ENPC 6th EDITION Chap. 14 AMS

Question 1

What is considered hypoglycemis in a child?

Answer 1

BDL < 70mg/dl (p. 210)

Question 2

How soon after glucose administration should a repeat blood sugar be obtained?

Answer 2

15 minutes (p. 211)

Question 3

What concetration of glucose shoul dbe administered to an infant?

Answer 3

10% (p.211)

Question 4

What concetration of glucose should be given to a child over 5 years of age?

Answer 4

25% (p.211)

Question 5

Dose of NAC IV

Answer 5

150 mg/kg (p.216)

Question 6

TCA overdose toxidrome?

Answer 6

Anticholonergic
dry as a bone, mad as a hatter, blind as a bat, red as a beet, hot as a hare (p.217)

Question 7

Beta Blocker OD treatment?

Answer 7

IV fluids for hypotension
Atropinr/pacing
Glucagon
Insluin and Dextrose infusion
Vassopressors
lipid emulsion
ECMO (p.218)

Question 8

Iron OD treatments?

Answer 8

Desferoximine
Chelation
WBI
(p.218)

Question 9

Oral antidiabetic agent OD tx?

Answer 9

Glucagon
Octreotide or diazoxide to decrease pnacreatic insulin release
(p.218)

Question 10

Salicylate OD may cause what symptoms?

Answer 10

Respiratory alkalosis
(p.218)
Primary, gives way to met acidosis due to uncoupling oxidative phosphorilation (Merk Manual)

Question 11

What is the preferred antidote for cyanide poisoning?

Answer 11

Hydroxycobalamin
As an alternate–
sodium nitrite
sodium thiopental
amyl nitrate (p.221)

Question 12

TX for orhanophosphate OD?

Answer 12

pralidoxime (p.222) aka “2-PAM”
Atropine in high doses

Question 13

DKA criteria?

Answer 13

BGL > 200mg/dL
Venous pH < 7.3
Serum Bicarb < 15 mmol/L
Urine ketones > 3 mmol/L
(p.225)

Question 14

What is the blood glucose criteria for that requires immediate intervention?

Answer 14

<54 mg/dL (p.210)

Question 15

Anticholinergic antidote?

Answer 15

Physotigmine (p.213)

Question 16

Salicylates OD treatment?

Answer 16

Sodium Bicard (p.214)

Question 17

TCA OD TX?

Answer 17

Sodium bicarb, lipids (p.214)

Question 18

Toxic alcohol (ehtylene glycol, methanol) tx?

Answer 18

Fomepizole, ethnaol (p.214)

Question 19

SSRI OD Tx?

Answer 19

Ciproheptadine (p.214)

Question 20

Pupilary reaction to opiod OD?

Answer 20

Miosis (constricted pupils) (p.218)