Inservice Flashcards
Kussmaul breathing
Deep respirations 2/2 metabolic acidosis
Treatment of fat embolus
steroids
When to give steroids for PCP
pA02 <70
Gram + paired lancets
Strep pneumoniae
Gram + cocci in clusters
Staph aureus
Small gram neg pleomorphic coccobaccilli
H flu
Gram negative diplococci
N meningitides
Mononuclear cells, no bacteria
Mycoplasma
RBC casts
glomerulonephritis
Hypermagnesia treatment
calcium
Tumor lysis metabolic derangement
Hyperkalemia, hyperuricemia, HYPOcalcemia
Smells like garlic
organophosphates
Smells like bitter almonds
Cyanide
Smells like pear
Choral hydrate
Smells like moth balls
Naphthalene or camphor
Nonanion gap acidosis
HARDUP (hyperalimentations/hyperventiliation, acetazolamide, RTA, diarrhea, ureteral diversion, pancreatiic fistula)
Causes of methemoglobinemia
Dapsone, Nitrates, Antimalarials, and local anesthetics
Osmolar gap with acidosis
Isopropyl alcohol
Toxins cleared by HD
I STUMBLE (Isopropyl alcohol, Ethylene, Glycol, Methanol, Uremia, Salicylate, Lithium, Theophylline, Barbiturates/Beta blockers)
Tetanus mimicker
Strycchine
Yellow visual disturbance
Dig toxicity
Toxins causing hypoglycemia
ETOH and salicylates
Rotary Nystagmus
PCP
Tx of serotonin syndrome
BZD, cyproeptadine
Indications of Digibind
K >5, brady and unresponsive to conventional therapy
Spider bite and abdominal pain
Black widow
Intra-abdominal blunt trauma injury
spleen
Intraabdominal penetrating injury
Liver
Common cardiac champed injury penetrating trauma
Right ventricle
Bicycle handlebar injury
Duodenal hematoma or isolated pancreatic
Lap belt sign
Intestinal or mesenteric injury w/ lumbar spine fractures
Battle sign
Basilar skull fracture– mastiod ecchymosis