PODCAST 1

Question 1

calcium of 15.2 how do you treat?

Answer 1

IV fluids to promote excretion then calcitonin furosemide or bisphosphonates

Question 2

in patient with hyperkalemia losing their airway and needing intubation what paralytic should not be given

Answer 2

succinylcholine?make hyper K worse

Question 3

EKG with hyperkalemia

Answer 3

peaked T waves, sinusoidal waveforms, QRS widening and PR prolongation

Question 4

treat hyperkalemia if

Answer 4

K is 6.5 or greater or EKG abnormalities

Question 5

altered mental status respiratory rate less than eight give

Answer 5

empiric NALOXONE

Question 6

indications for treatment of hyponatremia

Answer 6

significantly altered mental status, or seizures otherwise treat with normal saline

Question 7

scenario one crush injury scenario to full body burn scenario three and stage renal disease patient missing two dialysis appointments scenario for leukemia patient after first chemo coming and feeling ill? What you need to worry about it all of these patients

Answer 7

hyperkalemia

Question 8

arrhythmia type seen in hypokalemia

Answer 8

ventricular arrhythmias such as the attack, V. fib, tour thought

Question 9

what are what are indications for treating hypercalcemia

Answer 9

if symptomatic stones bonus grounds and moans

Question 10

BG less than 60 patient is conscious but slightly altered give

Answer 10

D5W

Question 11

mechanism of calcium in hyperkalemia

Answer 11

stabilizes cardio myocytes membranes

Question 12

if patient needs to receive contrast I

Answer 12

need to check kidney function first

Question 13

first-line treatment for hyperkalemia

Answer 13

calcium gluconate or calcium chloride

Question 14

BG less than 60, patient is comatose and need to bring up glucose fast give

Answer 14

IM glucagon

Question 15

reduce potassium by

Answer 15

dialysis sodium bicarb albuterol insulin furosemide, sorbitol (kayexalate) which is a potassium binder

Question 16

if potassium only goes up small amounts after giving both PO and IV potassium next step

Answer 16

give magnesium

Question 17

calcium 4.5 concern for this type of arrhythmia

Answer 17

Torsades

Question 18

every female less than the age of 50 needs

Answer 18

pregnancy test

Question 19

in patient sodium of 115 and BG of over thousand. Give hypertonic saline?

Answer 19

No hyponatremia is due to osmotic effects of saline called pseudo-hyponatremia. Must correct add 1.6 to Na for every 100 BG over 100

Question 20

abnormality make hypokalemia refractory to treatment

Answer 20

low magnesium

Question 21

cut-off for hypotensive and needing fluid bolus

Answer 21

90 systolic

Question 22

if received fluid bolus and still hypotensive, next step

Answer 22

packed red blood cells

Question 23

treatment for torsades

Answer 23

give magnesium

Question 24

altered mental status without giving a blood glucose level next step

Answer 24

order blood glucose

Question 25

hypokalemia less than 2.0 EKG findings

Answer 25

flattened the way and QTc prolongation

Question 26

creatinine of greater than 1.5 or GFR of less than 50 in patient with suspected PE

Answer 26

cannot receive contrast dye must go with me to scan instead

Question 27

if blood glucose less than 60 and patient is conscious with no risk factors for aspiration like Parkinson?s, management is

Answer 27

orange juice