UWorld Stuff Flashcards
Torsades de Pointes
usually caused by hypomagnesemia
first line treatment is IV mag and defib.
discontinue any meds that cause QT prolonging (such as Ziprasidone)
Myopia
nearsightedness
can’t see far away
Airborne precautions for
measles
TB
varicella
GCS ranges
Head injury classification:Mild, GCS 13-15; moderate, GCS 9-12; severe, GCS ≤8.
“permissive hypertension”
acute stroke pts requires “permissive hypertension” during first 24-48 hours for adequate perfusion through the damaged cerebral tissues.
However, the blood-brain barrier is no longer intact once the blood pressure is >220/120 mm Hg.
Therefore, “mild” lowering is required, usually to a systolic pressure that is not below 170 mm Hg.
HYPO or HYPERnatremia when you dilute formula
hypo
Post-Laparoscopic Cholecystectomy and right shoulder pain
referred pain
not heart attack
Rationalization
Using excuses to explain away threatening circumstances
“I did poorly on the test because the questions were so tricky”
Displacement
Transferring thoughts & feelings toward one person or object onto another person or object
A person who is angry with a boss comes home & yells at the spouse
Regression
Returning to a previous level of development
Introjection
Taking on the qualities or attitudes of others without thought or examination
A person may take on the political views of a famous, admired actor
Reaction formation
Behaving in a manner or expressing a feeling opposite of one’s true feelings
A parent who is resentful of an “unplanned” child becomes overprotective of that child
Repression
Keeping unacceptable thoughts or traumatic events buried in the unconscious
A person who was raped cannot recall the event
Sublimation
Transforming unacceptable thoughts or needs into acceptable actions
A person may turn to boxing to deal with aggression
What disease processes need droplet precautions?
Neisseria meningitidis (bacterial) Haemophilus influenzae type B Diphtheria Mumps Rubella Pertussis Group A Streptococcus (strep throat) Viral influenza
Contractions during first stage of labor
last 45-80 seconds
should not exceed 90 seconds
2-5 contractions every 10 min
should not occur more than every 2 minutes
intensity - 25-50 mmHg (should not exceed 80)
***If uterus is contracting for 90 seconds or longer, then uterine hypertonicity is occurring which is decreasing blood flow to the placenta and fetus.
Babinski sign
plantar reflex
younger than 1 = toes fan out = reflex present
older than 1 = toes curl in (planter felxion) = reflex absent
Parkinson’s
bradykinesia muscle rigidity resting tremor shuffling gait masked facial expression