Misc Flashcards
before starting IV fluids, make sure to r/o
pulmonary edema from heart failure
pleural effusion
(done with CXR)
indications for PPSV23 before 65
chronic heart, lung, liver disease
diabetic, alcoholic, current smoker
indications for PCV13 + PPSV23 before 65 (very high risk patients)
immunocompromised
CKD
CSF leaks
cochlear implants
pneumonia vaccines after turning 65
PCV13 then PPSV23 6-12 months later
Cushings electrolyte abnormality and reasoning
hypernatremia, hypokalemia
cortisol has mineralocorticoid activity, binds aldosterone receptors, causes K wasting
causes of Charcot joint / neurogenic arthropathy
- tx
diabetes
B12 deficiency
tertiary syphilis
peripheral nerve damage
tx underlying disease, special shoes
management of mild, drug induced hypersensitivity reaction (urticaria, no systemic sxs)
antihistamine and d/c offending drug
positive FAST
equivocal FAST
positive: ex lap
equivocal: diagnostic peritoneal lavage
shock within a few minutes of transfusion
- dx
- mechanism
anaphylactic reaction
recipient preformed IgA Ab
respiratory distress and pulm edema within 6 hours of transfusion
- dx
- mechanism
TRALI
donor’s leukocyte Ab
transient hypotension in patient taking ACEi, and given transfusion
- dx
- mechanism
primary hypotension reaction
bradykinin in blood products
fever, chills, septic shock, DIC within minutes of transfusion
- dx
bacterial sepsis
splenectomy vaccinations
Meningococcal
PCV13
Hib
all either at least 2 weeks before or 2 weeks after splenectomy
complications of heat stroke
rhabdo
renal failure
ARDS
coagulopathic bleeding
abd pain, constipation, polydipsia
hypercalcemia