Firecracker Review 12/7 Flashcards
Legionella risk factors
Recent hotel or ship cruise Organ transplant recipient Renal failure Chronic lung disease Smoking Diabetes
drugs that can cause normal anion gap metabolic acidosis with HYPERKALEMIA and renal insufficiency
ACEI/ARB Potassium-sparing diuretics (amiloride, triamterene, spironolactone) Trimethoprim NSAIDs Cyclosporine
Hepatotoxic drugs
Acetominophen, Statins, Antibiotics - amoxicillin-clavulanate, isoniazid, Amiodarone, Antifungals, Valproic acid
normal anion gap metabolic acidosis with HYPOKALEMIC renal acidosis?
RTA1
RTA2
acetazolamide, topiramate, amphotericin B
tetanus management
benzos
human tetanus immune globulin
penicillin G or metronidzaole
treat hyperkalemia with
Insulin, Beta agonists
neprotoxic ATN causes
aminoglycosides»_space; Amphotericin B and Cisplatinum
Heavy metals: lead, mercury
Radiographic contrast media
Gram negative sepsis
Myoglobulinuria as a result of trauma / crush injuries or intense exercise (exercise-induced myoglobinuria).
ICU treatment for pneumonia
antipneumococcal β-lactam (cefotaxime, ceftriaxone, or ampicillin-sulbactam) PLUS either azithromycin OR respiratory fluoroquinolone (moxifloxacin, gemifloxacin, or levofloxacin).
OR
Aztreonam and a respiratory fluoroquinolone in penicillin-allergic patients.
A fib EKG
no p waves
narrow QRS
expansion acidosis
from normal saline administration
medications that can cause hyperkalemia
Digitalis, succinylcholine, ACEIs and ARBs, potassium-sparing diuretics, and NSAIDs
AKI: hypervolemia
decreased GFR, the kidneys secrete more renin, leading to increased angiotensin and aldosterone secretion.
myasthenia gravis associated with
Neuromyelitis optica
Autoimmune thyroid disease
Systemic lupus erythematosus
Rheumatoid arthritis.
PE later signs
respiratory alkalosis with hypoxia and hypocarbia, a loud P2 heart sound, and right heart failure.
cardiac symptoms of hyperkalemia
palpitations, syncope, sudden death
