Emergency Med

Question 1

Blood draw tube order

Answer 1

1. blood culture (yellow or yellow-black top)
2. Non-additive (red top)
   3) Coag (blue)
   4) green (has heparin); for your BMP, also for troponin
   5) lavendar (EDTA)… used for CBC

*red blood gives life

Question 2

AMS ddx 3 areas

Answer 2

delirium: organic, hours to days, fluctuating, agitation common
dementia: consider meds, thyroid disease, infections for exacerbation

acute psychosis: funciontal, hours to days, stable course

Question 3

AMS red flags: what is the ddx?

Diabetes

Answer 3

Hypo/hyperglycemia

Question 4

AMS red flags: what is the ddx?

polyuria, polydipsia, polyphagia

Answer 4

• DKA

- hyperosmolar hyperglycemic state

Question 5

AMS red flags: what is the ddx?

Fevers, rigors, chills

Answer 5

• occult/obvious infection
• bacteremia
• septicemia
• sepsis
• pneumonia
• UTI
• meningitis