ER/ICU/Burns

Question 1

Parkland Formula

Answer 1

4ml x kg x %BSA burned (give 1/2 over first 8 hrs. Give 1/2 over next 16 h)

Question 2

N-acetylcysteine use

Answer 2

Mucolytic (CF)
Acetaminophen tox
Protect kidneys before/after IV contrast dose

Question 3

Give _____ if pt is unimmunized and wound is tetanus prone

Answer 3

Td AND tetanus IG.

Question 4

Tylenol OD

Answer 4

N-acetylcysteine

Question 5

Organophosphate/anticholinesterase Tx

Answer 5

atropine/pralidoxime (remove clothes and wash too)

Question 6

AntiM Tx

Answer 6

Physostigmine

Question 7

Arsenic od TX

Answer 7

succimer, dimercaperol

Question 8

gold od TX

Answer 8

succimer, dimercaperol

Question 9

mercury OD tx

Answer 9

diMERCaperol

Question 10

BBlox OD tx

Answer 10

glucagon

Question 11

Barbs OD

Answer 11

Sodium bicarb/charcoal

Question 12

BZD OD

Answer 12

flumazenil

Question 13

Black widow bite

Answer 13

methocarbamol/Calcium gluconate

Question 14

CO poisoning

Answer 14

Cherry red lips. Tx w 100% O2 and hyperbaric O2

Question 15

Copper

Answer 15

Penicillamine

Question 16

CN Tx

Answer 16

Thiosulfate, OH-cobalamin, amyl nitrate and sodium nitrate can cause methemoglobinemia :(

Question 17

Digoxin

Answer 17

AntiDig Fab, normalize K

Question 18

Heparin

Answer 18

Protamine

Question 19

INH

Answer 19

B6

Question 20

Iron

Answer 20

deFEroxamine

Question 21

Lead

Answer 21

Kids: Succimer/EDTA + dimercaperol
Adults: Succimer/EDTA

Question 22

Methanol/Ethylene glycol

Answer 22

fomepizole or ETOH

Question 23

Methemoglobin

Answer 23

methylene blue

Question 24

Opiods

Answer 24

naloxone

Question 25

ASA

Answer 25

Charcoal/bicarb

Question 26

TCA

Answer 26

Sodium Bicarb for QRS prolong. BZD for SZ.

Question 27

Theophylline

Answer 27

Charcoal

Question 28

tpa/streptokinase

Answer 28

aminocaproic acid

Question 29

warfarin

Answer 29

vitamin K, FFP

Question 30

When to intubate (based on GCS)

Answer 30

less than 8

Question 31

Lead poisoning levels

Answer 31

If above 5, recheck venous lead. Don't need chelation unless above 45.

Question 32

Gotta maximize patients before surgery. If lots of medical co morbidities - EKG, CXR and cardiac markers plz

Answer 32

yes

Question 33

Lye/drain cleaner ingestion. Tx?

Answer 33

No ipecac/charcoal. Use Endoscopy to assess damage. Damage is done immediately upon ingestion

Question 34

history of blunt trauma, abnl chest xray, left lower lung opacity, elevated hemidiaphragm, mediastinal deviation. Dx and next step?

Answer 34

diaphragmatic rupture. do a ct