Shift

Question 1

Brash syndrome tx

Answer 1

Fluids, pressors NE, HyperK stuff

BB build up with renal fialure and HyperK build up with worsening bradycardia circle

Question 2

3 things o turle out right away if low platelets?

Answer 2

HIT
DIC
TTP

Question 3

SAH dx

Answer 3

within 6 hours (but not too early): CT
6-24 hours: Ct then CTA IF LOW pre test prob
after 6 hours and you think it= CT + LP

Question 4

5 things to call in ophtho middle of the night for

Answer 4

1. acute angle glaucoma
2. retrobulbar
3. open globe
4. endopthlamitis
5. ret detachment mac ON, kind of
6. CRAO

Question 5

CCB OD treatment

Answer 5

CCB vs BB -
Drawing a C up so HYPERglycemia
Drawing a B is HYPOglycemia based on affect on insulin

1. High dose insulin 1 unit/kg and same drip over
2. Dextrose bolus and drip
3. Glucagon (also wors for BB)
4. Intralipids 1.5 mg/kg bolus

Question 6

Torsion

Answer 6

CT without enargeent or pelvic abnromality, no free fluid and no pain is +/- on TVUS next

Some ppl just order CT and TVUS right off the bat. look at diagnostic tree- and talk to Gyn if mildly worried abut it

this is tough diagnosis

Question 7

dont stick needles in red shit

Answer 7

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Question 8

Hypo Phos

Answer 8

decreased ATP - decreased cardiac contractility, resp function, MSK contraction
1 or less symptomatic – 1/2 cc/hr K phos
1.5 consider therpay

Question 9

MG crisis meds

Answer 9

Plex, IVIG, (be careful of steroids), anticholineterases

Question 10

5 EKG signs of PE

Answer 10

1. RBBB
2. Sinus Tach (massive brady)
3. AVR elevation or TWI in anteror or inf leads
4. RAD
5. s1q3t3

Question 11

Inhalation injury treatment

Answer 11

Albuterol, heparin 5k unit, mucomyst 3 ml - albuterol has the data behind it
Humidified air