Emergency Med, Environ, Other Tasks

Question 1

red man syndrome

Answer 1

Associated with vancomycin
flushing secondary to histamine release
add Benadryl and slow infusion

Question 2

Abx known for ototoxicity

Answer 2

aminoglycosides- gentamycin

~vancomycin

Question 3

what SSRI is known for QT prolongation?

Answer 3

Citalopram (Celexa)

Question 4

PCN allergy what other abx class is more likely to have cross-reacitivty

Answer 4

Cephalosporins

ie cephalexin, cefoxitin

Question 5

Pt presents with ruptured Achilles after completing course or antibiotics for his recurrent sinus infection, what antibiotic most likely attributed to this?

Answer 5

Fluroquinolones

-levofloxacin

Question 6

What abx has been shown to cause a neuro-muscular blockade that can lead to respiratory paralysis?
How is it reversed?

Answer 6

Amnoglycosides- gentamycin, tobramycin

neostigime

Question 7

What drug used in the treatment of SLE can cause impaired night vision?

Answer 7

hydroxychloroquine

Question 8

Pt with psych history now with diagnoses of diabetes insipidus. What med would likely cause this?

Answer 8

lithium

Question 9

what types of meds should be avoided in patients on nitrates?

Answer 9

phosphdiesterase 5 inhib
- sildenafil (Viagra)
can lead to HoTN

Question 10

Drugs that cause bradycardia

Answer 10

PACED
P-propranolol and other BB
A- anticholinestease
C- clonidine and CCBs
E- ethanol and other alcohols
D- digoxin

Question 11

Drugs/causes of rapid respiratoins

Answer 11

PANT
P-PCP, pneumonitis
A- ASA, other salicyclates
N- nocardiogenic pulm edema
T- toxin induced metab acidosis

Question 12

Slow respiration OD causes

Answer 12

SLOW
S- sedative hypnotics
L- liquor
O- Opiates
W- weed

Question 13

OD that lead to hyperthermia

Answer 13

NASA
N- neuroleptic malignant syndrome, nicotine
A- antihistamines
S- salicylates, sympathomimetics
A- anticholinergics, antidepressants

Question 14

OD that leads to hypothermia

Answer 14

COOLS
C-carbon monoxide
O- opiates
O- oral hypoglycemic, insulin
L- liquor
S- sedative hypnotics

Question 15

Causes of seizures

Answer 15

OTIS CAMPBELL
oranophosphates
TCAs
isoniazid, insulin
sympathomimetics
cocaine, camphor
amphetamines, anticholinergics
methylxanthines
PCP
benzo withdrawal
ethanol withdrawal
lithium, lidocaine
lead, lindane

Question 16

Pt presents to ED with AMS, on exam they have warm flushed dry skin, dilated pupils, and decreased bs. Most likely OD?

Answer 16

anticholinergic
- antihistamines, TCAs
hot as hare- hyperthermia
red as a beet- flushed skin
dry as a bone- dry skin
blind as a bat- dilated pupils
mad as a hatter- AMS, delirium, halluc, szs

+tacky, HTN, urinary retention, decreased bs

Question 17

Pt to ED with AMS and agitation
is diaphoretic, tachycardiac, hyperthermic, hypertensive, and has midriasis.
most likely OD?

Answer 17

sympathomimetics

- cocain, amphetamines, decongestants, caffeine, theophylline

Question 18

antidote for acetaminophen

indications?

Answer 18

N-acetylcysteine

• serum level over nomogram line
• detectable levels after 24hr
• prego
• hepatic failure

Question 19

antidote coumadin

Answer 19

vit K, FFP

Question 20

antidote digoxin

Answer 20

digibind

Question 21

antidote BB

Answer 21

glucagon

Question 22

antidote TCAs

Answer 22

sodium bicarb

Question 23

antidote methanol or ethylene glycol (antifreeze)

Answer 23

ethanol

Question 24

Pt with visual complaint of “stepping into a snowstorm” with sluggish dilated pupils

Answer 24

Methanol OD