pearls Flashcards

1
Q

osteomyelitis needs a minimum of how long of abx

A

6 weeks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

afib causes

A
volume overload
hypoxia
HTn
sepsis
hyperthyroidism
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

IVC filters only good for how long

A

1st 6 months

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

bacteria common in CAP (typicals vs atypicals)

A

typicals: #1 strep pneumo, hemophilus influenza, moraxella
atypicals: chlamydia, legionella, mycoplasma

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

treat CAP empirically

A

quinolone

azithro + ceftriaxone

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

quinolones- which ones good for lung and which is good for treating kidneys

A

lung: levi, mox
kidney: levi, cipro

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

AKI criteria

A

increase in Cr>0.3 mg/dL within 48 hours

increase in Cr>1.5x baseline within 7 days

urine vol<0.5 mL/kg/hr for 6 hrs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

differences in enoxparin vs heparin in DVT ppx inpatient

A

equally as effective

enox: q24 hr, cant have AKI
heparin: q12, can have AKI

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

indications for emergent dialysis

A

A-acidemia (lactic acidosis)

E-electrolytes (hyperkalemia, hypercalcemia)

I-intoxicant (ethylene glycol, methanol, tylenol)

O-overload (pulm edema, cant use lasix)

U- uremia (BUN rate of rise increases)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

which types of fluid to use for volume repletion (losing intravascular volume)

A

NS

Lactated ringers

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

side effect of normal saline

A

hyperchloremic metabolic acidosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

theoretical risks of using normal saline in hemorrhagic or septic shock

A

hemorrhagic shock: acidosis–>platelets cant bind in acidic env–> hemorrhage worsens

sepsis–> lactic acidosis - NS worsens acidemia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

contraindicatio to lactated ringers

A

ESRD

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

fluids for maintenence IVF

A

0.45 NS +/- D5

O,25 NS +/- D5

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

when do you use maintenance fluids

A

cant intake oral fluids, NPO for >1 day

maintain daily volume

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

when do you give D5?

A

only when you have to- calories!

give when DKA-insulin drip transition, hypoglycemic patient

17
Q

which fluids to give when you want to give free water in dehydrated state

A

PO water

D5W IV

18
Q

dont correct sodium> how much per hr

A

> 0.25 mEq/Dl/hr

19
Q

rules for correcting free water deficit

A

DONT GIVE >8-10 mEq/DL/24 hrs

give back half their free water deficit, then check BMP in 12 hrs

20
Q

when do you give colloid fluids?

A

third spacing from liver failure