oral boards Flashcards
aspirin for stemi
325 oral or 300 rectal
NSTEMI AC
heparin 60u/kg then 12u/kg/h
Dissection goals and drugs
HR <80, SBP <120, labetalol and nicardipine
meningitis antibiotics
1.5g vanc, 2g ceftriaxone, ampicillin,
acyclovir
CSF meningitis
WBC over 100
protein over 50
glucose < 40
open fracture antibiotics
cefazolin (ancef) 1g, vanc 1.5 g
torsades treatment
2g magnesium, check K, Ca,
pace if needed - epi/adrenalin
procainamide for stable vtach
100mg q 5 min until hypotensive or 10mg/kg over 20 min
adrenal crisis
hyper K, hypo Na, hypotension,
hydrocortisone 100mg IV
glucagon dose
1mg IM
thyroid storm treatment
betablockers (metoprolol for asthmatics)
PTU or methimazole
endocrine help
ITP treatment
transfuse platelets under 30
steroids
IVIG for platelets under 10
hemophilia
consult pharmacy, but VIII is A, 1u/kg raises by 1%
HUS treatment
dont give platelets
dont give antibiotics
shiga toxin
AC reversal Warfarin - Heparin - Xa - Xarelto, RivaroXaban Dabigatran
Warfarin - Vit X and PCC Heparin - promatime Xa - Xarelto, RivaroXaban = AdeneXanet Da big Dare - Dabigatran - Idarucizumab PCC for all
vit K works in ______ time
6-12 hours
hemorrhagic stroke tx
<140 systolic, anti epileptics
MG or GBS tx
IVIG, intubation, steroids
eclampsia treatment
6g Mag, labetalol
post partum hemorrhage treatment
oxytocin 10u IM or 15u in 250ml saline
TXA
uterine message
cervical foley catheter
sick patient PE treatment
inpatient -
enoxaparin 1mg/kg subCut BID
unstable gets TPA 10mg push then 90mg over 2 hours
dead gets 50mg pushes x2
PALS Meds Epinephrine Amiodarone Joules Magnesium adenosine
0.01mg/kg IV of 1:10,000 - max 1mg 5mg/kg IV amio - max 300 2J/Kg to start, then 4 Mag = 50mg/kg adenosine = 0.1mg/kg IV
glucose rule of 50
5ml/kg of 10% dextrose
50% dextrose is 1ml/kg
Two providers before airway established cpr
15: 2 in kids, 30:2 in adults.
30: 2 in kids if one person
