Floor management 3 Flashcards
How to estimate intravascular volume
Mucous membranes
Peripheral edema
UOP
another option for encouraging BM
magnesium citrate
management of line DVT
warm compress
wound dressing ointment
xeroform (petrolatum)
classifying severity of c diff
Age greater than 65
AKI
WBC greater than 15
Albumin less than 3
vasculitis classificaiton
large – Takayasu + GCA
medium – PAN + kawasaki
small - ANCA positive (MPA, wagerer’s, churg-strauss) + immune complex (anti-GBM), cyroglobulinemia, HSP +
Variable – Behcets
other test for uremic encephalopathy
constructional apraxia with diamond drawing
what to always consider with creatinine
patient’s weight
top 5 causes of CKD
1) diabetes
2) HTN but not in isolation
3) chronic glomerulonephritis
4) interstitial disease
5) polycystic kidney disease
what to give to improve diuresis with loops
metolazone
lab cutoff for giving epo in ESRD patients
less than 22% TIBC
study accomplish trial
…
study hope trial
…
best initial screening for nephritic syndrome
C3,C4 + urine microscopy
interpreting blood and urine culturres
look at when culture becomes positive
goal when treating hepatic encephalopathy with lactulose
3 soft BM’s per day
evaluating alcohol withdrawal
- need to ask history of withdrawal and gauge severity of withdrawal (kindling effect, brain becomes sensitized to withdrawal seizures)
- stick tongue out, put hands out, ask about hallucinations
how to report vital signs
always give range
indications for steroids when treating pneumonia
Aspiration pneumonia
CAP
unasyn
ampicillin/sulbactam
common treatment for aspiration pneumonia
unasyn
liver scoring?
…
what to order if you don’t believe the creatinine
cystatin C
standard steroid course for asthma/COPD exacerbation
5 days of 40 mg red
what to know about bacteremia
total days of IV abx
steroid equivalent for cortisol
5 prednisone
lab to order to assess abscess risk
CRP
hep c management
genotype
how to monitor response to hep c
transaminitis suggests immunologic clearing of infection
relation between obesity and BNP
inverse relationship
duonebs
Ipratropium bromide / Albuterol
symbicort
Budesonide / Formoterol
oliguria definition
less than 30 cc/hr
standard fluid resuscitation
2 L
fluid losses due to insensible losses
700 cc/day
fluid insensible losses with fever
2.5 ml per keg per day
pancreatitis fluid adjustment
5-10 ml per kg per hr
titrated to hit of 35-40%
what to call SNF’s in front of patients
facilities
remember when discussing imaging
always pull up for team
standard treatment of wernicke’s
3 days of thiamine 100 mg
what to order for replacing potassium
potassium chloride 20 mEq
capacity eval
awareness of 1) condition, 2) risks
virus associated with acute liver failure
herpes
other exam for hepatic encephalopathy
hold arms up and put hands together
use of procalcitonin?
1) elevated suggests high risk for progression to sepsis
2) viral vs. bacterial pneumonia
3) amphetamine overdose
indication for bactrim ppx with steroids
40 mg per day for over 1 month
other pulmonary toileting option
flutter valve
OPAT
outpatient parenteral antibiotic therapy
dilution pattern to CBC
all cell lines are proportionally decreased
DVT symptoms
Pain, swelling, redness, or warmth of affected area
