Medical Flashcards
Tonic Clonic AKA and what is
Gran Mal Seizure = full body shaking
Petit Mal AKA and what is
Focal Motor Rhythmic jerking of a body part/portion of body
Absence seizures
absence of seizure activity look like they are having one but without the shaking-only way to tell for sure is a w/EEG machine./Brainwave Machine
Pseudo seizure
Faking a seizure anti seizure meds don’t work
TX for Seizure & Dosages
Versed/Midazolam-1-2.5mg PRN (1mg/kg max) Peds .1-.2mg/kg 5mg max
Valium/Diazapam-5-10mg PRN Max 20MG
Peds .1mg/kg MAX 20mg
Atavan/Lorazapam-2mg IV Push
Peds-.1mg/kg IV/IM/PR PRN @1/2 dose 2-5min
Narcotic Overdose S/S & Treatment
ALOC or unconscious, pinpoint pupils, agonal/decreased respirations or apnea, cyanotic(long term)
O2 bag ‘em-Narcan 1-2mg peds .1mg/kg
Beta Blocker OD What is? S/S
Anti hypertension meds, hypotensive
Beta Blocker means bradycardia, general weakness, othostatic hypotension
-olol means hypertension med
TX= Glucagon 1mg IV/IO & or Calcium 500mg-1gm
Calcium Channel Blocker OD S/S TX
CC Blocker is for High BP
Bradycardia, general weakness, orthostatic, HYPOTENSIVE
TX-Calcium Chloride 2-4mg IV/IO
verapmil, Cardizam
TCA OD S/S & TX
antidepressant, Wide QRS complex, if it speeds up it can go into V-Tach
Tachy, ALOC, N/V(nausea/vomiting), Halucinations(serious quantity OD),
TX Sodium Bicarb-1mEq/kg IV/IO Adults and PEDS
-triptiline
Phenothiazine Poisoning
Reaction is a Diastonic reaction-musculoskeletal, stiff neck or swollen tongue.
More of an allergic reaction push Benadryl
25-100mg slow IV push 25 mg per min
peds-1mg/kg 25mg per min
Test likes to say seizure, with tonic jerking
Abdominal Pain Approach Diagnosis
SUPPORTIVE TREATMENT-not much we can do
- Male or Female
- If female rule put pregnancy
- Where is pain which quadrant
LUQ
Spleen-trauma induced no medical
Pancreas-pancreatitis-extreme sharp pn, C.P.D. (usually diabetic but not always), check sugar, usually someone who ate too much sugar
RUQ
Liver-cyrosis or hepatitis-alcoholic-chronic pn, jaundice, N/V
Gallblader-processes fatty foods, overweight, acute onset, C.P.D, onset after meal, cholysytitis-usually women 30-40
LLQ
Colon (ascening & decending) is lined with diverticuli, Diverticulitis-inflamation of diverticuli =constipation tenderness
Chrones disease-general all over pn. usually lifetime diarrhea
RLQ
Appendix-S/S ACUTE ONSET of sharp pn if its ruptured look for fever & N/V
Hyperthyroid S/S
Graves Disease-overactive thyroid.
Tweaker Looking-thin, increased appetite, sweating, nervousness, EYE BULGE (dead giveaway), Goiter (Endocrine Disorder)
Hypothyroid S/S
MYXEDEMA (know this)-opposite, lethargic, gain weight, puffy face hands and feet, thickening of skin depressed (Endocrine Disorder)
Cushings Disease S/S
Hyper adrenal- weight gain, hypertensive, MOON FACE (rounding of face), buffalo hump
Addisons Disease
Hypo adrenal-hyperpigmentation, skin blotchy, more tan spots (reverse Michael Jackson disease), loss of appetite, mouth lesions (BUCAL MUCOSA) in cheecks
DKA S/S & TX
overproduction of glucose (causing keytone buildup) & underproduction of insulin (pt becomes acidotic), flushing of skin, increased respiratory rate to burn off excess keytones. FLUIDS & INSULIN BS 450-1000
HHNK (hyperglycemic hyperosmolar non keytonic acidosis)
Flushing, increased respiratory similar to DKA
BS 600-3000
HEPatitis Enteric
Enteric route of transmission, Oral route fecal route A, E, F
Hep B
Transmitted through contaminated blood, sweat, saliva, tears, semen, vaginal secretions and menstraul blood. Passed from mother to kid, sexual intercourse, tattoos, piercings, medical procedures. Just because you have it doesn’t mean that you will pass it on. Not all forms are contagious.
Hep C
Infected blood to blood stream.Blood to blood. Tattoos, piercings, occupational, IV drugs, Sexual intercourse and mother to child is NOT a way to transmit
Hep D
Same as hep b, blood to blood, fucking, mother daughter, tatts, piercings, IV
Heat Cramps
diaphoresis, cramps, nausea, Normal Core body temp
Heat Exhaustion
Cool, pale, diaphoretic, , possible syncope, possible ALOC, increase in core body temp,
Heat Stroke
dry flushing skin, ALOC, possible unconsciousness, RAPID COOLING MEASURES
All shocks have what kind of S/S
Low BP and signs of inadequate tissue perfusion
Septic Shock S/S &Tx
low grade fever, crackles, low BP, Tachy, infection, Definitive Tx : Antibiotics
Cardiogenic Shock S/S & Tx
pump failure, hypotensive, tachy, wet lung sounds, pink frothy sputum, pedal edema, JVD. Causes-pericarditis, cardiac tampanode, CHF (most of the time). TX-Dope & CPAP
Anaphylactic Shock s/s & tx
allergic response, Tachy, rapid respirations, Benadryl, Epi IV
Neurogenic Shock
only one with BRADYCARDIA, hypotension, disecting spinal cord injury, loss of connection from brain to heart. everything relaxes and opens up. Tx- Fluids & Surgery don’t expect BP change with fluids
Meningitis S/S & Tx
Bacteria form will kill people. Low grade fever, N/V, neck pain, photophobia, aks them to touch chin to chest
how do we treat beta blocker OD?
TX= Glucagon 1mg IV/IO & or Calcium 500mg-1gm
how do we treat cardiogenic shock?
CPAP & DOPE
how do we treat calcium channel blocker OD?
TX-Calcium Chloride 2-4mg IV/IO
cholysytitis
Gallblader-processes fatty foods, overweight, acute onset, C.P.D, onset after meal,cholysytitis-usually women 30-40
RUQ
how do we treat TCA OD?
TX Sodium Bicarb-1mEq/kg IV/IO Adults and PEDS
-triptiline
