Endocrine/Environment Flashcards
What is the total body water deficit in DKA?
70-80 mg/kg
What seizure med is contraindicated in HHNC?
Phenytoin (Dilantin)
How do you correct fluid deficit in HHNC?
50% in first 8 hours and 50% in the following 24 hours
Best tx for hyperkalemia with EKG changes
Calcium
How does Calcium work to treat hyperkalemia with EKG changes?
Stabilizes cardiac membranes
What is the best diagnostic test for adrenal insufficiency?
Serum cortisol level
What common conditions are associated with carpal tunnel syndrome?
Obesity, diabetes, hypothyroidism, pregnancy, renal failure
Initial immediate tx for air gas embolism after dive
Treatment includes immediate administration of 100% oxygen in an attempt to widen the pressure gradient for nitrogen, accelerating reabsorption of the gas emboli
Next, immediate hyperbaric chamber recompression
most common manifestation of decompression sickness
joint pain
What is the most common complication from SCUBA diving?
Ear barotrauma that can result in acute hearing loss and pain secondary to acute tympanic membrane rupture. Vertigo, nausea, and disorientation are also known to occur
Presentation of Lyme in children
Erythema migrans, can be multiple lesions
Which concentration of epi is used in anaphylaxis?
1:1000
Most common clinical features of anaphylaxis in order:
Skin and mucosal involvement
Respiratory problems
GI and BP problems
Main difference between heat exhaustion and heat stroke
AMS
Where not to close dog bites
Hand
Foot
Bacteria from dog bite that will kill you
Captynophagia
Most common bacteria in dog bite
Pasturella
Most common bacteria in human bite
Eikenella
Tx dog bite
Amox-clav
Osborne waves
dx
Hypothermia
Arrythmia below 28C
Vfib
Any focal neurological deficit in a diver should be considered to be what until proven otherwise?
Arterial gas embolism
Cells acute radiation damages
Lymphocytes
Common lightening strike injury
Tympanic membrane rupture
