Neuro/AMS/OD Flashcards
1
Q
1st time sz (5)
A
CMP Glucose bHCG CT (in ED) Admit
2
Q
Ecclampsia Tx?
A
Mag
3
Q
Isoniazid Toxicity?
A
Pyridoxine
4
Q
Status Epilepticus meds?
A
Benzo Q 2-5min
Phenytoin
Phenobarbital
Valproic Acid
5
Q
Order of w/u for suspected meningitis?
A
- b/c x 2
- Empiric ABX (cef + vanc) + Dexamethasone
- LP (CT if suspect herniation)
6
Q
CSF in encephalitis?
A
Bloody, lymphocyte predominance
7
Q
Door to tPA decision and administration times?
A
45 - decision
1 hr - administration (within 3 hrs of onset)
8
Q
tPA contraindications
- hx (4)
- vitals (2)
- imaging (1)
- drugs (2)
- labs (3)
A
SAH symptoms Hx of ICB, AVM, mass, aneurysm Trauma in last 3 mo arterial draw in last week CT - internal bleed anywhere SBP >185 DBP > 110 Any anti-coagulation Heparin in last 48hrs INR >1.7 PT >15 sec PLT
9
Q
Aspirin administration during stroke timeline?
A
24 hrs after tpa
48 hrs after admission
10
Q
AMS
A E3 I o2 U
T2 I P2 S4
A
Alcohol Encephelopathy Electrolytes Epilepsy INFX Trauma Temp Insulin Poison Psychogenic SAH Shock Space-occupying lesion Stroke
11
Q
Tx for encephalopathy?
A
Lower P (prusside, labetalol, fenlodapam)
12
Q
3 exceptions to admission for AMS?
A
known seizure disorder with low drug level
Hypoglycemia without other cause
Opiate OD
13
Q
Tylenol OD dose?
A
150 mg/kg
14
Q
Tylenol OD tx?
A
Charcoal, NAC
15
Q
ASA OD tx?
A
Bicarb, supportive, dialysis
