Rapid Review: EM Flashcards
Class of drugs that may cause syndrome of muscle rigidity, hyperthermia, autonomic instability, and extrapyramidal symptoms
Antipsychotics (neuroleptic malignant syndrome)
Side effects of corticosteroids
Acute mania, immunosuppression, thin skin, osteoporosis, easy bruising, myopathies
Treatment for DTs
Benzos (lorazepam if cirrhotic)
Treatment for acetaminophen overdose
N-acetylcysteine
Treatment for opioid overdose
Naloxone
Treatment for benzo overdose
Flumazenil
Treatment for neuroleptic malignant syndrome and malignant hyperthermia
Dantrolene
Treatment for malignant hypertension
Nitroprusside
Treatment of A fib
Rate control, rhythm conversion, and anticoagulation
Treatment of SVT
If stable, rate control with carotid massage or other vagal stimulation; if unsuccessful, consider adenosine
Causes of drug-induced SLE
INH, penicillamine, hydralazine, procainamide, chlorpromazine, methyldopa, quinidine
Macrocytic, megaloblastic anemia with neurologic symptoms
B12 deficiency
Macrocytic, megaloblastic anemia without neurologic symptoms
Folate deficiency
A burn patient presents with cherry-red flushed skin and coma. SaO2 is normal, but carboxyhemoglobin is elevated. Treatment?
Treat CO poisoning with 100% O2 or with hyperbaric O2 if poisoning is severe or the patient is pregnant.
Blood in the urethral meatus or high-riding prostate
Bladder rupture or urethral injury
Test to rule out urethral injury
Retrograde cystourethrogram
Radiographic evidence of aortic disruption or dissection
Widened mediastinum (>8cm), loss of aortic knob, pleural cap, tracheal deviation to the right, depression of left main stem bronchus
Radiographic indications for surgery in patients with acute abdomen
Free air under the diaphragm, extravasation of contrast, severe bowel distension, space-occupying lesion (CT), mesenteric occlusion (angiography)
The most common organism in burn related infections
Psuedomonas
Method of calculating fluid repletion in burn patients
Parkland forumla: 24 hour fluids=4xkgx%BSA
Acceptable urine output in a stable patient
30 cc/hour
Acceptable urine output in a trauma patient
50 cc/hour
Signs of neurogenic shock
Hypotension and bradycardia
Signs of increased ICP (Cushing’s triad)
Hypertension, bradycardia, and abnormal respirations