ENDO / TOX

Question 1

“Bones, stones, and groans” should you make you think of? Tx?

Answer 1

Hypercalcemia

Tx with NS volume repletion

Question 2

If a patient has parasthesias, hyper-reflexia, and tetany – you think of? Tx?

Answer 2

Hypocalcemia

Oral Ca, check Mg too

Question 3

How do we treat DKA?

Answer 3

FICKU =

Fluids; insulin; check urine output, and K

Question 4

Thyroid storm is related to what disorder?

Answer 4

Graves disease (hyperthyroidism)

Question 5

At what level is a patient hypoglycemic? Tx?

Answer 5

BS less than 50

Oral intake = juices/snack/glucose tabs Otherwise = D50

Question 6

When would we see U waves on an EKG?

Answer 6

Hypokalemia

Question 7

When would we see peaked T waves on EKG?

Answer 7

Hyperkalemia

Question 8

IF a patient is weak and has rhabdo, what do you think of?

Answer 8

Hypokalemia

Question 9

f a patient is weak with paralysis, what do you think of?

Answer 9

Hyperkalemia

Question 10

What would cause a patient to have hypernatremia? Tx?

Answer 10

Fever, sweating, diarrhea – trapped on a desert island

Tx with ½ NS

Question 11

What would cause a patient to have Hyponatremic?

Answer 11

Hypervolemic = CHF

Hypovolemic = Diuretics, adrenal insufficiency, or GI

Euvolemic = SIADH or Psychogenic polydipsia

Question 12

When would we utilize the term MUDPILES? What does it stand for?

Answer 12

Potential causes for metabolic acidosis

Methanol, uremia, DKA, propylene glycol, infection, lactic acidosis, ethylene glycol, and salicylates (aspirin)

Question 13

With severe vomiting a patient can go into?

Answer 13

Metabolic alkalosis

Question 14

A drug OD will cause a patient to go into?

Answer 14

Respiratory acidosis

Question 15

Anxiety will cause a patient to go into?

Answer 15

Respiratory alkalosis

Question 16

If a patient is delirious, anxious, or hallucinating with kussmal breathing – what do you think of? Tx?

Answer 16

Aspirin OD

Tx with bicarb (to alkalize the urine) & dialysis

Question 17

How do we treat acetaminophen OD?

Answer 17

N-acetylcystine (within 8 hours) otherwise contact poison control

Question 18

When would we utilize the phrase SALT?

Answer 18

for tricyclic antidepressant OD

Shock, AMS, Long (wide) QRS, and terminal R waves

Question 19

What’s a common tricycline antidepressant that’s OD?

Answer 19

Amitriptyline

Question 20

How do we treat someone who has consumed ethylene glycol?

Answer 20

Alcohol or dialysis

Question 21

how would you treat an amphenatmine dose?

Answer 21

Benzo’s