20 cards Flashcards
(20 cards)
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Splenic hematoma
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Management of a hemodynamically stable splenic hematoma
Splenic artery embolisation
Management of a hemodynamically unstable splenic hematoma
splenectomy
Differentials for jitteriness in a neonate
Neonatal abstience syndrome
Hypoglycemia
CNS inf
Why don’t you give naloxone in suspected neonatal abstinence syndrome
Naloxone can precipitate acute withdrawl in opiod exposed neonates and can potentially lead to seziures and other w/d complications
Last line IV medication in severe asthma that is unresponsive to other treatments
IV Aminophylline
Stepwise management of severe asthma
- Continuous nebulised SABAs, ipatropium bromide, systemic corticosterois
2 Magnesium sulphate
3 Aminophylline
Treatment of cellulitis in patient with penicillin allergy
Clindamycin
Most common cause of cellulitis
Strep pyogenes then staph aureus
What is the most important step in management of a patient who presents with cardiac sounding chest pain
Perform an ECG
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Monomorphic VT
Management of hemodynamically stable monomorphic VT
IV amiodarone
Loading dose: 300mg IV over 1 hour
Maintenance infusion 900mg IV over 24 hours
Management of hemodynamically unstable monomorphic VT
Electrical cardioversion
Signs of instability - hypotension, CP, pulmonary edem, AMS
Management of torsades de pointes in the setting of QT prolongation
Magnesium sulohate
Second line management agent for VT
Lignocaine especially in the context of an acute MI
Treatment of SVT
Metoprolol
Best diagnostic test for acute pancreatitis
Serum lipase
GCS scoring
