Random Topics Flashcards
What is the mneumonic for uses of narcan?
ROCLAVA R= reserpine O = opioids Clonidine Lomotil Ace inhibitors, aldomet Valproate acid Zany flex
What is the dosing for narcan?
0.4 mg
What is the triad of opioid overdose?
Pinpoint pupils, hypo ventilation, hx of narc abuse
How much dose 1 amp of glucose increase blood sugar by?
200
What are the steps for treating altered mental status?
NGT
Naloxone
Glucose
Thiamine
What is the triad for Wernicke’s?
Ataxia
Nystagmus
Encephalopathic
How much thiamine do you give?
100 mg
What can glucagon be used for?
As a vasopressor
What is used to numb the eye?
Properacaine
What med is used for hiccups?
Thorazine
Where is the coin if it is facing you?
The esophagus
Which objects need to be removed from the GI tract?
Magnets
Sharp objects
Battery
At what point can the patient be sent home after swallowing a coin?
If it has passed the pylorus
At what NIF should you consider elective intubation?
-20 to -30
What paralytic do you use to intubated a patient with myasthenia gravis?
1/2 roc
Or double succinylcholine
Because have crappy unresponsive Ach receptors
What is the treatment for myasthenia crisis?
IVIG or plasmapheresis
What are the steps in looking at an BMP and figuring out acid/base disorders?
- Look at the numbers
- Do the anion gap
- Rule of 15 (bicarb + 15 = what the PCO2 should be)
- Calculate the difference between anion gap (anion gap -15) = what the bicarb will move by equally and oppositely
What is the rule of 15?
Bicarb + 15 = what the PCO2 should be
If it is NOT, there is another primary process going on
If it is, it is a secondary compensatory progress
What is the anion gap and bicarb rule?
The change in the anion gap from normalcy will create am equal and opposite reaction in bicarb. If not, there is another primary process going on
What is the dosage of metronidazole for trichomonas?
2 g
What are the three findings of PID that you only need one of to treat for PID?
Adnexal tenderness
Cervical motion tenderness
Abdominal tenderness
What is the tx for chancroid?
Single shit of azithromycin or rocephin
What is dose of ceftriaxone for gonorrhea?
250 mg IM
What is the dose of azithromycin for chlamydia?
1 g
What is the dose for syphilis?
Benzathine pen G, 2.4 million units
What should you avoid in patients with hyphema?
ASA, NSAIDs, blood thinners
Keep head of bed up
Rest - no raising your bp
What is something you should always do on physical exam with an eye problem?
Visual acuity
What is normal IOP?
Less than 20
What should be used in acute angle glaucoma?
Bb, anticholinergic, acetazolamide (check kidneys first)
What should you limit in a patient with sub conjunctival hemorrhage?
ASA, NSAIDs
What is the treatment for post-traumatic iritis?
Cycloplegics
What should you NOT do if you suspect an open globe?
Check the IOP - may squeeze aqueous humor out
What is the Go To pressor in shock?
Norepinephrine
How much furosemide should you start someone on?
A vial more than what they’re on
Greater than or equal to their age
