Weed, Anticoagulants, CO Flashcards

1
Q

synthetic marijuana

A
negative on UDS
axiety
HTN
horrible feelings of doom and dread
palpitations
diaphoresis
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2
Q

anticoagulants

A

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

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3
Q

Warfarin (coumadin)

A
  • 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
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4
Q

CO facts

A

binds to Hgb 250x that of Oxygen

reduces O2 delivery/carry capacity

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5
Q

CO poisoning

A
ABG/symptoms
10-20%=HA, N/V, dizziness, abd pain
20-60%=confusion, dyspnea, syncope
>60%=coma, death, hypotension, seizures
fetus/neonate more susceptible
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6
Q

CO poisoning diagnosis

A

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

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