RC Questions Flashcards
Criteria for DKA
Acidotic ><7.3
Hyperglycemia >11
Ketonuria
Compare a VBG vs an ABG
On a VBG
pH is lower (more CO2)
Co2 is higher (taken from working cells)
Bicarb is lower (used up to buffer)
Complaints a palliative patient may come to the ED for?
Medical interventions people may actually want provided?
Pain, SOB, agitation, delirium, seizures, and terminal secretions
Wound care for ulcers
Drainage of effusion
Antibiotics
Pain management
Decompress any obstructions
3 anatomical abnormalities that pre-dispose you to glaucoma?
Shallow anterior chamber
Hyperopia
Thickened lens
Tumor
Neovascular process
3 complications of supracondylar fractures?
Brachial artery
AIN (most common nerve)
Radial
Median Ulnar
Osteoarthritis
Loss of caryying angle
What is the liklihood of HIV transmission with the following:
receptive anal intercourse
Insertive anal intercourse
needle stick injury
Het sex
3% for receptive anal intercourse
1% for heterosexual intercourse
for people who inject needles the risk from a contaminated needle is between 0.7 and 0.8%
0.1% for insertive anal intercourse
High risk features for HIV transmission with a needle stick
Hollow bore
Visible blood from a venous or arterial source
Known HIV positive
High CD4 count
4 tests for CHD
- Hyperoxia (ABG after 100% O2 - >250 not CHD, <100 think R to L shunt and you are worried)
- Pre and post ductal sat - >3% between limbs <94% in both limbs, <90% in any one limb. Measure R hand and post is foot
- 4 limb BP - if legs are lower than arms think coarc of the aorta
- Auscultation - pathologic murmurs
What are features of a pathologic murmur in children?
Duct depedant lesions in CHD?
Outline avulsion fractures of the pelvis
Three big categories of platelet disease
Hypercalcemia most likely cause in hospital and as an outpatient?
One cause from each category?
3 EKG findings?
Three treatments
Most common outpatient– hyperparathyroidism
Most common inpatient – malignancy
Fluids, bisphosphenates, Bisphosphonates,
Zoledronic acid
Short QT, sinus bradycardia, Osbourne J wave
Causes of hypomagnesium
What are 2 side effects of rapid IV Mg in the ED?
3 EKG findings?
- Hyporeflexia
- Brady
- Hypotension
- Flushing
- Resp arrest/apnea
EKg same as low K - PR and QT prolongation, St depression, flat and wide T wave
Arrythmia - a fib, ectopy, TDP
Review STEMI Equivelents
STEMI Equivelents
