Module 2: Sepsis and Anaphylaxis Flashcards
What are the symptoms associated with Delirium Tremens?
- delirium
- hallucinations
- seizures
- hyperthermia
- hyperventilation
- course tremors
What medication should be avoided in elderly patients and those with liver failure when treating AWS?
Diazepam, because of its longer half-life and active metabolites
What populations of patients may show a good SpO2, but in reality they have decreased Oxygen supplies?
- anemia patients (dec. Hgb)
- carbon monoxide poisoning
What causes a shift to the right on the oxyhemoglobin dissociation curve?
- acidosis
- increased body temperature
- increased PaCO2
What causes a shift to the left on the oxyhemoglobin dissociation curve?
- alkalosis
- hypothermia
- decreased PaCO2
What is the difference between an allergic response and anaphylaxis?
an allergic response is localized and typically only involves one body system, whereas anaphylaxis is a systemic response that involves 2 or more body systems
What is the dose of epinephrine given in anaphylaxis?
Adult: 0.2-0.5 mg IM q5-15 minutes until improvement of symptoms (onset is 2-7 minutes and duration is 1-4 hours)
Pediatrics: 0.01mg/kg up to adult dose
What is the purpose of giving Benadryl in anaphylaxis?
it is an H1 receptor antagonist, which works in the GI tract, blood vessels, and respiratory tract
- helps to relieve uticaria and itching
What is the purpose of giving Ranitidine in anaphylaxis?
It is an H2 receptor antagonist, which works on the cells in the stomach to suppress stomach acid
What are the 3 phases of the HIV infection?
1) primary infection phase
2) latent phase
3) overt AIDS
What are the initial infection symptoms of an HIV infection?
- occurs 1-4 weeks after exposure and lasts for 7-10 days
- symptoms: fever, fatigue, myalgia, sore throat, night sweats, GI issues, lymphadenopathy, maculopapular rash, and headaches
What is the gold standard therapy regimen for HIV?
Highly Active Antiretroviral Therapy (HAART)
