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Akutmedicin > HUSK MED MIDAS > Flashcards

HUSK MED MIDAS Flashcards

1
Q

HUSK MED MIDAS

A 
Herpesencefalit
Uremi
Status Epilepticus
Korsakoff
Metabolt
Extern
Dysfunktion
Meningit
Intox
Diabetes
Andningsinsufficiens
Stroke/SAH
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2
Q

Herpesencefalit symtom

A

Personlighetsförändring
Blåsor
Feber
Desorientering

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3
Q

Uremi symtom

A

Urinretention

ACE hämmare

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4
Q

Korsakoff symtom

A

Wernicke (konfusion, ataxi, ögonsymtom), Alkoholanamnes

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5
Q

Metabolt symtom

A

Elektrolytrubbning, Addison, Hypotyroidism, Ikterus/uremi

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6
Q

Extern symtom

A

Trauma, Hypo/hypertermi

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7
Q

Dysfunktion symtom

A

Chock, Hypertensiv encefalopati, Leverenecfalopati (Gynekomasti, Spiders, Caput medusae

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8
Q

Meningit symtom

A

Feber, Nackstelhet, Abscess/sepsis, petekier

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9
Q

Intox symtom

A

Sedativa, Mios, plåster, Analgetika, Alkohol, Injektionsmärken

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10
Q

Diabetes symtom

A

Hyper/hypoglykemi, Hyper/Hypoosmolärt status

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11
Q

Andningsinsufficiens symtom

A

02 sat, CO intox, Hyoerkapné, Hypoxisk encefalopati

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12
Q

Stroke/SAH symtom

A

Intrakraniell tryckstegring, blödning, infarkt, ödem, trauma

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13
Q

Herpesencefalit åtgärd

A

Aciklovir 10 mg/kg x 3 intravenöst. CT-LP. Benzo (10 mg)vid kramp, AB ifall att (ampicillin (Doktacillin) (vuxendos 4 g x 3 i.v) + cefotaxim (Claforan, Cefotaxim) (vuxendos 3 g x 3 i.v) eller meropenem (Meronem) (vuxendos 2 g x 3 i.v) som ensamt medel, tills bilden klarnat.)

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14
Q

Uremi åtgärd

A

IVA. KAD. Dialys, Prisma

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15
Q

Status epilepticus åtgärd

A

Benzo vid kramp (10mg stesolid) överväg lorazepam alt pro-epanutin

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16
Q

Korsakoff åtgärd

A

Thiamin 100 mg iv

17
Q

Metabolt åtgärd

A

BT, EKG, prover, ev pm endokrinologi

18
Q

Extern åtgärd

A

Anamnes, temp

19
Q

Dysfunktion åtgärd

A

se PM leverencefalit ev laktulos

20
Q

Meningit åtgärd

A

CRP, vita, laktat, LP, odlingar, PCR, Steroider ( dexametason 0,15 mg/kg x 4) + AB (ampicillin (Doktacillin) (vuxendos 4 g x 3 i.v) + cefotaxim (Claforan, Cefotaxim) (vuxendos 3 g x 3 i.v) eller meropenem (Meronem) (vuxendos 2 g x 3 i.v) )
Antiviral behandling?
Avstå LP vid indikation istället kontakt NK

21
Q

Intox åtgärd

A

Naloxon 0,4 mg iv Flumazenil 0,3 mg iv. Aktivit kol, Ventrikelsköljning (1h) Promille. Drogscreening, Annan antidot, Giftinfo

22
Q

Diabetes åtgärd

A

Blodgas, Vätska (inslulin (Glukos 30% 30 -50 ml iv

23
Q

Andningsinsufficiens åtgärd

A

Blodgas, Syrgas, Respiratorbehov

24
Q

Stroke/SAH åtgärd

A

CT-skalle, Hyperventilering, Mannitol, Steroider, NK-kontakt. Obs sänka BT (CPP=MAP-ICP)

25
Q

Psykogent

A

Uteslutningsdiagnos, depression, katatoni, konversions syndrom - Psykkonsult

Akutmedicin (3 decks)

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