floor management 6 Flashcards
how to manage patient desating fast
Call RT
…
how to manage patient hypotensive and altered fast
put in trendelenburg
…
edema scoring physical exam
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when to start tapering pred…
if prescribed over 2 weeks
managing visitors of c diff patients
visitors need to go to nursing station before entering room
want to take someone off isolation precautions?
call infection prevention
LH cath indication
Heart score of 7 or greater
ST depression criteria to qualify as ST depression
- Must be in consecutive leads
- must be greater than 1 mm
typical chest pain
1) Resolves with rest or nitroglycerin
2) Worse with activity
3) Substernal.
hypotension symptoms
Chest pain
Dizzy
Flushed
how to manage postprandial hypotension in the elderly
Avoiding large meals Ingesting meals low in carbohydrate Minimizing alcohol intake Drinking water with meals Avoiding activities or sudden standing immediately after eating
other interesting physiologic effect of caffeine
Well-established pressor effect that is in part due to blockade of vasodilating adenosine receptors
when to be concerned about AFib rate
Not until in 140’s
banana bags
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.
use of banana bags
alcoholics.
contraindications to BIPAP (when you need to tube someone who’s on BIPAP)
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
ammonia as a test
ammonia is a terrible test (doesn’t really correlate with anything), but people reflexively treat it as hepatic encephalopathy, which is ridiculous.
QTc threshold for QT-prolonging drugs
500
COPD cutoff
less than 70 on FEV/FVC
pulmonary HTN diagnosis
diurese then RH cath
OHS diagnosis
BMI over 35 + pCO2>45 + high bicarb (suggesting compensation)
why we generally replete mag IV
not hard on stomach + more difficult to replete
VITAMIN for differentials
V: vascular I: infective + INFLAMMATORY T: traumatic A: autoimmune M: metabolic I: iatrogenic N: neoplastic
eosinophilic esophagitis treatment
PPI’s + budesonide
