Selected Topics in Emergency Medicine 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
Benzodiazepenes
Treatment for acetaminophen overdose
N-acetylcysteine
Treatment for opioid overdose
Naloxone
Treatment for benzodiazepene overdose
Flumazenil (monitor for withdrawal and seizure)
Treatment for neuroleptic malignant syndrome and malignant hyperthermia
Dantrolene
Treatment for malignant hypertension
Nitroprusside
Treatment of atrial fibrillation.
Rate control, rhythm conversion, and anticoagulation
Treatment for supraventricular tachycardia
If stable, rate control with carotid massage or other vagal stimulation; if unsuccessful, consider adenosine
Causes of drug-induced SLE
Isoniazid, 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% oxygen or with hyperbaric oxygen if poisoning is severe or the patient is pregnant
Blood in the urethral meatus or high-riding prostate
Urethral injury or bladder rupture