Neuro Final Flashcards
Tx: Streptococcus pneumoniae
Penicillin G
Vancomycin for resistant
Tx: Neisseria meningitidis
Penicillin G
Chloramphenicol
Tx: Listeria monocytogenes
Ampicillin + Gentamicin
Tx: Enterobacteriaceae
Ceftriaxone + Gentamycin
Empiric Tx: Preterm-1 mo
Ampicillin + Gentamicin
Empiric Tx: 1 mo-50 yr
Cefotaxime
or
Ceftriaxone + Vancomycin + Dexamethasone
Empiric Tx: >50, ETOH, immunosuppressed
Cefotaxime
or
Ceftriaxone + Vancomycin + Dexamethasone + Ampicillin
Herniation of subarachnoid and brain tissue
Meningoencephalocele
Herniation of subarachnoid, brain tissue, and ventricular fluid
meningohydroencephalocele
Interstitial pneumonia
Varicella Zoster Virus
Imaging used to evaluate dural sinus for cerebral venous thrombosis
Magnetic resonance venography (MRV) and CTV
Pseudotumor cerebri
potential vision loss
Tx: Taeniasis
Niclosamine
Tx: Neurocysticercosis
Praziquantel
or
Albendazole
Duration w/ continuous infusion
Induction
Contraindicated in porphyria
Thiopental
Anti-emetic action
Metabolic acidosis, hyperlipidemia, rhabdo, liver enlargement
Propofol
Induction in pts with cardiovascular diseases
Etomidate
Induciton in pts at risk for hypotension and bronchospasm
Profound analgesia
Increased intracranial pressure
Ketamine
2 Inhaled anethetics w/ risk of renal toxicity
Enflurane
Sevoflurane
2 inhalational anesthetics w/ pungent smell
Not for induction
Isoflurane
Desflurane
Induction in children
Sweet smell
Sevoflurane
Risks/contraindications of N2O
Diffusional hypoxia
Air filled cavities
Vit B12 deficiency
Inhalational anesthetics (LIST)
Halothane
Isoflurane
Enflurane
Sevoflurane
Desflurane
N20
IV anesthetics (LIST)
Thiopental
Propofol
Etomidate
Ketamine
blocking ______ delays labor
COX II
Blocks phospholipase A2
Corticosteroids
Inhibits COX 1 more than COX2
Aspirin
Used as prophylaxis for heart attack or stroke
Aspirin
Tx for delayed closure of ductus arteriosus
Tx for preterm labor
indomethacin
Increases risk of CV events
Celecoxib
Inhibits COX 1 and COX 2 in the CNS
acetaminophen
Mechanism of opioids
Close Ca
Open K
Tx for cough
Dextromethorphan
Anti-diarrheal
Loperamide
Contraindication to all opioid use
Monoamine oxidase inhibitors
Opioid tolerance does not develop to what 2 effects
Miosis
Constipation
Opioid antagonist
Naloxone
Bacterial and tb/mycoses CSF analysis both have <45 glucose and similar WBC
What sets them apart?
Bacterial PMN is >60
TB/mycoses PMN is <50
Normal CSF analysis
Opening pressure =
WBC =
%PMN =
Glucose =
Protein =
60-180
0-5 WBC
0 PMN
>60 Glu
<30 protein
Histology stains of cryptococcus
GMS
Mucin Stain
Tx for Naegleria fowleri
(Primary Amoebic Meningoencephalitis)
Miltefosine
Tx for disseminated or CNS toxoplasmosis
Pyrimethamine-sulfadiazine
Damage to which vessels off of the middle cerebral a. cause neurological deficits disproportionate to their size
Lenticulostriate vessels
- supply deep structures of diencephalon and telencephalon