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4/20 Flashcards

1
Q

which type of water causes pulmonary edema when in lungs

A

salt water-electrolytes

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2
Q

Acetaminophen toxicity symptoms and tx

A

nausea and hepatic failure

tx: n-acytlcysteine

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3
Q

Anticholenergic toxicity sx and tx

A

Dry mouth, urniary retention,QRS widening

tx: pyhostigmine

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4
Q

Benzo toxicity sx and tx

A

sedation/respiratory depression

tx: flumazeniel for acute not chronic

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5
Q

BB blocker toxicity sx and tx

A

Brady, hypotension, hypoglycemia, pulmonary edema

tx:glucagon, calcium, insulin, dextrose

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6
Q

CCB toxicity sx and tx

A

Brady, hypotension, EUglycemia

tx:glucagon, calcium, insulin, dextrose

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7
Q

Cocaine toxicity sx and tx

A

tacky, agitation, vasospasm =mi

tx: supportive

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8
Q

cyanide toxicity sx and tx

A

HA nausea, vomiting, AMS

tx: nitrates, hydroxycobalmin

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9
Q

Digoxin toxicity sx and tx

A

nausea vomiting visual changes arrhythmia

tx digoxin antibodies

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10
Q

Heparin toxicity sx tx

A

bleeding and bruising TX: Protamine sulfate

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11
Q

Isoniazide toxicity sx and tx

A

neuropathy and hepatotoxicity

tx: B6

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12
Q

isopropyl alcohol toxicity sx and tx

A

⬇️ consciousness, nausea, abdominal pain

tx: supportive care

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13
Q

METHANOL toxicity sx and tx

A

HA, dizziness, visual changes

tx: fomepizole, ethanol, dialysis

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14
Q

opioid toxicity sx and tx

A

pinpoint pupil respiratory depression

tx:naloxone

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15
Q

Salicylates toxicity sx and tx

A

NA, vomiting, tinnitus, hyperventilation, anion gap, metabolic acidosis
tx: charcoal, dialysis, sodium bicarb

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16
Q

sulfonylureas toxicity sx and tx

A

hypoglycemia

tx :octerotide and dextrose

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17
Q

TCA toxicity sx and tx

A

dry mouth, urinary retention, wide QRS, torasades de pointes
tx: sodium bicard, diazepam

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18
Q

warfarin toxicity sx and tx

A

bleeding and bruising

tx: ffp vitamin k

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19
Q

organophosphate toxicity tx

A

atropine, pralidoxime, supportive care

20
Q

lead toxicity tx

A

dimercaprol EDTA succimer

21
Q

iron toxicity tx

A

deferoxamine

22
Q

mercury sx and tx

A

turns probs, tremor, AMS

tx: dimercaprol

23
Q

components of Glasgow comma scale

A

eye opening
verbal response
motor response

24
Q

Cushing reflex

A

HTN and bradychardia, indicative of increased intracranial pressure

25
prego trauma, what position is CV exam in
LLD, decreases pressure on IVC
26
wedge pressure estimates
left atrium
27
which blood product for loc Hct from anemia of blood loss
PRBC's
28
what blood product for warfarin overdose, clotting factor deficiency, DIC, TTP
plasma
29
when is greatest risk for post op MI
first 48 hrs after surgery
30
Phenylephrine MOA, Effect, indication
MOA: alpha agonist a1>a2 Effect: vasoconstriction, reflex bradychardia Indication: sepsis ans shock
31
Norepi MOA, Effect, indication
MOA: a1 b1 agonist Effect: vasconstriction, mild increased contractility Indication: schock
32
EPI MOA, Effect, indication
MOA: B1 >B2>A1 alpha effects predominate at high doses Effect: increased contractility vasodilation low dose, vast constriction high dose Indication: anaphylaxis, shock, septic shock, post bipasshypotension
33
Dopamine MOA, Effect, indication
MOA: agonist for B1 low dose, and alpha at high dose Effect: increased heart rate and contractility , vasoconstriction at high dose only Indication: shock
34
Dobuatamine MOA, Effect, indication
MOA:B1 agonist Effect: increased hr and contractility , mild reflex vasodilation Indication:CHF, cariogenic shock
35
Isoproterenol MOA, Effect, indication
MOA:B1 and B2 agonist Effect: increased Hr and contractility, vasodilation Indication:Contractility stimulation in cardiac arrest
36
Vasopressin MOA, Effect, indication
MOA:ADH analog with week pressor effect Effect: vasoconstriction Indication: resistant septic shock, second vasopressor
37
lactose intolerance test
breathe hydrogen test
38
meds that cause pill induced esophagitis most often
tetracylines, aspirine, NSAIDS,bisphosphinates,KCL Fe
39
reflux alarm sx
dysphasia, weight loss, anemia, go bleed, vomiting
40
most common arrhythmia in sudden cardiac arrest
Vfib
41
what toxicity can nitroprusside cause in patients with kidney failure
cyanide
42
what causes low amplitude sinusoidal fetal heart rate tracings
fetal anemia and blood loss
43
oxytocin toxicity electrolytes
hyponatremia = neuro sx
44
Congenital CMV ultrasound findings
``` periventricular calcifications, venticrolomegly microcephaly intrahepatic calcifications hydros fetalis ```
45
neonatal CMV ffeatures
Petechiae hepatiosplenomegaly chorioretinitis microcephaly

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