First week with ST and then JL Flashcards

Question

JP

Answer 1

J pearse 68

Answer 2

J pearse 68 transfer from coffs with UGIB BG of hep C, ethanol depdnence #UGIB #decomsstated cirrhosis #encephalopathy monday not appropriate yet

Answer 3

i acret 19

Answer 4

i acret 19 transfer from ST george ICU on 2/2 Issues #fulminant liver failure due to paracetamol overdose -on tazocin and fluconazole for prophlayxsis -on NAC #oligoanuric AKI on dialysis #anaemia #chronic malnutrition due to anorexia Monday given plaeletes, 5 cryo and 2 ffp end tidal not correlating (? dead space) tuesday pretty stable day bio mom was passed out

Answer 5

really likes 2-3 of midaz followed by 250 of fentanyl , then 100 of rocuronium but if its rapid sequence she used sux and she likes standing back

Answer 6

so this happened with jess lane patient was on max metaraminol get anart line in asap pads on record adenosine 6mg then adenosine 12mg nothing happened, so we decided to intubate patient con

Answer 7

he likes hooking up norad, prime the line, set it at 5 and see its effect

Answer 8

suction oxygen adjuncts: bougie, lma, guedell plan/positioning monitoring equipment: ETT (check the tube) and CMAC, BvM drugs, midaz, fentanyl, rocuronisum, metaraminol, adrenaline pump set co2 attachment needs to be plugged in!! norad line is super useful

Answer 9

google CAR T-cell therapy. A type of treatment in which a patient's T cells (a type of immune cell) are changed in the laboratory so they will bind to cancer cells and kill them.

Answer 10

google Cytokine release syndrome (CRS) is an acute systemic inflammatory syndrome characterized by fever and multiple organ dysfunction that is associated with chimeric antigen receptor (CAR)-T cell therapy, therapeutic antibodies, and haploidentical allogeneic transplantation

Answer 11

uptodate the causes of arginine vasopressin deficiency (avp-d), previously called central diabetes insipidus include idiopathic (most common), familial, congential, neurosx, trauma, primary and secondary cancers, hypoxic encephalopathy, infiltrative disorders, post-SVT, and anorexia nervosa treatment: desmopressin diagnosis on PubMed Central diabetes insipidus is diagnosed when there is evidence of plasma hyperosmolality (greater than 300 mosm/l), urine hyperosmolality (less than 300 mosm/l or urine/plasma osmolality less than 1), polyuria (urinary volume greater than 4 mL/kg/hr to 5 mL/kg/hr for two consecutive hours after surgery). a high serum sodium >146 points towards DI, while a low normal sodium indicatesprimary polydipsia similarly a high plasma osmolality >300 is typically seen in DI

Answer 12

he said dont bag patient because he didn't want the stomach filled with air he said midaz, ketamine 100 and sux 200 then he said scrap the midaz, just give ketamine 100 and then sux 300 (which I believe was an error and only gave 200 because that's all I had)

Answer 13

this is my own opinion if their sympathetic drive is not keeping their blood pressure up, go with this because high fentnayl will kill sympathetic drive midaz 1-3 fentanyl 250 either roc 100 or sux 100 or if they really need their sympathetic drive go with this low fentanyl or low midaz ketamine 2mg/kg either roc 100 or sux 100