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MED EVAL > Medical > Flashcards

Medical Flashcards

1
Q

IVF Allergic reaction

A

500 mL

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2
Q

Albuterol allergic reaction

A

90 mcg/2 puffs
or
2.5 mg Neb

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3
Q

Ped allergic reaction diphenhydramine

A

1mg/kg

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4
Q

Ped allergic reaction methylprednisolone

A

2mg/kg

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5
Q

Ped allergic reaction epi

A

0.01 mg/kg, max .3mg

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6
Q

IVF Ped allergic reaction

A

20 mL/kg

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7
Q

Ped allergic reaction epi infusion

A

0.01-0.03 mcg/kg/min

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8
Q

AMS, BGL >250

A

Tall boi

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9
Q

AMS, alcohol abuse, bgl <70

A

100 mg thiamine
D50 x 1 or 1mg glucagon

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10
Q

Narcan dose

A

0.4-2 mg

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11
Q

Ped AMS bgl > 250

A

20 mL/kg

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12
Q

Ped AMS, bgl < 60

A

D25 2ml/kg
or
.5 glucagon IM

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13
Q

Ped AMS, bgl < 60, malnourished

A

25 mg Thiamine
followed by appropriate sugar mgmt

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14
Q

AAA

A

Tall boi, consider blood

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15
Q

Bowel/bladder incontinence

A

Cauda equina syndrome

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16
Q

Epistaxis tx

A
  • Blow nose
  • Afrin
  • Pinch and tilt forward x 10 min
  • consider 500 bolus
  • consider zofran
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17
Q

When to avoid afrin

A
  • DBP >110
  • known CAD
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18
Q

Fever w/orthostatic BP + tachy

A

tall boi

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19
Q

2 tall bois w/fever consider what?

A

Norepi 2-12 mcg/min

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20
Q

Airbourne precautions is used for?

A

TB, measles, varicella

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21
Q

Droplet precautions for?

A

Influenza, meningitis, mumps, strep

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22
Q

Insulin dose for high sugar

A

0.1 u/kg/hr

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23
Q

What can a rapid drop of glucose cause?

A

Cerebral edema due to a shift in extracellular osmolality

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24
Q

Preferred tx for BGL<60 w/AMS

A

D10 IV until baseline and >60bgl

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25
Q

Sulfonylureas examples and what they can cause

A

Glyburide, glipzide
Can put patients at a higher risk of recurrent symptoms

26
Q

Respiratory insufficiency

A

Cyanosis, AMS, LOC, fatigue, inability to speak, <90% w/o2

27
Q

Rales/CHF

A

PPV w/100%, 400mcg Nitro q 5 w/ SBP>90, Furosemide 60-80mg IV if not improving

28
Q

Wheezes

A

100% O2, Abuterol 90 mcg or 5 mg Ned, Epi 0.3, Solumedrol, consider mag 2g/20min, LAST RESORT= 1mg/kg ketamine bolus SLOW

29
Q

Stridor

A

Consider obstruction
100% O2
Albuterol
Consider Epi
Solumedrol

30
Q

Ped Rales

A

PPV w/100% O2
Consider: 1mg/kg Furosemide

31
Q

Ped Wheezes

A
  • 100% O2
  • Albuterol 2.5 mg
  • Consider Epi: >30 = .3, 15-30 .15, or 0.01mg/kg
  • Solumedrol 1-2 mg/kg
  • Mag Sulfate 25-75 mg/kg over 30 min w/ 20ml/kg IVF
  • Last Resort = 0.5 mg/kg
32
Q

Ped Stridor

A

Consider Obstruction
100% O2 if <90% consider advanced airway
Racemic Epi 0.5 mL/kg, MAX: 5 mL
Consider Epi 0.01 mg/kg
Solumedrol 1-2 mg/kg

33
Q

Status epilepticus keppra

A

Keppra 40-60 mg/kg max 4500 mg over 15 min

34
Q

Seizure with BGL<60

A

D50 or 1mg glucagon

35
Q

Active seizure

A

Lorazepam 2-4 mg
OR
Versed 5 mg IV/IO/IN or 10 mg IM/IN

36
Q

Active Seizure with pregnancy

A

Consider 4 g mag over 15 min, monitor hypotension

37
Q

Ped Seizure

A

Lorazepam 0.05 - 0.1 mg/kg IV max 4mg
Or
Versed 0.2mg/kg IM

Consider 20mg/kg single dose

38
Q

Ped Seizure with BGL<65

A

D25 2ml/kg
OR
Glucagon 0.05 mg/kg

39
Q

Sepsis Criteria

A

2 or more of:
AMS
HR>90
Temp >100.4 or <96.8
SBP <90
RR> 20
ETCO2 <25

40
Q

Sepsis Fluid Resus

A

tall boi and keep sending them until 30 mL/kg or MAP of > 65

41
Q

Sepsis SBP> 90 after resus

A

100-200 mL/hr, consider 1 g Tylenol

42
Q

Sepsis Fluid Resus not working

A

Norepi 2-20
if not working
Add: 0.03 u/min
if not working
Add: epi 2-20

43
Q

When to start using Vasopressin

A

If going beyond 8-10 mcg/min norepi

44
Q

Sepsis ABX

A

Ceftriaxone 2 g slow or in 100 cc wide open (immunocompetent)
OR
Cefepime 2 g in 100 cc wide open(immunocomprised)

45
Q

Stroke Labatalol when and how much?

A

SBP>185 or DBP>110, 10-20 mg IV over 1-2 min max 2 times

46
Q

No more than _____ reduction in MAP

A

20%

47
Q

MAP

A

(2D + S) / 3

48
Q

Lucid with precipitous LOC

A

Epidural hematoma

49
Q

Are prodomal symptoms serious?

A

No they indicate innocent etologies

50
Q

BB OD

A

3-10 mg Glucagon IV/IM followed by 3-5 mg/hr infusion

51
Q

TCA OD QRS stuff

A

> 100 predctive of seizures
165 predictive of VT

52
Q

TCA OD Tx

A

Bicarb 1mEq/kg to maintain QRS <100
100-150 mEq in 1L of NS/D5 @ 100-200/hr

53
Q

Organophosphate/Carbamate OD

A

Atropine 2 mg IV q 5min
2PAM 600 mg

54
Q

Ped BB OD

A

1 mg glucagon iv/im

55
Q

Ped Narcan

A

0.1 mg/kg IV 2-3 min

56
Q

Atropine ped

A

0.02 mg q5min

57
Q

2 pam ped

A

25mg/kg

58
Q

Lorazepam ped

A

0.1 mg/kg

59
Q

Zofran ped

A

<40 kg 0.1 mg/kg
>40 kg 4 mg IV

60
Q
A

MED EVAL (10 decks)

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