Inservice Deck 5 - rapid board review 3 Flashcards
pathogen and tx for neonate with sepsis?
GBS, listeria, gram negative
amp, gent
pathogen and tx for infant with sepsis?
GBS, listeria, h influ, strep pneumo, n mening
vanc, cefotaxime/ceftriaxone
pathogen and tx for child with sepsis?
h influ, strep pneumo, n mening
vanc, ceftriaxone
pathogen and tx for adult with sepsis?
strep pneumo, n mening
vanc, ceftriaxone
pathogen and tx for elderly with sepsis?
strep pneumo, n mening, listeria, gram neg
vanc, ceftriaxone, amp
postmenopausal female with vaginal bleeding, what should you be concerned for?
endometrial carcinoma
tx of thomboembolic disease in pregnant woman?
heparin
NO WARFARIN
tx of eclampsia?
mg and antihypertensive
delivery is only definitive therapy
first step for pregnant female who is critically ill
left lateral recumbent position, improves venous return
what beta hcg levels are necessary for transvag ultrasound to see IUP?
1500/2000
dx and tx of grey/yellow frothy malodorous discharge?
trich vag
metro or clinda
dx and tx of fishy odor with clue cells?
gardnerella vaginalis
metro or clinda
dx and tx of white cottage cheese discharge?
candida albicans
topical or oral antifungals (fluconazole)
what does 1 unit PRBCs increase hgb and hct by?
1 unit hgb and 3% hct
what factors does warfarin inhibit?
vit k dependent
2, 7, 9, 10
what factor is hemophilia a a problem in? how do you treat? what do you see on labs?
abnl factor 8
normal PT and prolonged PTT
give factor 8, for major 50 u/kg
what is the most common human enzyme defect?
G6PD deficiency
what triggers the most common enzyme defect?
oxidant drugs (sulfa, phazopyridine, malarals, salicylates) or fava beans
what are the signs of TTP?
FAT RN
fever anemia thrombocytopenia renal insufficiency neuro changes
how do you treat ttp?
plasma exchange, FFP, steroids, antiplatelet
what is the most common genetic bleeding disorder? what labs do you see?
von willebrand disease
nl platelet, prolonged bleeding time
how do you treat the most common genetic bleeding disorder?
DDAVP
FFP
cryoprecipitate
factor 8
patient who has malignancy and constipation, what diagnosis?
hypercalcemia
patient who has malignancy and fever, what diagnosis?
neutropenia or sepsis
patient who has malignancy and hypotension and JVD and dyspnea, what diagnosis?
tamponade or SVC
patient who has malignancy and hypoglycemia, what diagnosis?
adrenal insufficiency
patient who has malignancy and hyponatremia, what diagnosis?
adrenal insufficiency or SIADH
patient who has maglignancy and back pain, what diagnosis?
cord compression
tx of spinal cord compression in onc patient?
dex, radiation, surgery
tx of upper airway compression in onc patient?
establish definitive airway
tx of pericardial tamponade in onc patient?
pericardiocentesis
tx of superior vena cava syndrome in onc patient?
diuretics, radiation, vascular stenting
tx of SIADH in onc patient?
fluid restrict, diuretics, hypertonic saline
tx of hyperviscosity in onc patient?
IV saline, phlebotomy
tx of adrenocorticol insufficiency with shock in onc patient?
IV hydrocortisone
dx of arthritis, conjunctivitis and urethritis (not gonorrhea)
reiter’s syndrome
tx of anaphylaxis?
epi, albuterol, diphenhydramine, H2 blocker, corticosteroids,
if patient on beta blockers give glucagon
what are signs on an EKG for TCA?
large S in 1 and aVL, wide QRS, sinus tach, R> 3 mm in aVR, long QT
what are signs on EKG for dig tox?
paroxysmal atrial tach with variable AV block
what are the dialyzable drugs?
STUMBLE
salicylates theophylline uremia methanol barbiturates lithium ethylene glycol
what is the goal pH for TCA tox?
7.5
signs of aspirin tox?
anion gap metabolic acidosis resp alk hyperthermia hypoglycemia hypokalemia
signs of ethylene glycol ingestion? tx?
anion gap acidosis with osmolar gap
tx with ethanol or fomepizide
signs of methanol ingestion? tx?
anion gap acidosis with osmolar gap
visual sx
tx: fomepizole, ethanol, dialysis
triad of myxedema coma?
hypotension, hypothermia, and brady
electrolyte findings in adrenal insufficiency
hyponatremia
hyperkalemia
most common cause of anion gap metabolic acidosis?
lactic acidosis
what should you be concerned about with hypokalemia?
hypomagnesemia
how do you treat hyponatremic patient with seizures or AMS?
3% hypertonic saline
what do you consider with patient with diarrhea, fever, AMS, psychosis, a fib?
thyroid storm
how do you treat bony fishes, stingrays and sea urchins?
hot water
how do you treat jellyfish nematocysts?
salt water or vinegar
NOT FRESH WATER
what is a side effect of antivenin (made from horse)
anaphylaxis
how does black widow present?
muscular rigidity, acute abd
how do you tx black widow?
benzo and antivenin
