10/1/21 Flashcards
Which medications make up the “coma cocktail”?
Thiamine, glucose, and naloxone.
Standard Narcan Dose
Administration of 0.1 to 0.4 mg IV, IM, or intranasally is both diagnostic and therapeutic.
What is the toxic dose of lidocaine?
5 mg/kg (7 mg/kg with epinephrine).
What is the most common complication of Rubella infection?
Arthropathies and arthritis.
DDX: prominent lymphadenopathy (occipital, cervical, postauricular) and a rash that spread from face down
Rubella (German Measles)
A hangman fracture is an unstable cervical spine injury caused by extreme __________ of the cervical spine
extension
fractures of both pedicles of C2 with anterolisthesis of C2 on C3
Mechanism responsible for a Jefferson fracture
Axial load or vertical compression
burst fracture of the lateral masses of C1.
Labs that will be accurate through an IO line
hemoglobin glucose chloride bicarbonate, pH ABO and Rh typing
What common side effects of alprostadil (i.e., prostaglandin E1) need to be anticipated?
Apnea and cardiac arrest.
Ductal Dependent Lesions
- Transposition of the great vessels (most common cause in newborns)
- Tetralogy of Fallot (most common in children > 1 year old)
- Tricuspid atresia
- Interrupted aortic arch
- Coarctation of the aorta
- Hypoplastic left heart syndrome
Presents with shock, “gray baby” within hours to days after birth
Pakland Formula
4ml x TBSA (%) x body weight (kg)
50% given in first eight hours; 50% given in next 16 hours.
Burn Target urine output
Target urine output:
0.5 - 1 mL/kg/h in adults
1 - 2 mL/kg/h in children
Guillain-Barré Syndrome rx
Treatment is supportive, plasmapheresis, or IVIG
Are superficial burns being considered when calculating total body surface area?
No.
Burns, Rule of 9’s for Adults:
9% for each arm (4.5 per side) 18% for each leg (9 per side) 9% for head (4.5 per side) 18% for front torso 18% for back torso.
