Surgery Flashcards
What lab would help with metformin side effect?
Labs would show an anion gap lactic acidosis
How do you treat adrenal insufficiency
Hydrocortisone
dexamethasone
aggressive fluid
How would you know when to suspect adrenal insufficiency
Hyponatremia and hyperkalemia
How long doesit take to get HPA supression
prednisone > 20 mg for three weeks
What do you always do first for a tension pneumo
needle in the second intercostal space
even before intubation and 5th space chest tube
Symptoms of a tension pneumothroax
tachypnea
tachycardia
tracheal deviation
distended neck veins
a sloshing sound heard through the stethoscope during sudden movement of the patient on abdominal auscultation.
Succussion splash
It reflects the presence of gas and fluid in an obstructed organ
How do you kill a patient with hypovolemic shock
Putting a person on vent before giving fluids –> DEATH
peep–> ↑ thorasic pressure–> ↓ venous heart return –> circulatory collapse
