Review Flashcards
Chemical eye injury procedure?
Remove irritant
Irrigate
Erythromycin Ophthalmic
Ciprofloxacin (Ciloxan)
3 initial meds to reduce pressure?
Acetazolamide
Timolol
Prednisolone
Pilocarpine after initial tx was started
Most common area of orbital fracture?
Medial floor
Trauma to face and eye region, decreased visual acuity, painful proptosis
Bulbar hematoma
How is bulbar hematoma diagnosed?
CT
retrobulbar hematoma with vision loss or increased IOP?
MEDEVAC for canthotomy
retinal occlusion tx?
Gentle masssage
Nitro
UV keratitis
1-6 hours (Latent)
Photophobia
Painful
UV keratitis tx?
Pain med
Lube dops
Erythromycin
Naloxone tx duration?
30-60min
Naloxone dose?
.2 - 2.0
Activated charcoal give?
Within 1 hour
Most common drug for anticholinergic?
Benadryl
Does the patient sweat on anticholinergic?
No
EKG finding for anticholinergic?
Sinus Tach
3 receptors of opioids?
Mu, Kappa, delta
Which receptor is the most important in our TG?
Mu
Sympathomimetics are different from anticholinergics due to?
Sweating, some pupillary response, aggressive agitative state
What do you not give for cocaine?
Beta Blockers
Symptoms for salyciclates?
Look up
What drug is used for Tylenol overdose?
NAC
When is peak time to draw blood work for Tylenol overdose?
4 hours
Organophosphates/Nerve agents symptoms?
Cholinergic Effects (No sympathetic response) S L U D G E
Primary treatment for these nerve agents?
Atropine
then add Pralidoxime -2-PAM
How do you know if the atropine is working?
Mucus secretions dry up
Classic - progression - life threatening for anaphylaxis
look up
Epi is given how often?
5-10 min
Anaphylaxis is what type of shock?
Distributive
Left coronary artery feeds?
look up
Right coronary artery feeds?
look up
First treatment for ACS?
A B Cs
Risk factors for DVT?
THRAMBOSIS
Pulmonary Embolism imaging>
Helical diagnosis
Essentials for DKA?
(1) Hyperglycemia > 250 mg/dL
(2) Acidosis with blood pH < 7.3
(3) Serum bicarbonate < 15 mEq/L
(4) Serum positive for ketones
What’s being released into the blood from rhabdo?
CK and myoglobin
What complicates the kidneys with rhabdo?
Myoglobin
4 categories of shock?
Cardiogenic
Obstructive - embolism, pnuemo, tamponade
Distributive - Anaphylaxis, sepsis, neurogenic
Hypovolemic
Treatment for sepsis?
Ertapenem
Distributive
Reduction in systemic resistance
Affinity for CO
260x
Carboxihemaglobin
CO combining with hemoglobin
Stroke Categories?
Ischemic and hemorrhagic
TIA difference?
No acute infarction
(1) Increased ICP can lead to hypoventilation
Ok
Position for stroke?
Flat (0-15degrees)
(2) Elevated CO2 in brain dilates vessels, which can increase ICP even more
(a) No evidence that hyperventilation helps
OK
(b) Do not lower it acutely as it may be the only thing maintaining adequate perfusion
1) UNLESS pressure is above systolic of 220 and/or diastolic of 120 in which case you should lower the pressure by 15%
OK
Size of aorta?
<3cm
Layers of aorta?
Intima
Media
Adventitia
Classic triad of aorta?
pain, hypotension and pulsatile mass.
Gold standard for AAA?
CT
Routine imaging for AAA?
US
Poor prognosis for near drowning?
>5 min submersion GCS <5 10 minutes time to effective life support 25 min of CPR persistent apnea pH <7.1
Prophylaxis for bites?
Augmentin
Tx for vibrio?
Doxy
PCN allergy?
Clindamycin + floroquinolones
Hymenoptera
insects that includes ants, bees, and wasps.
Tx for stinger?
1) Scrape away the stinger in a horizontal fashion.
2) Try not to grasp the stinger sac.
Scorpions sx?
Neuro
PE
How is heat stroke differentiated?
Altered mental status
Stop cooling at 101
exhaustion
Stop cooling at 102
stroke
Chilblains tx
Prevention is key
Contaminated water tx?
Cephalexin or Clindamycin
Metro
Doxy
What temp range are we trying to resuscitate a patient to from being extremely cold?
90 - 95
