EM IV Flashcards

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1
Q

Be sure to get a full […] on all Psych pts.

A

Be sure to get a full med hx on all Psych pts.

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2
Q

Be wary of Psych pts who are:

  • […]
  • young
  • sudden onset w/o hx
A

Be wary of Psych pts who are:

  • old
  • young
  • sudden onset w/o hx

be more thoughtful about possible medical causes

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3
Q

Be wary of Psych pts who are:

  • old
  • […]
  • sudden onset w/o hx
A

Be weary of Psych pts who are:

  • old
  • young
  • sudden onset w/o hx

be more thoughtful about possible medical causes

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4
Q

Be wary of Psych pts who are:

  • old
  • young
  • […]
A

Be weary of Psych pts who are:

  • old
  • young
  • sudden onset w/o hx

be more thoughtful about possible medical cause

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5
Q

Bell’s Palsy pts MUST have […] with neuro deficit.

A

Bell’s Palsy pts MUST have forehead involvement with neuro deficit.

Forehead sparing = BAD

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6
Q

Bell’s Palsy tx:

  • […]
  • lubricating eye drops
  • +/- acyclovir 400mg PO #5 Q24 x 10d // valcyclovir 500mg Q12 x 5d
A

Bell’s Palsy tx:

  • prednisone 60mg PO x7d (consider taper)
  • lubricating eye drops
  • +/- acyclovir 400mg PO #5 Q24 x 10d // valcyclovir 500mg Q12 x 5d
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7
Q

Bell’s Palsy tx:

  • prednisone 60mg PO x7d (consider taper)
  • […]
  • +/- acyclovir 400mg PO #5 Q24 x 10d // valcyclovir 500mg Q12 x 5d
A

Bell’s Palsy tx:

  • prednisone 60mg PO x7d (consider taper)
  • lubricating eye drops
  • +/- acyclovir 400mg PO #5 Q24 x 10d // valcyclovir 500mg Q12 x 5d
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8
Q

Bell’s Palsy tx:

  • prednisone 60mg PO x7d (consider taper)
  • lubricating eye drops
  • +/- […] // valcyclovir 500mg Q12 x 5d
A

Bell’s Palsy tx:

  • prednisone 60mg PO x7d (consider taper)
  • lubricating eye drops
  • +/- acyclovir 400mg PO #5 Q24 x 10d // valcyclovir 500mg Q12 x 5d
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9
Q

Bell’s Palsy tx:

  • prednisone 60mg PO x7d (consider taper)
  • lubricating eye drops
  • +/- acyclovir 400mg PO #5 Q24 x 10d // […]
A

Bell’s Palsy tx:

  • prednisone 60mg PO x7d (consider taper)
  • lubricating eye drops
  • +/- acyclovir 400mg PO #5 Q24 x 10d // valcyclovir 500mg Q12 x 5d
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10
Q

Benzo AMS tx:

  • […]
  • supportive care
A

Benzo AMS tx:

  • ABC’s
  • supportive care
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11
Q

Benzo AMS tx:

  • ABC’s
  • […]
A

Benzo AMS tx:

  • ABC’s
  • supportive care
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12
Q

BiPAP target settings are […] and can go up to 20/10.

A

BiPAP target settings are 10/5 and can go up to 20/10.

Insp/Exp

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13
Q

BiPAP target settings are 10/5 and can go up to […].

A

BiPAP target settings are 10/5 and can go up to 20/10.

Insp/Exp

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14
Q

BNP levels interpretation:

  • not CHF: […]
  • CHF: >400
A

BNP levels interpretation:

  • not CHF: <100
  • CHF: >400

100-400 indeterminate

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15
Q

BNP levels interpretation:

  • not CHF: <100
  • CHF: […]
A

BNP levels interpretation:

  • not CHF: <100
  • CHF: >400

100-400 indeterminate

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16
Q

Both Type1 and Type2 Diabetics can get […] or HHS.

A

Both Type1 and Type2 Diabetics can get DKA or HHS.

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17
Q

Both Type1 and Type2 Diabetics can get DKA or […].

A

Both Type1 and Type2 Diabetics can get DKA or HHS.

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18
Q

Bowel Perforation can be dx’d with […].

A

Bowel Perforation can be dx’d with upright CXR.

free air or rigid abdomen = emergent surgery

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19
Q

Bowel Perforations is usually due to […].

A

Bowel Perforations is usually due to ulcer or procedure.

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20
Q

BP Med Hydralazine

  • dose: […]
  • moa: peripheral vasodilator (preferential arterio > venodilation)
  • cons: tachycardia, decreased SV + CO
  • notes: decrease in DBP > SBP
A

BP Med Hydralazine

  • dose: 10mg slow IV Q6 (up to max 40mg)
  • moa: peripheral vasodilator (preferential arterio > venodilation)
  • cons: tachycardia, decreased SV + CO
  • notes: decrease in DBP > SBP

rarely used

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21
Q

BP Med Hydralazine

  • dose: 10mg slow IV Q6 (up to max 40mg)
  • moa: […]
  • cons: tachycardia, decreased SV + CO
  • notes: decrease in DBP > SBP
A

BP Med Hydralazine

  • dose: 10mg slow IV Q6 (up to max 40mg)
  • moa: peripheral vasodilator (preferential arterio > venodilation)
  • cons: tachycardia, decreased SV + CO
  • notes: decrease in DBP > SBP

rarely used

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22
Q

BP Med Hydralazine

  • dose: 10mg slow IV Q6 (up to max 40mg)
  • moa: peripheral vasodilator (preferential arterio > venodilation)
  • cons: […]
  • notes: decrease in DBP > SBP
A

BP Med Hydralazine

  • dose: 10mg slow IV Q6 (up to max 40mg)
  • moa: peripheral vasodilator (preferential arterio > venodilation)
  • cons: tachycardia, decreased SV + CO
  • notes: decrease in DBP > SBP

rarely used

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23
Q

BP Med Hydralazine

  • dose: 10mg slow IV Q6 (up to max 40mg)
  • moa: peripheral vasodilator (preferential arterio > venodilation)
  • cons: tachycardia, decreased SV + CO
  • notes: […]
A

BP Med Hydralazine

  • dose: 10mg slow IV Q6 (up to max 40mg)
  • moa: peripheral vasodilator (preferential arterio > venodilation)
  • cons: tachycardia, decreased SV + CO
  • notes: decrease in DBP > SBP

rarely used

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24
Q

BP Med Labetalol

  • dose: […]
  • moa: beta > αlpha blocker
  • pros: no HR change, no cerebral flow change, rapid onset
  • avoid: COPD, CHF, heart block, bradycardia
  • use: ACS, ischemic CVA
A

BP Med Labetalol

  • dose: 10mg IV q10min => 0.5-2 mg/min IV
  • moa: beta > αlpha blocker
  • pros: no HR change, no cerebral flow change, rapid onset
  • avoid: COPD, CHF, heart block, bradycardia
  • use: ACS, ischemic CVA
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25
Q

BP Med Labetalol

  • dose: 10mg IV q10min => 0.5-2 mg/min IV
  • moa: […]
  • pros: no HR change, no cerebral flow change, rapid onset
  • avoid: COPD, CHF, heart block, bradycardia
  • use: ACS, ischemic CVA
A

BP Med Labetalol

  • dose: 10mg IV q10min => 0.5-2 mg/min IV
  • moa: beta > αlpha blocker
  • pros: no HR change, no cerebral flow change, rapid onset
  • avoid: COPD, CHF, heart block, bradycardia
  • use: ACS, ischemic CVA
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26
Q

BP Med Labetalol

  • dose: 10mg IV q10min => 0.5-2 mg/min IV
  • moa: beta > αlpha blocker
  • pros: […]
  • avoid: COPD, CHF, heart block, bradycardia
  • use: ACS, ischemic CVA
A

BP Med Labetalol

  • dose: 10mg IV q10min => 0.5-2 mg/min IV
  • moa: beta > αlpha blocker
  • pros: no HR change, no cerebral flow change, rapid onset
  • avoid: COPD, CHF, heart block, bradycardia
  • use: ACS, ischemic CVA
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27
Q

BP Med Labetalol

  • dose: 10mg IV q10min => 0.5-2 mg/min IV
  • moa: beta > αlpha blocker
  • pros: no HR change, no cerebral flow change, rapid onset
  • avoid: […]
  • use: ACS, ischemic CVA
A

BP Med Labetalol

  • dose: 10mg IV q10min => 0.5-2 mg/min IV
  • moa: beta > αlpha blocker
  • pros: no HR change, no cerebral flow change, rapid onset
  • avoid: COPD, CHF, heart block, bradycardia
  • use: ACS, ischemic CVA
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28
Q

BP Med Labetalol

  • dose: 10mg IV q10min => 0.5-2 mg/min IV
  • moa: beta > αlpha blocker
  • pros: no HR change, no cerebral flow change, rapid onset
  • avoid: COPD, CHF, heart block, bradycardia
  • use: […]
A

BP Med Labetalol

  • dose: 10mg IV q10min => 0.5-2 mg/min IV
  • moa: beta > αlpha blocker
  • pros: no HR change, no cerebral flow change, rapid onset
  • avoid: COPD, CHF, heart block, bradycardia
  • use: ACS, ischemic CVA
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29
Q

BP Med Nicardipine

  • dose: […]
  • moa: CCB decrease PVR
  • cons: long half life
  • avoid: ACS, CHF, cirrhosis
  • use: CVA, renal
A

BP Med Nicardipine

  • dose: 5mg/h => +2.5mg/hr (max15mg/hr)
  • moa: CCB decrease PVR
  • cons: long half life
  • avoid: ACS, CHF, cirrhosis
  • use: CVA, renal
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30
Q

BP Med Nicardipine

  • dose: 5mg/h => +2.5mg/hr (max15mg/hr)
  • moa: […]
  • cons: long half life
  • avoid: ACS, CHF, cirrhosis
  • use: CVA, renal
A

BP Med Nicardipine

  • dose: 5mg/h => +2.5mg/hr (max15mg/hr)
  • moa: CCB decrease PVR
  • cons: long half life
  • avoid: ACS, CHF, cirrhosis
  • use: CVA, renal
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31
Q

BP Med Nicardipine

  • dose: 5mg/h => +2.5mg/hr (max15mg/hr)
  • moa: CCB decrease PVR
  • cons: […]
  • avoid: ACS, CHF, cirrhosis
  • use: CVA, renal
A

BP Med Nicardipine

  • dose: 5mg/h => +2.5mg/hr (max15mg/hr)
  • moa: CCB decrease PVR
  • cons: long half life
  • avoid: ACS, CHF, cirrhosis
  • use: CVA, renal
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32
Q

BP Med Nicardipine

  • dose: 5mg/h => +2.5mg/hr (max15mg/hr)
  • moa: CCB decrease PVR
  • cons: long half life
  • avoid: ACS, CHF, cirrhosis
  • use: […], renal
A

BP Med Nicardipine

  • dose: 5mg/h => +2.5mg/hr (max15mg/hr)
  • moa: CCB decrease PVR
  • cons: long half life
  • avoid: ACS, CHF, cirrhosis
  • use: CVA, renal
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33
Q

BP Med Nicardipine

  • dose: 5mg/h => +2.5mg/hr (max15mg/hr)
  • moa: CCB decrease PVR
  • cons: long half life
  • avoid: ACS, CHF, cirrhosis
  • use: CVA, […]
A

BP Med Nicardipine

  • dose: 5mg/h => +2.5mg/hr (max15mg/hr)
  • moa: CCB decrease PVR
  • cons: long half life
  • avoid: ACS, CHF, cirrhosis
  • use: CVA, renal
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34
Q

BP Med Nicardipine

  • dose: 5mg/h => +2.5mg/hr (max15mg/hr)
  • moa: CCB decrease PVR
  • cons: long half life
  • avoid: […], CHF, cirrhosis
  • use: CVA, renal
A

BP Med Nicardipine

  • dose: 5mg/h => +2.5mg/hr (max15mg/hr)
  • moa: CCB decrease PVR
  • cons: long half life
  • avoid: ACS, CHF, cirrhosis
  • use: CVA, renal
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35
Q

BP Med Nicardipine

  • dose: 5mg/h => +2.5mg/hr (max15mg/hr)
  • moa: CCB decrease PVR
  • cons: long half life
  • avoid: ACS, […], cirrhosis
  • use: CVA, renal
A

BP Med Nicardipine

  • dose: 5mg/h => +2.5mg/hr (max15mg/hr)
  • moa: CCB decrease PVR
  • cons: long half life
  • avoid: ACS, CHF, cirrhosis
  • use: CVA, renal
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36
Q

BP Med Nicardipine

  • dose: 5mg/h => +2.5mg/hr (max15mg/hr)
  • moa: CCB decrease PVR
  • cons: long half life
  • avoid: ACS, CHF, […]
  • use: CVA, renal
A

BP Med Nicardipine

  • dose: 5mg/h => +2.5mg/hr (max15mg/hr)
  • moa: CCB decrease PVR
  • cons: long half life
  • avoid: ACS, CHF, cirrhosis
  • use: CVA, renal
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37
Q

BP Med Nitroglycerin:

• dose: […]

  • moa: veno > arteriodilator
  • pros: rapid on/off, increase coronary flow
  • cons: tachycardia
  • use: ACS, CHF
A

BP Med Nitroglycerin:

• dose: 5-20mcg/min IV

  • moa: veno > arteriodilator
  • pros: rapid on/off, increase coronary flow
  • cons: tachycardia
  • use: ACS, CHF

LV dysf + pulmonary edema = CHF

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38
Q

BP Med Nitroglycerin:

• dose: 5-20mcg/min IV

  • moa: […]
  • pros: rapid on/off, increase coronary flow
  • cons: tachycardia
  • use: ACS, CHF
A

BP Med Nitroglycerin:

• dose: 5-20mcg/min IV

  • moa: veno > arteriodilator
  • pros: rapid on/off, increase coronary flow
  • cons: tachycardia
  • use: ACS, CHF

LV dysf + pulmonary edema = CHF

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39
Q

BP Med Nitroglycerin:

• dose: 5-20mcg/min IV

  • moa: veno > arteriodilator
  • pros: […]
  • cons: tachycardia
  • use: ACS, CHF
A

BP Med Nitroglycerin:

• dose: 5-20mcg/min IV

  • moa: veno > arteriodilator
  • pros: rapid on/off, increase coronary flow
  • cons: tachycardia
  • use: ACS, CHF

LV dysf + pulmonary edema = CHF

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40
Q

BP Med Nitroglycerin:

• dose: 5-20mcg/min IV

  • moa: veno > arteriodilator
  • pros: rapid on/off, increase coronary flow
  • cons: […]
  • use: ACS, CHF
A

BP Med Nitroglycerin:

• dose: 5-20mcg/min IV

  • moa: veno > arteriodilator
  • pros: rapid on/off, increase coronary flow
  • cons: tachycardia
  • use: ACS, CHF

LV dysf + pulmonary edema = CHF

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41
Q

BP Med Nitroglycerin:

• dose: 5-20mcg/min IV

  • moa: veno > arteriodilator
  • pros: rapid on/off, increase coronary flow
  • cons: tachycardia
  • use: […], CHF
A

BP Med Nitroglycerin:

• dose: 5-20mcg/min IV

  • moa: veno > arteriodilator
  • pros: rapid on/off, increase coronary flow
  • cons: tachycardia
  • use: ACS, CHF

LV dysf + pulmonary edema = CHF

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42
Q

BP Med Nitroglycerin:

• dose: 5-20mcg/min IV

  • moa: veno > arteriodilator
  • pros: rapid on/off, increase coronary flow
  • cons: tachycardia
  • use: ACS, […]
A

BP Med Nitroglycerin:

• dose: 5-20mcg/min IV

  • moa: veno > arteriodilator
  • pros: rapid on/off, increase coronary flow
  • cons: tachycardia
  • use: ACS, CHF

LV dysf + pulmonary edema = CHF

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43
Q

BP Med Nitroprusside

  • dose: […]
  • moa: arterial > venodilator
  • pros: effective, quick on/off
  • cons: tachycardia, coronary steal, cyanide tox
  • avoid: liver failure, increased ICP, pregnancy
A

BP Med Nitroprusside

  • dose: 0.5mcg/kg/min => titrate by 0.5mcg/kg/min
  • moa: arterial > venodilator
  • pros: effective, quick on/off
  • cons: tachycardia, coronary steal, cyanide tox
  • avoid: liver failure, increased ICP, pregnancy

RARELY USED

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44
Q

BP Med Nitroprusside

  • dose: 0.5mcg/kg/min => titrate by 0.5mcg/kg/min
  • moa: […]
  • pros: effective, quick on/off
  • cons: tachycardia, coronary steal, cyanide tox
  • avoid: liver failure, increased ICP, pregnancy
A

BP Med Nitroprusside

  • dose: 0.5mcg/kg/min => titrate by 0.5mcg/kg/min
  • moa: arterial > venodilator
  • pros: effective, quick on/off
  • cons: tachycardia, coronary steal, cyanide tox
  • avoid: liver failure, increased ICP, pregnancy

RARELY USED

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45
Q

BP Med Nitroprusside

  • dose: 0.5mcg/kg/min => titrate by 0.5mcg/kg/min
  • moa: arterial > venodilator
  • pros: […]
  • cons: tachycardia, coronary steal, cyanide tox
  • avoid: liver failure, increased ICP, pregnancy
A

BP Med Nitroprusside

  • dose: 0.5mcg/kg/min => titrate by 0.5mcg/kg/min
  • moa: arterial > venodilator
  • pros: effective, quick on/off
  • cons: tachycardia, coronary steal, cyanide tox
  • avoid: liver failure, increased ICP, pregnancy

RARELY USED

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46
Q

BP Med Nitroprusside

  • dose: 0.5mcg/kg/min => titrate by 0.5mcg/kg/min
  • moa: arterial > venodilator
  • pros: effective, quick on/off
  • cons: […], coronary steal, cyanide tox
  • avoid: liver failure, increased ICP, pregnancy
A

BP Med Nitroprusside

  • dose: 0.5mcg/kg/min => titrate by 0.5mcg/kg/min
  • moa: arterial > venodilator
  • pros: effective, quick on/off
  • cons: tachycardia, coronary steal, cyanide tox
  • avoid: liver failure, increased ICP, pregnancy

RARELY USED

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47
Q

BP Med Nitroprusside

  • dose: 0.5mcg/kg/min => titrate by 0.5mcg/kg/min
  • moa: arterial > venodilator
  • pros: effective, quick on/off
  • cons: tachycardia, […], cyanide tox
  • avoid: liver failure, increased ICP, pregnancy
A

BP Med Nitroprusside

  • dose: 0.5mcg/kg/min => titrate by 0.5mcg/kg/min
  • moa: arterial > venodilator
  • pros: effective, quick on/off
  • cons: tachycardia, coronary steal, cyanide tox
  • avoid: liver failure, increased ICP, pregnancy

RARELY USED

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48
Q

BP Med Nitroprusside

  • dose: 0.5mcg/kg/min => titrate by 0.5mcg/kg/min
  • moa: arterial > venodilator
  • pros: effective, quick on/off
  • cons: tachycardia, coronary steal, […]
  • avoid: liver failure, increased ICP, pregnancy
A

BP Med Nitroprusside

  • dose: 0.5mcg/kg/min => titrate by 0.5mcg/kg/min
  • moa: arterial > venodilator
  • pros: effective, quick on/off
  • cons: tachycardia, coronary steal, cyanide tox
  • avoid: liver failure, increased ICP, pregnancy

RARELY USED

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49
Q

BP Med Nitroprusside

  • dose: 0.5mcg/kg/min => titrate by 0.5mcg/kg/min
  • moa: arterial > venodilator
  • pros: effective, quick on/off
  • cons: tachycardia, coronary steal, cyanide tox
  • avoid: […], increased ICP, pregnancy
A

BP Med Nitroprusside

  • dose: 0.5mcg/kg/min => titrate by 0.5mcg/kg/min
  • moa: arterial > venodilator
  • pros: effective, quick on/off
  • cons: tachycardia, coronary steal, cyanide tox
  • avoid: liver failure, increased ICP, pregnancy

RARELY USED

50
Q

BP Med Nitroprusside

  • dose: 0.5mcg/kg/min => titrate by 0.5mcg/kg/min
  • moa: arterial > venodilator
  • pros: effective, quick on/off
  • cons: tachycardia, coronary steal, cyanide tox
  • avoid: liver failure, […], pregnancy
A

BP Med Nitroprusside

  • dose: 0.5mcg/kg/min => titrate by 0.5mcg/kg/min
  • moa: arterial > venodilator
  • pros: effective, quick on/off
  • cons: tachycardia, coronary steal, cyanide tox
  • avoid: liver failure, increased ICP, pregnancy

RARELY USED

51
Q

BP Med Nitroprusside

  • dose: 0.5mcg/kg/min => titrate by 0.5mcg/kg/min
  • moa: arterial > venodilator
  • pros: effective, quick on/off
  • cons: tachycardia, coronary steal, cyanide tox
  • avoid: liver failure, increased ICP, […]
A

BP Med Nitroprusside

  • dose: 0.5mcg/kg/min => titrate by 0.5mcg/kg/min
  • moa: arterial > venodilator
  • pros: effective, quick on/off
  • cons: tachycardia, coronary steal, cyanide tox
  • avoid: liver failure, increased ICP, pregnancy

RARELY USED

52
Q

BP meds in Stroke/TIA setting:

  • […]
  • labetalol
  • esmolol
A

BP meds in Stroke/TIA setting:

  • nicardipine
  • labetalol
  • esmolol
53
Q

BP meds in Stroke/TIA setting:

  • nicardipine
  • […]
  • esmolol
A

BP meds in Stroke/TIA setting:

  • nicardipine
  • labetalol
  • esmolol
54
Q

BP meds in Stroke/TIA setting:

  • nicardipine
  • labetalol
  • […]
A

BP meds in Stroke/TIA setting:

  • nicardipine
  • labetalol
  • esmolol
55
Q

BP meds scenarios:

  • neuro sx: […] // IV labetalol
  • hemorrhagic stroke: IV nicardipine
  • ischemic stroke: +/- permissive htn (<220/120)
  • aortic dissection: IV esmolol // labetalol, +/- IV nicardipine, +/- IV nitroprusside
  • MI: IV nitroglycerin, +/- IV metoprolol
  • pulmonary edema: IV nitroglycerin, +/- IV lasix
  • renal insufficiency: IV nicardipine // IV labetalol
A

BP meds scenarios:

  • neuro sx: IV nicardipine // IV labetalol
  • hemorrhagic stroke: IV nicardipine
  • ischemic stroke: +/- permissive htn (<220/120)
  • aortic dissection: IV esmolol // labetalol, +/- IV nicardipine, +/- IV nitroprusside
  • MI: IV nitroglycerin, +/- IV metoprolol
  • pulmonary edema: IV nitroglycerin, +/- IV lasix
  • renal insufficiency: IV nicardipine // IV labetalol
56
Q

BP meds scenarios:

  • neuro sx: IV nicardipine // […]
  • hemorrhagic stroke: IV nicardipine
  • ischemic stroke: +/- permissive htn (<220/120)
  • aortic dissection: IV esmolol // labetalol, +/- IV nicardipine, +/- IV nitroprusside
  • MI: IV nitroglycerin, +/- IV metoprolol
  • pulmonary edema: IV nitroglycerin, +/- IV lasix
  • renal insufficiency: IV nicardipine // IV labetalol
A

BP meds scenarios:

  • neuro sx: IV nicardipine // IV labetalol
  • hemorrhagic stroke: IV nicardipine
  • ischemic stroke: +/- permissive htn (<220/120)
  • aortic dissection: IV esmolol // labetalol, +/- IV nicardipine, +/- IV nitroprusside
  • MI: IV nitroglycerin, +/- IV metoprolol
  • pulmonary edema: IV nitroglycerin, +/- IV lasix
  • renal insufficiency: IV nicardipine // IV labetalol
57
Q

BP meds scenarios:

  • neuro sx: IV nicardipine // IV labetalol
  • hemorrhagic stroke: […]
  • ischemic stroke: +/- permissive htn (<220/120)
  • aortic dissection: IV esmolol // labetalol, +/- IV nicardipine, +/- IV nitroprusside
  • MI: IV nitroglycerin, +/- IV metoprolol
  • pulmonary edema: IV nitroglycerin, +/- IV lasix
  • renal insufficiency: IV nicardipine // IV labetalol
A

BP meds scenarios:

  • neuro sx: IV nicardipine // IV labetalol
  • hemorrhagic stroke: IV nicardipine
  • ischemic stroke: +/- permissive htn (<220/120)
  • aortic dissection: IV esmolol // labetalol, +/- IV nicardipine, +/- IV nitroprusside
  • MI: IV nitroglycerin, +/- IV metoprolol
  • pulmonary edema: IV nitroglycerin, +/- IV lasix
  • renal insufficiency: IV nicardipine // IV labetalol
58
Q

BP meds scenarios:

  • neuro sx: IV nicardipine // IV labetalol
  • hemorrhagic stroke: IV nicardipine
  • ischemic stroke: +/- […]
  • aortic dissection: IV esmolol // labetalol, +/- IV nicardipine, +/- IV nitroprusside
  • MI: IV nitroglycerin, +/- IV metoprolol
  • pulmonary edema: IV nitroglycerin, +/- IV lasix
  • renal insufficiency: IV nicardipine // IV labetalol
A

BP meds scenarios:

  • neuro sx: IV nicardipine // IV labetalol
  • hemorrhagic stroke: IV nicardipine
  • ischemic stroke: +/- permissive htn (<220/120)
  • aortic dissection: IV esmolol // labetalol, +/- IV nicardipine, +/- IV nitroprusside
  • MI: IV nitroglycerin, +/- IV metoprolol
  • pulmonary edema: IV nitroglycerin, +/- IV lasix
  • renal insufficiency: IV nicardipine // IV labetalol
59
Q

BP meds scenarios:

  • neuro sx: IV nicardipine // IV labetalol
  • hemorrhagic stroke: IV nicardipine
  • ischemic stroke: +/- permissive htn (<220/120)
  • aortic dissection: […], +/- IV nicardipine, +/- IV nitroprusside
  • MI: IV nitroglycerin, +/- IV metoprolol
  • pulmonary edema: IV nitroglycerin, +/- IV lasix
  • renal insufficiency: IV nicardipine // IV labetalol
A

BP meds scenarios:

  • neuro sx: IV nicardipine // IV labetalol
  • hemorrhagic stroke: IV nicardipine
  • ischemic stroke: +/- permissive htn (<220/120)
  • aortic dissection: IV esmolol // labetalol, +/- IV nicardipine, +/- IV nitroprusside
  • MI: IV nitroglycerin, +/- IV metoprolol
  • pulmonary edema: IV nitroglycerin, +/- IV lasix
  • renal insufficiency: IV nicardipine // IV labetalol
60
Q

BP meds scenarios:

  • neuro sx: IV nicardipine // IV labetalol
  • hemorrhagic stroke: IV nicardipine
  • ischemic stroke: +/- permissive htn (<220/120)
  • aortic dissection: IV esmolol // labetalol, +/- […], +/- IV nitroprusside
  • MI: IV nitroglycerin, +/- IV metoprolol
  • pulmonary edema: IV nitroglycerin, +/- IV lasix
  • renal insufficiency: IV nicardipine // IV labetalol
A

BP meds scenarios:

  • neuro sx: IV nicardipine // IV labetalol
  • hemorrhagic stroke: IV nicardipine
  • ischemic stroke: +/- permissive htn (<220/120)
  • aortic dissection: IV esmolol // labetalol, +/- IV nicardipine, +/- IV nitroprusside
  • MI: IV nitroglycerin, +/- IV metoprolol
  • pulmonary edema: IV nitroglycerin, +/- IV lasix
  • renal insufficiency: IV nicardipine // IV labetalol
61
Q

BP meds scenarios:

  • neuro sx: IV nicardipine // IV labetalol
  • hemorrhagic stroke: IV nicardipine
  • ischemic stroke: +/- permissive htn (<220/120)
  • aortic dissection: IV esmolol // labetalol, +/- IV nicardipine, +/- […]
  • MI: IV nitroglycerin, +/- IV metoprolol
  • pulmonary edema: IV nitroglycerin, +/- IV lasix
  • renal insufficiency: IV nicardipine // IV labetalol
A

BP meds scenarios:

  • neuro sx: IV nicardipine // IV labetalol
  • hemorrhagic stroke: IV nicardipine
  • ischemic stroke: +/- permissive htn (<220/120)
  • aortic dissection: IV esmolol // labetalol, +/- IV nicardipine, +/- IV nitroprusside
  • MI: IV nitroglycerin, +/- IV metoprolol
  • pulmonary edema: IV nitroglycerin, +/- IV lasix
  • renal insufficiency: IV nicardipine // IV labetalol
62
Q

BP meds scenarios:

  • neuro sx: IV nicardipine // IV labetalol
  • hemorrhagic stroke: IV nicardipine
  • ischemic stroke: +/- permissive htn (<220/120)
  • aortic dissection: IV esmolol // labetalol, +/- IV nicardipine, +/- IV nitroprusside
  • MI: […], +/- IV metoprolol
  • pulmonary edema: IV nitroglycerin, +/- IV lasix
  • renal insufficiency: IV nicardipine // IV labetalol
A

BP meds scenarios:

  • neuro sx: IV nicardipine // IV labetalol
  • hemorrhagic stroke: IV nicardipine
  • ischemic stroke: +/- permissive htn (<220/120)
  • aortic dissection: IV esmolol // labetalol, +/- IV nicardipine, +/- IV nitroprusside
  • MI: IV nitroglycerin, +/- IV metoprolol
  • pulmonary edema: IV nitroglycerin, +/- IV lasix
  • renal insufficiency: IV nicardipine // IV labetalol
63
Q

BP meds scenarios:

  • neuro sx: IV nicardipine // IV labetalol
  • hemorrhagic stroke: IV nicardipine
  • ischemic stroke: +/- permissive htn (<220/120)
  • aortic dissection: IV esmolol // labetalol, +/- IV nicardipine, +/- IV nitroprusside
  • MI: IV nitroglycerin, +/- […]
  • pulmonary edema: IV nitroglycerin, +/- IV lasix
  • renal insufficiency: IV nicardipine // IV labetalol
A

BP meds scenarios:

  • neuro sx: IV nicardipine // IV labetalol
  • hemorrhagic stroke: IV nicardipine
  • ischemic stroke: +/- permissive htn (<220/120)
  • aortic dissection: IV esmolol // labetalol, +/- IV nicardipine, +/- IV nitroprusside
  • MI: IV nitroglycerin, +/- IV metoprolol
  • pulmonary edema: IV nitroglycerin, +/- IV lasix
  • renal insufficiency: IV nicardipine // IV labetalol
64
Q

BP meds scenarios:

  • neuro sx: IV nicardipine // IV labetalol
  • hemorrhagic stroke: IV nicardipine
  • ischemic stroke: +/- permissive htn (<220/120)
  • aortic dissection: IV esmolol // labetalol, +/- IV nicardipine, +/- IV nitroprusside
  • MI: IV nitroglycerin, +/- IV metoprolol
  • pulmonary edema: […], +/- IV lasix
  • renal insufficiency: IV nicardipine // IV labetalol
A

BP meds scenarios:

  • neuro sx: IV nicardipine // IV labetalol
  • hemorrhagic stroke: IV nicardipine
  • ischemic stroke: +/- permissive htn (<220/120)
  • aortic dissection: IV esmolol // labetalol, +/- IV nicardipine, +/- IV nitroprusside
  • MI: IV nitroglycerin, +/- IV metoprolol
  • pulmonary edema: IV nitroglycerin, +/- IV lasix
  • renal insufficiency: IV nicardipine // IV labetalol
65
Q

BP meds scenarios:

  • neuro sx: IV nicardipine // IV labetalol
  • hemorrhagic stroke: IV nicardipine
  • ischemic stroke: +/- permissive htn (<220/120)
  • aortic dissection: IV esmolol // labetalol, +/- IV nicardipine, +/- IV nitroprusside
  • MI: IV nitroglycerin, +/- IV metoprolol
  • pulmonary edema: IV nitroglycerin, +/- […]
  • renal insufficiency: IV nicardipine // IV labetalol
A

BP meds scenarios:

  • neuro sx: IV nicardipine // IV labetalol
  • hemorrhagic stroke: IV nicardipine
  • ischemic stroke: +/- permissive htn (<220/120)
  • aortic dissection: IV esmolol // labetalol, +/- IV nicardipine, +/- IV nitroprusside
  • MI: IV nitroglycerin, +/- IV metoprolol
  • pulmonary edema: IV nitroglycerin, +/- IV lasix
  • renal insufficiency: IV nicardipine // IV labetalol
66
Q

BP meds scenarios:

  • neuro sx: IV nicardipine // IV labetalol
  • hemorrhagic stroke: IV nicardipine
  • ischemic stroke: +/- permissive htn (<220/120)
  • aortic dissection: IV esmolol // labetalol, +/- IV nicardipine, +/- IV nitroprusside
  • MI: IV nitroglycerin, +/- IV metoprolol
  • pulmonary edema: IV nitroglycerin, +/- IV lasix
  • renal insufficiency: […] // IV labetalol
A

BP meds scenarios:

  • neuro sx: IV nicardipine // IV labetalol
  • hemorrhagic stroke: IV nicardipine
  • ischemic stroke: +/- permissive htn (<220/120)
  • aortic dissection: IV esmolol // labetalol, +/- IV nicardipine, +/- IV nitroprusside
  • MI: IV nitroglycerin, +/- IV metoprolol
  • pulmonary edema: IV nitroglycerin, +/- IV lasix
  • renal insufficiency: IV nicardipine // IV labetalol
67
Q

BP meds scenarios:

  • neuro sx: IV nicardipine // IV labetalol
  • hemorrhagic stroke: IV nicardipine
  • ischemic stroke: +/- permissive htn (<220/120)
  • aortic dissection: IV esmolol // labetalol, +/- IV nicardipine, +/- IV nitroprusside
  • MI: IV nitroglycerin, +/- IV metoprolol
  • pulmonary edema: IV nitroglycerin, +/- IV lasix
  • renal insufficiency: IV nicardipine // […]
A

BP meds scenarios:

  • neuro sx: IV nicardipine // IV labetalol
  • hemorrhagic stroke: IV nicardipine
  • ischemic stroke: +/- permissive htn (<220/120)
  • aortic dissection: IV esmolol // labetalol, +/- IV nicardipine, +/- IV nitroprusside
  • MI: IV nitroglycerin, +/- IV metoprolol
  • pulmonary edema: IV nitroglycerin, +/- IV lasix
  • renal insufficiency: IV nicardipine // IV labetalol
68
Q

Bradycardic categories:

SA node dysfunction:

  • […]
  • sinus arrest
  • tachy-brady (sick sinus)

AV node dysfunction:

  • 1st degree AV block
  • 2nd degree AV block- type I
  • 2nd degree AV block- type II
  • 3rd degree AV block (complete)
A

Bradycardic categories:

SA node dysfunction:

  • sinus brady
  • sinus arrest
  • tachy-brady (sick sinus)

AV node dysfunction:

  • 1st degree AV block
  • 2nd degree AV block- type I
  • 2nd degree AV block- type II
  • 3rd degree AV block (complete)
69
Q

Bradycardic categories:

SA node dysfunction:

  • sinus brady
  • […]
  • tachy-brady (sick sinus)

AV node dysfunction:

  • 1st degree AV block
  • 2nd degree AV block- type I
  • 2nd degree AV block- type II
  • 3rd degree AV block (complete)
A

Bradycardic categories:

SA node dysfunction:

  • sinus brady
  • sinus arrest
  • tachy-brady (sick sinus)

AV node dysfunction:

  • 1st degree AV block
  • 2nd degree AV block- type I
  • 2nd degree AV block- type II
  • 3rd degree AV block (complete)
70
Q

Bradycardic categories:

SA node dysfunction:

  • sinus brady
  • sinus arrest
  • […]

AV node dysfunction:

  • 1st degree AV block
  • 2nd degree AV block- type I
  • 2nd degree AV block- type II
  • 3rd degree AV block (complete)
A

Bradycardic categories:

SA node dysfunction:

  • sinus brady
  • sinus arrest
  • tachy-brady (sick sinus)

AV node dysfunction:

  • 1st degree AV block
  • 2nd degree AV block- type I
  • 2nd degree AV block- type II
  • 3rd degree AV block (complete)
71
Q

Bradycardic categories:

SA node dysfunction:

  • sinus brady
  • sinus arrest
  • tachy-brady (sick sinus)

AV node dysfunction:

  • […]
  • 2nd degree AV block- type I
  • 2nd degree AV block- type II
  • 3rd degree AV block (complete)
A

Bradycardic categories:

SA node dysfunction:

  • sinus brady
  • sinus arrest
  • tachy-brady (sick sinus)

AV node dysfunction:

  • 1st degree AV block
  • 2nd degree AV block- type I
  • 2nd degree AV block- type II
  • 3rd degree AV block (complete)
72
Q

Bradycardic categories:

SA node dysfunction:

  • sinus brady
  • sinus arrest
  • tachy-brady (sick sinus)

AV node dysfunction:

  • 1st degree AV block
  • […]
  • 2nd degree AV block- type II
  • 3rd degree AV block (complete)
A

Bradycardic categories:

SA node dysfunction:

  • sinus brady
  • sinus arrest
  • tachy-brady (sick sinus)

AV node dysfunction:

  • 1st degree AV block
  • 2nd degree AV block- type I
  • 2nd degree AV block- type II
  • 3rd degree AV block (complete)
73
Q

Bradycardic categories:

SA node dysfunction:

  • sinus brady
  • sinus arrest
  • tachy-brady (sick sinus)

AV node dysfunction:

  • 1st degree AV block
  • 2nd degree AV block- type I
  • […]
  • 3rd degree AV block (complete)
A

Bradycardic categories:

SA node dysfunction:

  • sinus brady
  • sinus arrest
  • tachy-brady (sick sinus)

AV node dysfunction:

  • 1st degree AV block
  • 2nd degree AV block- type I
  • 2nd degree AV block- type II
  • 3rd degree AV block (complete)
74
Q

Bradycardic categories:

SA node dysfunction:

  • sinus brady
  • sinus arrest
  • tachy-brady (sick sinus)

AV node dysfunction:

  • 1st degree AV block
  • 2nd degree AV block- type I
  • 2nd degree AV block- type II
  • […]
A

Bradycardic categories:

SA node dysfunction:

  • sinus brady
  • sinus arrest
  • tachy-brady (sick sinus)

AV node dysfunction:

  • 1st degree AV block
  • 2nd degree AV block- type I
  • 2nd degree AV block- type II
  • 3rd degree AV block (complete)
75
Q

Bradycardic intervention is only necessary if […].

A

Bradycardic intervention is only necessary if the pt is symptomatic!

76
Q

Breathing can take […]% of critically ill patient’s metabolism => intubating early will improve hemodynamics and therapy response.

A

Breathing can take 30% of critically ill patient’s metabolism => intubating early will improve hemodynamics and therapy response.

77
Q

Bronchiolitis high risk pts:

  • […]
  • premature
  • immunodeficient
  • cardiac anomaly
A

Bronchiolitis high risk pts:

  • <12 weeks
  • premature
  • immunodeficient
  • cardiac anomaly

12 Bed ICU mnemonic

78
Q

Bronchiolitis high risk pts:

  • <12 weeks
  • […]
  • immunodeficient
  • cardiac anomaly
A

Bronchiolitis high risk pts:

  • <12 weeks
  • premature
  • immunodeficient
  • cardiac anomaly

12 Bed ICU mnemonic

79
Q

Bronchiolitis high risk pts:

  • <12 weeks
  • premature
  • […]
  • cardiac anomaly
A

Bronchiolitis high risk pts:

  • <12 weeks
  • premature
  • immunodeficient
  • cardiac anomaly

12 Bed ICU mnemonic

80
Q

Bronchiolitis high risk pts:

  • <12 weeks
  • premature
  • immunodeficient
  • […]
A

Bronchiolitis high risk pts:

  • <12 weeks
  • premature
  • immunodeficient
  • cardiac anomaly

12 Bed ICU mnemonic

81
Q

Bronchiolitis tx […].

A

Bronchiolitis tx nasal suctioning + O2 prn.

not indicated: duonebs, racemic epi, steroids

82
Q

Brugada dispo:

• […]

A

Brugada dispo:

• admit for defibrillator placement

high risk for sudden death

83
Q

Brugada EKG:

  • […]
  • saddleback ST V1-V
A

Brugada EKG:

  • coved ST V1-V3
  • saddleback ST V1-V
84
Q

Brugada EKG:

  • coved ST V1-V3
  • […]
A

Brugada EKG:

  • coved ST V1-V3
  • saddleback ST V1-V3
85
Q

Brugada Syndrome occurs due to […].

A

Brugada Syndrome occurs due to Na channel disorder.

86
Q

Brugada young healthy pt prx:

  • […]
  • frequent syncope
A

Brugada young healthy pt prx:

  • EKG changes/RBBB
  • frequent syncope
87
Q

Brugada young healthy pt prx:

  • EKG changes/RBBB
  • […]
A

Brugada young healthy pt prx:

  • EKG changes/RBBB
  • frequent syncope

saddle back ST

88
Q

Canadian Head CT rule:

  • […]
  • blood thinners
  • seizure s/p injury
  • GCS <15
  • skull fracture
  • vomiting
  • age >65
  • retrograde amnesia
  • dangerous mechanism
  • ANY above criteria = CT
A

Canadian Head CT rule:

  • age <16
  • blood thinners
  • seizure s/p injury
  • GCS <15
  • skull fracture
  • vomiting
  • age >65
  • retrograde amnesia
  • dangerous mechanism
  • ANY above criteria = CT
89
Q

Canadian Head CT rule:

  • age <16
  • […]
  • seizure s/p injury
  • GCS <15
  • skull fracture
  • vomiting
  • age >65
  • retrograde amnesia
  • dangerous mechanism
  • ANY above criteria = CT
A

Canadian Head CT rule:

  • age <16
  • blood thinners
  • seizure s/p injury
  • GCS <15
  • skull fracture
  • vomiting
  • age >65
  • retrograde amnesia
  • dangerous mechanism
  • ANY above criteria = CT
90
Q

Canadian Head CT rule:

  • age <16
  • blood thinners
  • […]
  • GCS <15
  • skull fracture
  • vomiting
  • age >65
  • retrograde amnesia
  • dangerous mechanism
  • ANY above criteria = CT
A

Canadian Head CT rule:

  • age <16
  • blood thinners
  • seizure s/p injury
  • GCS <15
  • skull fracture
  • vomiting
  • age >65
  • retrograde amnesia
  • dangerous mechanism
  • ANY above criteria = CT
91
Q

Canadian Head CT rule:

  • age <16
  • blood thinners
  • seizure s/p injury
  • […]
  • skull fracture
  • vomiting
  • age >65
  • retrograde amnesia
  • dangerous mechanism
  • ANY above criteria = CT
A

Canadian Head CT rule:

  • age <16
  • blood thinners
  • seizure s/p injury
  • GCS <15
  • skull fracture
  • vomiting
  • age >65
  • retrograde amnesia
  • dangerous mechanism
  • ANY above criteria = CT
92
Q

Canadian Head CT rule:

  • age <16
  • blood thinners
  • seizure s/p injury
  • GCS <15
  • […]
  • vomiting
  • age >65
  • retrograde amnesia
  • dangerous mechanism
  • ANY above criteria = CT
A

Canadian Head CT rule:

  • age <16
  • blood thinners
  • seizure s/p injury
  • GCS <15
  • skull fracture
  • vomiting
  • age >65
  • retrograde amnesia
  • dangerous mechanism
  • ANY above criteria = CT
93
Q

Canadian Head CT rule:

  • age <16
  • blood thinners
  • seizure s/p injury
  • GCS <15
  • skull fracture
  • […]
  • age >65
  • retrograde amnesia
  • dangerous mechanism
  • ANY above criteria = CT
A

Canadian Head CT rule:

  • age <16
  • blood thinners
  • seizure s/p injury
  • GCS <15
  • skull fracture
  • vomiting
  • age >65
  • retrograde amnesia
  • dangerous mechanism
  • ANY above criteria = CT
94
Q

Canadian Head CT rule:

  • age <16
  • blood thinners
  • seizure s/p injury
  • GCS <15
  • skull fracture
  • vomiting
  • […]
  • retrograde amnesia
  • dangerous mechanism
  • ANY above criteria = CT
A

Canadian Head CT rule:

  • age <16
  • blood thinners
  • seizure s/p injury
  • GCS <15
  • skull fracture
  • vomiting
  • age >65
  • retrograde amnesia
  • dangerous mechanism
  • ANY above criteria = CT
95
Q

Canadian Head CT rule:

  • age <16
  • blood thinners
  • seizure s/p injury
  • GCS <15
  • skull fracture
  • vomiting
  • age >65
  • […]
  • dangerous mechanism
  • ANY above criteria = CT
A

Canadian Head CT rule:

  • age <16
  • blood thinners
  • seizure s/p injury
  • GCS <15
  • skull fracture
  • vomiting
  • age >65
  • retrograde amnesia
  • dangerous mechanism
  • ANY above criteria = CT
96
Q

Canadian Head CT rule:

  • age <16
  • blood thinners
  • seizure s/p injury
  • GCS <15
  • skull fracture
  • vomiting
  • age >65
  • retrograde amnesia
  • […]
  • ANY above criteria = CT
A

Canadian Head CT rule:

  • age <16
  • blood thinners
  • seizure s/p injury
  • GCS <15
  • skull fracture
  • vomiting
  • age >65
  • retrograde amnesia
  • dangerous mechanism
  • ANY above criteria = CT
97
Q

Candidiasis tx: (+ doses)

• […]

A

Candidiasis tx: (+ doses)

• fluconazole 150mg PO x1

98
Q

CAP tx: (+doses)

  • low risk: […] // doxy // azithro
  • high risk: augmentin // ceftriaxone AND doxy // azithro
A

CAP tx: (+doses)

  • low risk: amox // doxy // azithro
  • high risk: augmentin // ceftriaxone AND doxy // azithro

low risk= mono therapy

high risk= dual therapy

99
Q

CAP tx: (+doses)

  • low risk: amox // […] // azithro
  • high risk: augmentin // ceftriaxone AND doxy // azithro
A

CAP tx: (+doses)

  • low risk: amox // doxy // azithro
  • high risk: augmentin // ceftriaxone AND doxy // azithro

low risk= mono therapy

high risk= dual therapy

100
Q

CAP tx: (+doses)

  • low risk: amox // doxy // […]
  • high risk: augmentin // ceftriaxone AND doxy // azithro
A

CAP tx: (+doses)

  • low risk: amox // doxy // azithro
  • high risk: augmentin // ceftriaxone AND doxy // azithro

low risk= mono therapy

high risk= dual therapy

101
Q

CAP tx: (+doses)

  • low risk: amox // doxy // azithro
  • high risk: […] AND doxy // azithro
A

CAP tx: (+doses)

  • low risk: amox // doxy // azithro
  • high risk: augmentin // ceftriaxone AND doxy // azithro

low risk= mono therapy

high risk= dual therapy

102
Q

CAP tx: (+doses)

  • low risk: amox // doxy // azithro
  • high risk: augmentin // ceftriaxone AND […]
A

CAP tx: (+doses)

  • low risk: amox // doxy // azithro
  • high risk: augmentin // ceftriaxone AND doxy // azithro

low risk= mono therapy

high risk= dual therapy

103
Q

Cardiac CP INITIAL tx: (+ doses)

  • […]
  • nitroglycern 0.4mg sublingual Q5min x3
  • O2 (for O2% <90)
A

Cardiac CP INITIAL tx: (+ doses)

  • aspirin 325mg PO
  • nitroglycern 0.4mg sublingual Q5min x3
  • O2 (for O2% <90)
104
Q

Cardiac CP INITIAL tx: (+ doses)

  • aspirin 325mg PO
  • […]
  • O2 (for O2% <90)
A

Cardiac CP INITIAL tx: (+ doses)

  • aspirin 325mg PO
  • nitroglycern 0.4mg sublingual Q5min x3
  • O2 (for O2% <90)
105
Q

Cardiac CP INITIAL tx: (+ doses)

  • aspirin 325mg PO
  • nitroglycern 0.4mg sublingual Q5min x3
  • […]
A

Cardiac CP INITIAL tx: (+ doses)

  • aspirin 325mg PO
  • nitroglycern 0.4mg sublingual Q5min x3
  • O2 (for O2% <90)
106
Q

Cardiac labs:

  • […]
  • coags
  • troponin
  • +/- BNP
  • +/- d-dimer
A

Cardiac labs:

  • CBC/CMP
  • coags
  • troponin
  • +/- BNP
  • +/- d-dimer
107
Q

Cardiac labs:

  • CBC/CMP
  • […]
  • troponin
  • +/- BNP
  • +/- d-dimer
A

Cardiac labs:

  • CBC/CMP
  • coags
  • troponin
  • +/- BNP
  • +/- d-dimer
108
Q

Cardiac labs:

  • CBC/CMP
  • coags
  • […]
  • +/- BNP
  • +/- d-dimer
A

Cardiac labs:

  • CBC/CMP
  • coags
  • troponin
  • +/- BNP
  • +/- d-dimer
109
Q

Cardiac labs:

  • CBC/CMP
  • coags
  • troponin
  • +/- […]
  • +/- d-dimer
A

Cardiac labs:

  • CBC/CMP
  • coags
  • troponin
  • +/- BNP
  • +/- d-dimer
110
Q

Cardiac labs:

  • CBC/CMP
  • coags
  • troponin
  • +/- BNP
  • +/- […]
A

Cardiac labs:

  • CBC/CMP
  • coags
  • troponin
  • +/- BNP
  • +/- d-dimer
111
Q

Centor Criteria:

  • […]
  • exudate= 1
  • ant cervical nodes= 1
  • temp >38C (100.4)= 1
  • cough absent= 1
  • 2+ = consider rapid strep test
A

Centor Criteria:

  • age (3-14)= 1
  • exudate= 1
  • ant cervical nodes= 1
  • temp >38C (100.4)= 1
  • cough absent= 1
  • 2+ = consider rapid strep test
112
Q

Centor Criteria:

  • age (3-14)= 1
  • […]
  • ant cervical nodes= 1
  • temp >38C (100.4)= 1
  • cough absent= 1
  • 2+ = consider rapid strep test
A

Centor Criteria:

  • age (3-14)= 1
  • exudate= 1
  • ant cervical nodes= 1
  • temp >38C (100.4)= 1
  • cough absent= 1
  • 2+ = consider rapid strep test
113
Q

Centor Criteria:

  • age (3-14)= 1
  • exudate= 1
  • […]
  • temp >38C (100.4)= 1
  • cough absent= 1
  • 2+ = consider rapid strep test
A

Centor Criteria:

  • age (3-14)= 1
  • exudate= 1
  • ant cervical nodes= 1
  • temp >38C (100.4)= 1
  • cough absent= 1
  • 2+ = consider rapid strep test
114
Q

Centor Criteria:

  • age (3-14)= 1
  • exudate= 1
  • ant cervical nodes= 1
  • […]
  • cough absent= 1
  • 2+ = consider rapid strep test
A

Centor Criteria:

  • age (3-14)= 1
  • exudate= 1
  • ant cervical nodes= 1
  • temp >38C (100.4)= 1
  • cough absent= 1
  • 2+ = consider rapid strep test
115
Q

Centor Criteria:

  • age (3-14)= 1
  • exudate= 1
  • ant cervical nodes= 1
  • temp >38C (100.4)= 1
  • […]
  • 2+ = consider rapid strep test
A

Centor Criteria:

  • age (3-14)= 1
  • exudate= 1
  • ant cervical nodes= 1
  • temp >38C (100.4)= 1
  • cough absent= 1
  • 2+ = consider rapid strep test
116
Q

Centor Criteria:

  • age (3-14)= 1
  • exudate= 1
  • ant cervical nodes= 1
  • temp >38C (100.4)= 1
  • cough absent= 1
  • 2+ = […]
A

Centor Criteria:

  • age (3-14)= 1
  • exudate= 1
  • ant cervical nodes= 1
  • temp >38C (100.4)= 1
  • cough absent= 1
  • 2+ = consider rapid strep test
117
Q

Central Retinal Artery Occlusion prx:

  • […]
  • cherry red spot on macula
  • whitening of retina
  • hx of risk factors (afib)
A

Central Retinal Artery Occlusion prx:

  • painless unilateral loss of vision
  • cherry red spot on macula
  • whitening of retina
  • hx of risk factors (afib)
118
Q

Central Retinal Artery Occlusion prx:

  • painless unilateral loss of vision
  • […]
  • whitening of retina
A

Central Retinal Artery Occlusion prx:

  • painless unilateral loss of vision
  • cherry red spot on macula
  • whitening of retina
  • hx of risk factors (afib)
119
Q

Central Retinal Artery Occlusion prx:

  • painless unilateral loss of vision
  • cherry red spot on macula
  • […]
  • hx of risk factors (afib)
A

Central Retinal Artery Occlusion prx:

  • painless unilateral loss of vision
  • cherry red spot on macula
  • whitening of retina
  • hx of risk factors (afib)
120
Q

Central Retinal Artery Occlusion prx:

  • painless unilateral loss of vision
  • cherry red spot on macula
  • whitening of retina
  • […]
A

Central Retinal Artery Occlusion prx:

  • painless unilateral loss of vision
  • cherry red spot on macula
  • whitening of retina
  • hx of risk factors (afib)