Rosh 8 Flashcards
Magnesium sulfate dose in arrest
1-2 grams IV or IO over 5 minutes.
Amiodarone in a code
300mg, 150mg (2nd dose) given for refractory vfib (vfib that is not responding to defibrillation).
H’s and T’s
The Hs
Hypovolemia - Insufficient blood volume Hypoxia - insufficient oxygenation Hydrogen ion - acidosis Hyper-/hypokalemia Hypothermia - insufficient heat Hypo-/Hyperglycemia - Blood sugar too low or too high
H’s and T’s
The Ts
Toxins - ingestions Tamponade - cardiac Tension pneumothorax Thrombosis - pulmonary and cardiac Trauma Thromboembolism (PE)
Most common radiculopathy of the lumbosacral spine
L5 radiculopathy
Diminished sensation is felt in the lateral leg or dorsal foot
_______ is the first-line treatment for patients with symptomatic thyrotoxicosis or thyroid storm
Propranolol
immediately followed by administraiton of propylthiouracil
BB because it blocks peripheral hyperadrenergic activity in addition to the conversion of T4 to T3.
propylthiouracil to further block the conversion of T4 to T3.
Why are corticosteroids recommended in thyroid storm?
To inhibit conversion of T4 to T3, block the release of hormone from gland, and treat relative adrenal insufficiency.
Hemolytic Uremic Syndrome (HUS) Most commonly caused by?
Most commonly caused by E. coli O157:H7
What medicine is best to stabalize a pt with croup
racemic epi
What is the appropriate management of a patient who presents with symptomatic complete heart block?
Atropine administration and transcutaneous pacing.
Conversion Disorder
(Functional Neurologic Symptom Disorder)
≥ 1 symptom(s) of altered sensory function or altered voluntary motor function
Not consistent with recognized neurological or medical conditions
Nasogastric tube insertion is NOT contraindicated in patients with variceal bleeding and may be performed.
just good to know
Serotonin Syndrome Treatment is
BZDs, cyproheptadine
