Weed, Anticoagulants, CO

Question 1

synthetic marijuana

Answer 1

negative on UDS
axiety
HTN
horrible feelings of doom and dread
palpitations
diaphoresis

Question 2

anticoagulants

Answer 2

Warfarin (coumadin)
Heparin (treat with protamine sulfate)
Pradaxa, Xeralto

Question 3

Warfarin (coumadin)

Answer 3

• inhibits clotting by blocking Vit K dependent clotting factors
• Tox: hematuria, GI bleed, bruising, intra-abdominal bleeding
• Comps: tramua, bleeding
• Tx: discontinue, Vit K, FFP

Question 4

CO facts

Answer 4

binds to Hgb 250x that of Oxygen

reduces O2 delivery/carry capacity

Question 5

CO poisoning

Answer 5

ABG/symptoms
10-20%=HA, N/V, dizziness, abd pain
20-60%=confusion, dyspnea, syncope
>60%=coma, death, hypotension, seizures
fetus/neonate more susceptible

Question 6

CO poisoning diagnosis

Answer 6

pulse ox not helpful
half-life CO-HB 5 hrs in room air
-reduced if 100% oxygen
-more reduced in hyperbaric chamber