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Emergency Medicine > Exam 1: Tx and Dosages > Flashcards

Exam 1: Tx and Dosages Flashcards

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Royal College: Emergency Medicine flashcards
1
Q

1st Line Drugs for Anaphylaxis

A

Epinephrine + Antihistamines (cimetidine, diphenhydramine, hydroxyzine)

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2
Q

Epinephrine Rx for Anaphylaxis

A

epinephrine 1:1000 soln 0.3-0.5 mg IM lateral thigh q 20-30 min PRN max 3 doses

Epinephrine 1:10,000 soln 0.5 mg IV slow infusion q 5-10 min PRN

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3
Q

Tx for ludwig’s angina?

A

awake fiberoptic nasal intubation

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4
Q

Tx for angioedema

A

Epi + antihistamines + CS

C1-esterase inhibitor

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5
Q

Which drug has the below mechanism and indication?

angioedema

increased c1 esterase inhibitor synthesis

A

Danazol

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6
Q

Which drug has the below mechanism and indication?

angioedema

Kallikrien inhibitor

A

ecalantide

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7
Q

Which drug has the below mechanism and indication?

angioedema

bradykinin receptor antagonist

A

Icatibant

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8
Q

Medical therapy for epiglottitis?

A

Ceftriaxone (3rd gen cephs)

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9
Q

Medical treatment options for croup?

A

Nebulized epi

Predinisolone 1 mg/kg

OR

dexamethasone 0.15-0.6 mg/kg PO or IM max 10 mg

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10
Q

+/- abx options for bordatella pertussis?

A

Erythromycin, azithromycin

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11
Q

Antiviral for severe cases of RSV/Bronchiolitis

A

ribavirin

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12
Q

Medical therapy for acute asthma exacerbation

A

albuterol/NS 0.5cc/2.5cc SVN q 30 minutes x 3 doses

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13
Q

Drugs (4) for acute asthma exacerbation?

A

albuterol SVN
Prednisone/prelone PO
Solumedrol (IV)
Ipratroium SVN

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14
Q

PTX needle decompression location

A

2nd ICS MCL

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15
Q

PTX open thoracostomy tube location

A

tunneled incision 5th ICS to 4th ICS MAL

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16
Q

HSV-1 Keratitis medical interventions (3)

A

Topical acyclovir 3% or Ganciclovir 0.15% gel

OR

Acyclovir 400 mg PO

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17
Q

UV Keratitis tx

A

mild PO opioid + lubricating ointment

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18
Q

5 topical abx options for corneal ulcer/abrasion?

A 
erythromycin ointment
sulfacetamine 10%
polymyxin-TMP
Cipro
Oflaxacin drops QID x 5 days
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19
Q

avoid these three treatment options for corneal ulcer/abrasion…

A

topical anesthetics
topical steroids
patches

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20
Q

What type of suture for a lid laceration involving > 25%?

A

6-0 fast absorbable plain gut suture

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21
Q

3 tx considerations for orbital floor/blowout fx

A

cold packs q 1st 48 hours
raise head of bed
don’t blow nose/sniff

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22
Q

Open globe rupture medical tx…

A

Zofran (odansetron) 4 mg for antiemetics

lorazepam 0.5 mg/kg, max 2 mg for sedation

abx

non-NSAID analgesics

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23
Q

Tx for optic neuritis…

A

IV methylprednisolone

24
Q

Medical treatment protocol for acute angle closure glaucoma…

A

0.5% timolol drop + 1% apraclonidine 1 min apart
+
pilocarpine q 15 minutes x 2 doses after 1 hour of tx

acetazolamide 500 mg IV + 500 mg PO

25
Q

FB in EAC with OE abx tx…

A

ciprodex or ciproHC drops

26
Q

Bacterial OE abx…

A

ciprodex or ciproHC drops

27
Q

Tx for viral OE…

A

antivirals + CS + MRI

28
Q

IV abx for malignant OE

A

IN PT.:
cipro 400 mg IV q 8 hours

B4 d/c:
750 mg PO q 12 hours x 6-8 weeks

29
Q

abx option for TM perf…

A

ofloxacin otic

30
Q

Perichondritis tx…

A

I & D + empiric ciprofloxacin

31
Q

Conservative tx for epistaxis…

A

2 sprays oxymetazoline + 10 min direct pressure

32
Q

abx for nasal packing due to epistaxis?

A

keflex, augmentin q duration of packing

33
Q

periodontal abscess abx

A

PO augmentin or clindamycin x 7-14 days

34
Q

Tongue laceration suture choices…

A

absorbable 3-0 or 4-0 chromic gut or vicryl

35
Q

ADC VANDISMAL

A

admit
dx
condition

vitals
allergies
nursing orders
diet
IV fluids
Specials

Meds
Activity
Labs

36
Q

Components of d/c note: 5

A

d/c dx
secondary dx

d/c meds
d/c instructions

f/u

37
Q

procedure note components

A 
name/DOB
date/time
indication
consent
description
EBL
complications
38
Q

drawer 3 crash cart

A

adult intubation

39
Q

drawer 4 crash card

A

peds intubation

40
Q

drawer 5 crash cart

A

IV supplies

41
Q

drawer 6 crash cart

A

iv supplies, arm board, large syringe, arterial blood kit

42
Q

drawer 7 crash cart

A

surgical intervention kits/procedure trays

ECG electrodes

43
Q

left side of crash card

A

02
inventory
anaphylaxis guide

44
Q

Frostbite medical tx

A

aloe cream q 6 hrs + occlusive dressing

400-600 mg ibuprofen PO q 6 hours PRN

45
Q

Mild hypothemia tx

A

passive rewarming

46
Q

moderate hypothermia tx

A

active external and internal rewarming

47
Q

severe hypothermia tx

A

warm pleural/peritoneal irrigation, bypass, hemodialysis

48
Q

Stage IV hypothermia tx

A

CPR, warm thoracic lavage

49
Q

hypotension during rewarming tx…

A

isotonic crystalloid

50
Q

Heat stress medical tx

A

1-2L normal saline bolus

51
Q

4 options of heat stroke tx…

A

evap cooling
ice packs
immersion cooling
cardiopulm bypass

52
Q

Tx adjunct for any bite/sting

A

tetanus

53
Q

2 meds for rattlesnake envenomation

A

antivenom IO/IV

prednisone 1 mg/kg/d PO x 1-2 weeks

54
Q

Barotitis, sinus barotrauma tx

A

decongestant

abx prn

55
Q

tx for inner ear barotrauma (descent)

A

Stat ENT

56
Q

Tx for arterial gas embolism

A

ABCs, O2, IV hydration, HBOT + Stat Neuro Consult

Emergency Medicine (12 decks)

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