floor management 6 Flashcards

1
Q

how to manage patient desating fast

A

Call RT

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2
Q

how to manage patient hypotensive and altered fast

A

put in trendelenburg

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3
Q

edema scoring physical exam

A

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4
Q

when to start tapering pred…

A

if prescribed over 2 weeks

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5
Q

managing visitors of c diff patients

A

visitors need to go to nursing station before entering room

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6
Q

want to take someone off isolation precautions?

A

call infection prevention

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7
Q

LH cath indication

A

Heart score of 7 or greater

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8
Q

ST depression criteria to qualify as ST depression

A
  • Must be in consecutive leads

- must be greater than 1 mm

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9
Q

typical chest pain

A

1) Resolves with rest or nitroglycerin
2) Worse with activity
3) Substernal.

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10
Q

hypotension symptoms

A

Chest pain
Dizzy
Flushed

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11
Q

how to manage postprandial hypotension in the elderly

A
Avoiding large meals
Ingesting meals low in carbohydrate
Minimizing alcohol intake
Drinking water with meals
Avoiding activities or sudden standing immediately after eating
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12
Q

other interesting physiologic effect of caffeine

A

Well-established pressor effect that is in part due to blockade of vasodilating adenosine receptors

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13
Q

when to be concerned about AFib rate

A

Not until in 140’s

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14
Q

banana bags

A

The bags typically contain thiamine, folic acid, and magnesium sulfate, and are usually used to correct nutritional deficiencies or chemical imbalances in the human body.
VERY EXPENSIVE.

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15
Q

use of banana bags

A

alcoholics.

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16
Q

contraindications to BIPAP (when you need to tube someone who’s on BIPAP)

A

Cardiac / respiratory arrest
Inability to protect airway – poor cough, Excessive/ inability to clear secretions, Decreased conscious state/ coma
Upper airway obstruction
Untreated pneumothorax
Marked haemodynamic instability (e.g. shock, Ventricular dysrhythmias, severe acute myocardial ischaemia GI bleeding)
Following upper GI surgery (some debate about this)
Maxillofacial surgery
base of skull fracture (risk of pneumocephalus)
Patient refusal
Intractable vomiting

17
Q

ammonia as a test

A

ammonia is a terrible test (doesn’t really correlate with anything), but people reflexively treat it as hepatic encephalopathy, which is ridiculous.

18
Q

QTc threshold for QT-prolonging drugs

A

500

19
Q

COPD cutoff

A

less than 70 on FEV/FVC

20
Q

pulmonary HTN diagnosis

A

diurese then RH cath

21
Q

OHS diagnosis

A

BMI over 35 + pCO2>45 + high bicarb (suggesting compensation)

22
Q

why we generally replete mag IV

A

not hard on stomach + more difficult to replete

23
Q

VITAMIN for differentials

A
V: vascular
I: infective + INFLAMMATORY
T: traumatic
A: autoimmune
M: metabolic
I: iatrogenic
N: neoplastic
24
Q

eosinophilic esophagitis treatment

A

PPI’s + budesonide

25
Q

diffuse esophageal spasm presentation

A

severe chest pain + no ACS RF’s + often precipitated by cold drinks

26
Q

esophageal spasm treatment

A

CCB’s + nitrates

27
Q

scleroderma treatment

A

PPI’s

28
Q

when you see candidiasis in HIV patients

A

CD4 less than 100

29
Q

eosinophilic esophagitis presentation

A

dysphagia + food impaction + heartburn + atopic patient

30
Q

GERD features

A
sore throat
metallic or bitter taste
hoarseness
chronic cough
wheezing
31
Q

first line for mild GERD

A
Lifestyle modification:
Lose weight
Elevate the head of the bed
Quit smoking
Limit alcohol, caffeine, chocolate
Don't eat 3 hours before bed
32
Q

Fever threshold in SIRS, use this

A

Temp >38°C (100.4°F) or < 36°C (96.8°F)

33
Q

primary causes of obstructive shock

A

PE + tamponade

34
Q

normal CVP

A

3–8

35
Q

Drugs causing QT prolongation

A
Haldol
Seroquel
Zyprexa
Procainamide
AmiodaroneC
clarithromycin/erythromcin
diphenhydramine
SSRI's--citalopram/escitalopram/venlafaxine/bupropion
Amitriptyine
36
Q

anaphylaxis presentation

A

urticaria, wheezing, laryngeal edema

37
Q

top causes of torsades

A

hypoK, hypoM, also meds and congenital long QT