random Flashcards

1
Q

synchronized DC cardioversion

A

pt shock

heart failure

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2
Q

precordial thump

A

pt acute arrest from ventricular fibrillation

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3
Q

SVT(supraventricular tachycardia) first line tt

A
  • stimulate vagus nerve : carotid massage, immersion face in cold water, voluntary straining
  • rapid IV adenosine
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4
Q

meconium

A

fetal stool mostly composed of desquamated cells from the gastrointestinal tract admixed with enough bile to give the soft stool a greenish color

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5
Q

infants have placental insufficiency result of

A
  1. maternal preeclampsia
  2. HTN
  3. postmaturity
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6
Q

cause of neonatal depression

A

maternal analgesic narcotic drug administration

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7
Q

neonatal depression from maternal analgesic narcotic drug mgmt

A
  1. ABCs
  2. Naloxone 0.1 mg/kg IM, IV
  3. or endotracheal
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8
Q

hypernatremia SxS

A
  • mainly neurologic, include lethargy, AMS, irritability and seizure,
  • muscle cramps, muscle weakness, decreased deep tendon reflexes
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9
Q

hypovolemic hypernatremia develops

A
  • secondary to renal losses (diuretic use, glycosuria)

- extrarenal loss (gastrointestinal upset, excessive sweating)

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10
Q

hypervolemic hypernatremia due to

A

exogenous Na intake or mineralocorticoid excess (hyperaldosteronism)

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11
Q

tt infant w hypernatremia and dehydration (GOAL: stabilize w fluid resus)

A

IV isotonic solutions such as normal saline or lactated Ringer’s

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12
Q

initial resus in severe hypovolemic hypernatremia

A

Isotonic solutions such as normal saline

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13
Q

complication of supracondylar humerus fracture

A

Compartment Sd : severe pain, pallor, poikilothermia, paresthesias and the late finding of pulselessness and paralysis

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