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Medicine > Floor management 3 > Flashcards

Floor management 3 Flashcards

1
Q

How to estimate intravascular volume

A

Mucous membranes
Peripheral edema
UOP

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2
Q

another option for encouraging BM

A

magnesium citrate

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3
Q

management of line DVT

A

warm compress

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4
Q

wound dressing ointment

A

xeroform (petrolatum)

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5
Q

classifying severity of c diff

A

Age greater than 65
AKI
WBC greater than 15
Albumin less than 3

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6
Q

vasculitis classificaiton

A

large – Takayasu + GCA
medium – PAN + kawasaki
small - ANCA positive (MPA, wagerer’s, churg-strauss) + immune complex (anti-GBM), cyroglobulinemia, HSP +
Variable – Behcets

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7
Q

other test for uremic encephalopathy

A

constructional apraxia with diamond drawing

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8
Q

what to always consider with creatinine

A

patient’s weight

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9
Q

top 5 causes of CKD

A

1) diabetes
2) HTN but not in isolation
3) chronic glomerulonephritis
4) interstitial disease
5) polycystic kidney disease

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10
Q

what to give to improve diuresis with loops

A

metolazone

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11
Q

lab cutoff for giving epo in ESRD patients

A

less than 22% TIBC

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12
Q

study accomplish trial

A

…

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13
Q

study hope trial

A

…

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14
Q

best initial screening for nephritic syndrome

A

C3,C4 + urine microscopy

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15
Q

interpreting blood and urine culturres

A

look at when culture becomes positive

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16
Q

goal when treating hepatic encephalopathy with lactulose

A

3 soft BM’s per day

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17
Q

evaluating alcohol withdrawal

A
  • 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
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18
Q

how to report vital signs

A

always give range

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19
Q

indications for steroids when treating pneumonia

A

Aspiration pneumonia

CAP

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20
Q

unasyn

A

ampicillin/sulbactam

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21
Q

common treatment for aspiration pneumonia

22
Q

liver scoring?

23
Q

what to order if you don’t believe the creatinine

A

cystatin C

24
Q

standard steroid course for asthma/COPD exacerbation

A

5 days of 40 mg red

25
what to know about bacteremia
total days of IV abx
26
steroid equivalent for cortisol
5 prednisone
27
lab to order to assess abscess risk
CRP
28
hep c management
genotype
29
how to monitor response to hep c
transaminitis suggests immunologic clearing of infection
30
relation between obesity and BNP
inverse relationship
31
duonebs
Ipratropium bromide / Albuterol
32
symbicort
Budesonide / Formoterol
33
oliguria definition
less than 30 cc/hr
34
standard fluid resuscitation
2 L
35
fluid losses due to insensible losses
700 cc/day
36
fluid insensible losses with fever
2.5 ml per keg per day
37
pancreatitis fluid adjustment
5-10 ml per kg per hr | titrated to hit of 35-40%
38
what to call SNF's in front of patients
facilities
39
remember when discussing imaging
always pull up for team
40
standard treatment of wernicke's
3 days of thiamine 100 mg
41
what to order for replacing potassium
potassium chloride 20 mEq
42
capacity eval
awareness of 1) condition, 2) risks
43
virus associated with acute liver failure
herpes
44
other exam for hepatic encephalopathy
hold arms up and put hands together
45
use of procalcitonin?
1) elevated suggests high risk for progression to sepsis 2) viral vs. bacterial pneumonia 3) amphetamine overdose
46
indication for bactrim ppx with steroids
40 mg per day for over 1 month
47
other pulmonary toileting option
flutter valve
48
OPAT
outpatient parenteral antibiotic therapy
49
dilution pattern to CBC
all cell lines are proportionally decreased
50
DVT symptoms
Pain, swelling, redness, or warmth of affected area

Medicine (71 decks)

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