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LY FPC > FPC Definitions > Flashcards

FPC Definitions Flashcards

1
Q

Dresslers Syndrome

A

Pericarditis occurring in the post MI/post cardiac surgery patient.

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2
Q

McRoberts Manuver

A
  • Fingers relieving pressure off the baby’s nose so they can breathe
  • downward suprapubic pressure while the baby is rotated out of the birth canal
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3
Q

HELLP Syndrome

A
  • Hemolysis
  • Elevated Liver Enzymes
  • Low Platelets
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4
Q

Condition: PIH

A

Tx: Labetolol

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5
Q

Condition: Post partum hemorrhage

A

tx: Fundal Massage

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6
Q

Pregnant Seizures

A

TX: Valium

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7
Q

Uterine Contractions

A

tx: Terbutaline, Mag Sulfate

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8
Q

Omphalocele

A
  • O abdominal ring, protrusion of viscera

- High morbidity

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9
Q

Gastroschesis

A
  • Defect with completed development of internal organs

- on one side of the umbilical cord

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10
Q

Tetralogy of Fallot

A
  • more common
  • sudden cyanosis and syncope
  • treat with knees to chest, morphine
  • then RSI, Intubate, 100%02
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11
Q

Patent Ductus Arteriosis

A
  • Indocin is the drug of choice for closing a PDA
  • PGE1 (prostaglandin) keeps the PDA open
  • PDA Problems… check femoral pulses
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12
Q

Transposition of the great arteries

A

-need PDA, PFO, atrial septal defect

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13
Q

Pulmonary Stenosis

A
  • right ventricle hypertrophy overriding aorta

- this is not part of the tetralogy of fallot

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14
Q

Child with CHF

A

Digitalis 15-40 mcg/kg over 24 hours

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15
Q

Autonomic Dsreflexia

A
  • buzz words, “head injury”, “distended bladder”

- insert catheter and drain slowly

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16
Q

Brown Sequard Legion

A
  • ipsilateral motor and vibratory sense loss below the level of injury
  • contralateral pain (opposite side) and temperature loss
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17
Q

Central Cord Injury

A

Moter weakness in upper extremities is greater than lower extremities

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18
Q

Anterior Cord Syndrome

A

Loss of pain and temp sensation everywhere below injury

  • worst prognosis
  • transection of cord
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19
Q

Spinal Shock

A

tx: neosynephrine

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20
Q

Brudzinki’s Sign

A

The appearance of involuntary lifting of the legs when lifting a patients head with the patient lying supine

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21
Q

Kernig’s Sign

A
  • Severe stiffness of the hamstrings causes an inability to straighten the leg when the hip is flexed to 90 degrees
  • (Kicking kernigs”
22
Q

DI

A
  • polydispia, polyuria, polyphagia

- Dilantin overdose very similar (-DI)

23
Q

Hypothyroidism

A
  • buzz word “salt craving” (also Addisons)
  • myxedema coma upon LOC change
  • TX with IV Levothyroxine (T4)
24
Q

Chance FX

A
  • T12 Fx,
  • increased chance of splenic injury
  • common back injury (rear impacts)
  • “Chance you may never walk again.”
25
Q

Kehr’s Sign

A
  • “L Shoulder irritation secondary to diaphragmatic irrational from blood
  • Pressure on dermatome causes referred pain to mid back
  • Rib Fractures causing splenic rupture
  • On ultrasound looking at morrisons pouch
26
Q

Cushings Syndrome

A
  • Buffalo hump, moon face, thin arms and legs, purple striae on abdomen
  • Tumor number 1 cause
27
Q

Adrenal insufficiency, addison’s crisis

A
  • -depression, malaise, salt craving
  • negative ACTH testing
  • Treated with oral steroids
28
Q

Asterixis

A
  • Coarse “Flapping” muscle tremor may be observed during voluntary movement
  • this is from the loss of fine motor skills often seen with hepatic Encephalopathy
29
Q

Grey Turner’s Sign

A

Flank ecchymosis caused by hemorrhagic pancreatitits

30
Q

Cullens Sign

A

Periumbilical ecchymosis caused by hemorrhagic pancreatitis

31
Q

Chovosteks Sign

A
  • Cheek muscle spasms when the facial nerve (CN VII) tapped
  • Seen in hypocalcemia
  • administer calcium gluconate
32
Q

Trousseue’s Sign

A

-Forearm tetany when B/P cuff is applied

33
Q

Homan’s Sign

A

Dorsiflexion of the foot and constriction of the calf causing calf pain
-seen in DVT’s (limb is warm) blood can’t get out

34
Q

6 P’s of Arterial Occlusion

A
  • pain
  • pallor
  • paresthesia(numbness)
  • Poikilothermia
  • paralysis
35
Q

Anticholinergic Poisioning

A

Physostigmine is the antidote

36
Q

Hangmans Fx

A

C2 Fx

37
Q

Jeffersons Fx

A
  • Possible C1 Fx from Axial Loading

- Diving Injury

38
Q

Balance Sign

A

Dullness to percussion on the left side of the abdomen due to coagulated blood

39
Q

Coopernails Sign

A

-Scrotal or labial ecchymosis from abdominal trauma or pelvic fx’s

40
Q

Halsted’s Sign

A
  • Marbled skin on the abdomen following abdominal trauma

- Caused by blood in the abdomen

41
Q

Kussmauls Sign

A

Rise in venous pressure on inspiration

42
Q

Becks Triad

A
  • muffled heart tones
  • JVD
  • hypovolemia with narrowed pulse pressure e.g (90/70)
43
Q

Electrical Alterans

A

-the heart is getting closer to and further away as it moves around the sac of fluid

44
Q

Hamman’s Crunch

A

Crunching, rasping sound, synchronous with heartbeat

-Tracheobronchial injury

45
Q

Transfusion Related Acute Injury (TRALI)

A
  • Acute pulmonary edema

- TX peep

46
Q

Frank Starling Law

A
  • The stroke volume of the heart increases in response to an increase in the volume of blood filling the heart
  • The increased volume of blood stretches the ventricular wall, causing cardiac muscle to contract more forcefully
47
Q

Atelectasis

A

Alveolar Collapse

48
Q

Apneustic Respirations

A
  • abnomral pattern characterized by deep, gasping inspiration with a pause at full inspiration followed by a brief, insufficient release
  • associated with decelerate posturing
49
Q

Ataxic Respirations

A
  • -abnomral pattern characterized by complete irregularity of breathing, with irregular patterns and increasing periods of apnea
  • caused by damage to the medulla secondary to trauma or stroke
50
Q

Biots Respirations

A
  • abnormal pattern characterized by groups of quick, shallow inspirations followed by regular or irregular periods of apnea
  • “The war of the chemoreceptors.”
  • caused by damage to the medulla by stroke (CVA) or trauma, or pressure on the medulla secondary to brainstem herniation
51
Q

Cheyne Stokes

A
  • progressively deeper and sometimes faster breathing, followed by a gradual decrease that results in a temporary apnea
  • associated with decorticate posturing (Cushings trade, brainstem herniation)
52
Q

Kussmauls

A
  • Respirations gradually become deep, labored, and gasping

- associated with DKA

LY FPC (4 decks)

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