Emergency Medicine Flashcards
____ overdose causes metabolic acidosis, respiratory alkalosis , tinnitus, elevated PT, treated with ______
aspirin
urine alkalization (ion trapping, sodium bicarb), activated charcoal
Following toxins benefit from urine alkalinization
1) Aspirin
2) ______
3) ______
Phenobarbital
TCA
Burn fluid resuscitation formula
___ml.kg * weight * BSA
4
_____ is a classic EKG finding of digoxin poisoning
PR prolongation , slow Afib, PVC (bigeminy)
____ can be used for ethylene glycol/methanol poisoning
Fomipizole
Cyanosis after lidocaine, nitrates, nitroglycerine, dapsone______
Tx____
Methemglobinemia
Methylene Blue
NMS occurs when using antipsychotics due to non-specific D2 blockade in the ______ pathway
NMS treated with _____
nigrostriatal
Bromocriptine, Dantrolene (muscle relaxation)
_____ used to treat serotonin syndrome
Cyproheptidine
nausea, vomiting, diarrhea, tremors, hyper-reflexia with hyponatremia may be evidence of _____ toxicity
Lithium
______ is an EKG finding for TCA poisoning
Widened QRS
Dilated pupils, dry mouth, constipation, urinary retention (sympathetic symptoms) are signs of ____ poisoning treated with ______
TCA
Urine alkalization
____ spider bite results in rigidity, hypocalcemia, non-specific abdominal pain
black widow
Necrosis, bullae, dark lesion causes by ______ spider bite
brown recluse spider
EKG finding for serious hypothermia _____
J point, J wave
Cushing Triad
- High BP
- ____ Pulse
- Cheyne Stoke respiration
Low
NEXUS criteria for C Spine
- cervical spine tenderness
- focal neurological deficit
- alert
- no intoxication
- no painful distracting injury
if all correct, than does not need imaging
____ shock is caused by tamponade, tension pneumoa, PE
Obstructive
_____ is an indication for ankle xray series
1) Lateral/Medial malleolus tenderness
2) Cant take 4 steps
- Ottawa ankle rules
_____ is an indication for foot xray
1) Midfoot tenderness
2) Cant take 4 steps
_____ hip pain after URI
toxic synovitis
proximal fibular injury lead to ______ fracture
Maisonneuve
____ fractures in children may lead to radial nerve injury. Caused by falling on an outstretched hand
Supracondylar fracture
_____ poisoning characterized by nausea, vomiting, diarrhea, yellow halos. On EKG, PR prolongation, J point depression. Can result in hyperkalemia, worsened by hypokalemia.
Digoxin
Nitrate, anesthetic, dapsone can induce_____. pO2 on ABG will look normal
Methemglobinemia
Treatment of lithium overdose_____
dialysis
Usually caused by dehydration, and over concentration
MAOI induced hypertension : tyramine rich foods , concurrent TCA use
tyramine degranulates norepinephrine, causes hypertension
Antidote for organophosphate poisioning : atropine or _____
Pralidoxime
EKG finding for hypothermia____
J point elevation (Osborne waves)
Saw palmetto is used to treat ____ , associated with bleeding with anti-coagulants
BPH
___ is a supplement used for memory that may increase bleeding when used for warfarin
Ginko
____ used to treat menopause, cause headaches
black cohosh
___ supplement used for liver inflammation can cause nausea, dyspepsia
Milk Thistle
