected AAA)
  • ESR/CRP (elevated in epidural abscess)
  • bedside US
  • CT (aorta, abd/pelvis)
  • plain films (low yield)
  • emergent MRI (cauda equina/abscess)
  • post void residual (cauda equina)
109
Q

Back Pain w/u:

  • UA (female UTI pts)
  • CBC/CMP (low yield)
  • type & cross (if suspected AAA)
  • […]
  • bedside US
  • CT (aorta, abd/pelvis)
  • plain films (low yield)
  • emergent MRI (cauda equina/abscess)
  • post void residual (cauda equina)
A

Back Pain w/u:

  • UA (female UTI pts)
  • CBC/CMP (low yield)
  • type & cross (if suspected AAA)
  • ESR/CRP (elevated in epidural abscess)
  • bedside US
  • CT (aorta, abd/pelvis)
  • plain films (low yield)
  • emergent MRI (cauda equina/abscess)
  • post void residual (cauda equina)
110
Q

Back Pain w/u:

  • UA (female UTI pts)
  • CBC/CMP (low yield)
  • type & cross (if suspected AAA)
  • ESR/CRP (elevated in epidural abscess)
  • […]
  • CT (aorta, abd/pelvis)
  • plain films (low yield)
  • emergent MRI (cauda equina/abscess)
  • post void residual (cauda equina)
A

Back Pain w/u:

  • UA (female UTI pts)
  • CBC/CMP (low yield)
  • type & cross (if suspected AAA)
  • ESR/CRP (elevated in epidural abscess)
  • bedside US
  • CT (aorta, abd/pelvis)
  • plain films (low yield)
  • emergent MRI (cauda equina/abscess)
  • post void residual (cauda equina)
111
Q

Back Pain w/u:

  • UA (female UTI pts)
  • CBC/CMP (low yield)
  • type & cross (if suspected AAA)
  • ESR/CRP (elevated in epidural abscess)
  • bedside US
  • […]
  • plain films (low yield)
  • emergent MRI (cauda equina/abscess)
  • post void residual (cauda equina)
A

Back Pain w/u:

  • UA (female UTI pts)
  • CBC/CMP (low yield)
  • type & cross (if suspected AAA)
  • ESR/CRP (elevated in epidural abscess)
  • bedside US
  • CT (aorta, abd/pelvis)
  • plain films (low yield)
  • emergent MRI (cauda equina/abscess)
  • post void residual (cauda equina)
112
Q

Back Pain w/u:

  • UA (female UTI pts)
  • CBC/CMP (low yield)
  • type & cross (if suspected AAA)
  • ESR/CRP (elevated in epidural abscess)
  • bedside US
  • CT (aorta, abd/pelvis)
  • […]
  • emergent MRI (cauda equina/abscess)
  • post void residual (cauda equina)
A

Back Pain w/u:

  • UA (female UTI pts)
  • CBC/CMP (low yield)
  • type & cross (if suspected AAA)
  • ESR/CRP (elevated in epidural abscess)
  • bedside US
  • CT (aorta, abd/pelvis)
  • plain films (low yield)
  • emergent MRI (cauda equina/abscess)
  • post void residual (cauda equina)
113
Q

Back Pain w/u:

  • UA (female UTI pts)
  • CBC/CMP (low yield)
  • type & cross (if suspected AAA)
  • ESR/CRP (elevated in epidural abscess)
  • bedside US
  • CT (aorta, abd/pelvis)
  • plain films (low yield)
  • […]
  • post void residual (cauda equina)
A

Back Pain w/u:

  • UA (female UTI pts)
  • CBC/CMP (low yield)
  • type & cross (if suspected AAA)
  • ESR/CRP (elevated in epidural abscess)
  • bedside US
  • CT (aorta, abd/pelvis)
  • plain films (low yield)
  • emergent MRI (cauda equina/abscess)
  • post void residual (cauda equina)
114
Q

Back Pain w/u:

  • UA (female UTI pts)
  • CBC/CMP (low yield)
  • type & cross (if suspected AAA)
  • ESR/CRP (elevated in epidural abscess)
  • bedside US
  • CT (aorta, abd/pelvis)
  • plain films (low yield)
  • emergent MRI (cauda equina/abscess)
  • […]
A

Back Pain w/u:

  • UA (female UTI pts)
  • CBC/CMP (low yield)
  • type & cross (if suspected AAA)
  • ESR/CRP (elevated in epidural abscess)
  • bedside US
  • CT (aorta, abd/pelvis)
  • plain films (low yield)
  • emergent MRI (cauda equina/abscess)
  • post void residual (cauda equina)
115
Q

Bacterial Conjunctivitis abx:

  • […] //
  • erythromycin 0.5% Q4 x7d //
  • levaquin (levofloxacin) 0.5% Q2 x2d
A

Bacterial Conjunctivitis abx:

  • polymyxin B/trimethoprim 1 drop Q3 x10d //
  • erythromycin 0.5% Q4 x7d //
  • levaquin (levofloxacin) 0.5% Q2 x2d

non-gonococcal

116
Q

Bacterial Conjunctivitis abx:

  • polymyxin B/trimethoprim 1 drop Q3 x10d //
  • […] //
  • levaquin (levofloxacin) 0.5% Q2 x2d
A

Bacterial Conjunctivitis abx:

  • polymyxin B/trimethoprim 1 drop Q3 x10d //
  • erythromycin 0.5% Q4 x7d //
  • levaquin (levofloxacin) 0.5% Q2 x2d

non-gonococcal

117
Q

Bacterial Conjunctivitis abx:

  • polymyxin B/trimethoprim 1 drop Q3 x10d //
  • erythromycin 0.5% Q4 x7d //
  • […]
A

Bacterial Conjunctivitis abx:

  • polymyxin B/trimethoprim 1 drop Q3 x10d //
  • erythromycin 0.5% Q4 x7d //
  • levaquin (levofloxacin) 0.5% Q2 x2d

non-gonococcal

118
Q

Bacterial Vaginosis and Vaginal Candidiasis don’t […].

A

Bacterial Vaginosis and Vaginal Candidiasis don’t cause pain.

still frequently encountered in w/u

119
Q

Bacterial Vaginosis in pregnancy tx: (+ doses)

• […]

A

Bacterial Vaginosis in pregnancy tx: (+ doses)

• flagyl (metronidazole) 500mg PO Q12 x7d

120
Q

Bacterial Vaginosis tx: (+doses)

  • […]
  • tx all pregnant or symptomatic pts
A

Bacterial Vaginosis tx: (+doses)

  • flagyl (metronidazole) 500mg PO Q12
  • tx all pregnant or symptomatic pts

pregnant dose= flagyl (metronidazole) 2g PO

121
Q

Bacterial Vaginosis tx: (+doses)

  • flagyl (metronidazole) 500mg PO Q12
  • tx all […] or symptomatic pts
A

Bacterial Vaginosis tx: (+doses)

  • flagyl (metronidazole) 500mg PO Q12
  • tx all pregnant or symptomatic pts

pregnant dose= flagyl (metronidazole) 2g PO

122
Q

Bacterial Vaginosis tx: (+doses)

  • flagyl (metronidazole) 500mg PO Q12
  • tx all pregnant or […] pts
A

Bacterial Vaginosis tx: (+doses)

  • flagyl (metronidazole) 500mg PO Q12
  • tx all pregnant or symptomatic pts

pregnant dose= flagyl (metronidazole) 2g PO

Emergency Medicine (6 decks)

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