Week 6 Flashcards
The Parkland formula
Fluid requirement in 24 hours is as follows:
= 4ml x TBSA (%) x body weight (kg)
50% given in first eight hours
50% given in next 16 hours.
Cavernous Sinus Thrombosis often presents with _____________________
-fever (70%)
-headache (50%-100%)
-vomiting
-photophobia
-orbital pain
-ophthalmoplegia
-visual disturbance (10%-20%)
-chemosis
-cranial nerve palsies (86%).
After 20 min of resuscitation, end-tidal CO2 values of ________ are strongly associated with unsuccessful resuscitation.
CO2 values of ≤10 mm Hg
Parkland Formula
Fluid requirement in 24 hours is as follows:
= 4ml x TBSA (%) x body weight (kg)
50% given in first eight hours
50% given in next 16 hours.
Thrombotic thrombocytopenic purpura pneumonic
FAT RN
Fever, Anemia, Thrombocytopenia, Renal, Neuro Symptoms
All features DO NOT need to be present at the same time
Consider diagnosis without the full pentad
Components of 1:1:1 protocol
1 PRBC
1 FFP
1 Plt
Complete Kawasaki disease diagnostic criteria:
Fever >38°C for 5 days with at least 4 /5 criteria:
- Oral mucous membrane changes: injected/fissured lips, injected pharynx, or strawberry tongue
- Polymorphous rash
- Extremity changes: erythema of palms or soles, edema of hands or feet, or delayed periungual desquamation
- Cervical LAD
- Bilateral nonexudative conjunctival injection
Kawasaki disease is a _________ meeting specific diagnostic criteria
medium-sized vessel vasculitis
Joint Fluid Studies
Gram Stain
Cultures
Crystals
WBC/ cell count
________________ is a systemic, small vessel vasculitis caused by Rickettsia rickettsii and is transmitted by various types of ticks including the Dermacentor tick.
Rocky Mountain Spotted Fever
Patients with suspected Rocky Mountain Spotted Fever should be treated empirically with
tetracycline, typically doxycycline
tick born illness
Acute chest syndrome consists of
new pulmonary infiltrate in conjunction with some of the following:
leukocytosis
fever
cough
chest pain
dyspnea
What would be considered as pneumonia in patients without SCD usually fulfils the criteria for acute chest syndrome
Intubate complete spinal cord injuries at ___ level and above.
C5
______________ may increase likelihood of HUS and are not recommended for patients with Shiga toxin-producing E. coli infection.
Antibiotics and antimotility agents
Outcomes are best if N-acetylcysteine is started within ______ time of APAP overdose
8 hours
If ingestion occurred more than 8 hours ago, an initial dose of N-acetylcysteine can be administered while awaiting acetaminophen concentration and comparison to Rumack Matthew nomogram to determine need for continuation.
