First Flashcards
(162 cards)
What are the medications for acute angle closure glaucoma?
Apraclonidine
Timolol
Mannitol or acetazolamide)
Pilocarpine
How often should you check response to the medications for acute angle closure glaucoma?
q60 minutes
What level of iron is systemically toxic?
500-1000 mcg/dL
What is the treatment for an acute ingestion of Fe?
Whole bowel irrigation with NGT placement
Deferoxamine
What is the role of TIBC with acute iron overdoses?
Little to no value
What is the pediatric dose of bicarb?
1 Meq/kg
What is the pediatric dose of calcium gluconate?
60 mg/kg
What is the pediatric dose of calcium chloride?
20 mg/kg
FAT RN
Fever
Anemia
Thrombocytopenia
Renal failure
Neurologic deficits/confusion
What is the reversal agent for lovenox and heparin?
Protamine
What is the treatment for HUS? TTP? ITP?
HUS: supportive or plasmapheresis
TTP: Plasmapheresis
ITP: Steroids, IVIG
At what level are platelets indicated for everyone without bleeding? Anticoagulated?
Everyone gets platelets under 10,000
If AC, 50,000
What are the lab findings indicative of cyanide poisoning?
Refractory Lactic acidosis
large AG
What are the dimensions of an esophageal FB that require removal?
5 cm x 2 cm
What is the treatment for a cecal volvulus? Sigmoid?
Cecal = surgery
Sigmoid + NG tube and rectal tube
What are the s/sx of a black widow envenomation? Treament?
Abdominal pain
Myalgias
Diaphoresis
Benzos, GSC
What is the typical mechanism of a boutonniere deformity of the finger? Treatment?
Jammed finger causes rupture of the central slip of the extensor tendon
Splint PIP in extension
What is the typical mechanism of a mallet deformity of the finger? Treatment?
Forced flexion of the DIP (direct blow to finger)
Extensor tendon rupture
Splint distal tip in extension
What is the typical mechanism of a jersey deformity of the finger? Treatment?
Avulsion of the FDP at the DIP joint ( can’t fully flex the distal tip
Splint with flexion
What is the splint for a gamekeeper’s thumb?
Thumb spica
What type of heart block occurs with an anterior MI? Inferior?
Anterior = Mobitz II or complete
Inferior = First degree
Chest pain + new onset pulmonary edema + murmur + inferior MI on EKG =?
Papillary muscle rupture
What are the only absolute contraindications to cooling post rosc?
Bleeding/coagulopathy
Pregnancy
Severe sepsis
How do you treat a patient in v tach/fib when they have an LVAD?
Shock as you normally would