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Medicine > Floor management 2 > Flashcards

Floor management 2 Flashcards

1
Q

sliding scale insulin

A

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2
Q

maherker (?)

A

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3
Q

fishbone diagrams

A

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4
Q

cough medicine at the U

A

tessalon

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5
Q

problems with insulin drip

A

1) barrier to discharge

2) require frequent glucose check

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6
Q

hemoconcentration on labs

A

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7
Q

opiate withdrawal timeframe

A

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8
Q

coreg

A

carvedilol

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9
Q

when to replete calcium

A

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10
Q

when transferring patients on floor always remember

A

1) check for adequate oxygen

2) don’t transfer with restraints if high oxygen needs

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11
Q

when patient agitated always check for

A

1) hypoxia (hypoxia causes agitation)

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12
Q

systematic approach to chest pain

A

1) arrow approach

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13
Q

systematic approach to dyspnea

A

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14
Q

ABG ordering options

A

Can order ABG with lytes + lactate + co-ox panel (hemoglobin + carbon monoxide)

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15
Q

when you order a V/Q scan

A
  • (high radiation but no contrast so can be used for patients with renal failure)
  • patient must have clear lungs (it will not be able to determine V/Q mismatch)
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16
Q

Next step up from venturi mask and acute respiratory failure

A

BPAP

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17
Q

space for needle decompression

A

second intercostal space, over the third rib, midclavicular, regardless of place of pneumo (air rises)

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18
Q

chest tube placement for pneumo

A

always angled up

19
Q

MAP formula

A

MAP = (COxSVR) + CVP

20
Q

normal MAP

A

60-65

21
Q

average circulating blood volume

A

5 L

22
Q

definition of oliguria

A

less than 250 mL urine in 12 hours

23
Q

problem with procalcitonin

A
  • takes so long
24
Q

withdrawal protocol at the U

A

CIWA

25
Q

HCAP

A

healthcare-associated pneumonia

26
Q

typical chest pain

A

chest pain worsened by exertion or emotional stress and relieved by rest and/or nitroglycerin

27
Q

hemorrhaging appearance on non contrast CT

A
  • hyperdensity (white)
28
Q

how to diagnose an anatomic cause of infertility (such as scarring from PID)

A

hysterosalpingogram

29
Q

ischemic hepatopathy presentation

A

rapid and massive increase in transaminases

30
Q

bacterial meningitis treatment in kids

A

IV vanc + CTX (resistant s pneumo coverage) +/- dexamethasone for HIB meningitis (reduces hearing loss risk)

31
Q

progesterone stimulation test

A
  • In patients with underdeveloped HPA axis, the corpus luteum is underproducing progesterone. The endometrium builds up under the influence of estrogen, but without progesterone to tell endometrium to slough off, bleeding happens because of estrogen breakthrough bleeding. Normally, progesterone will fall as corpus luteum degenerates, leading to menses.
  • ## If you give someone progesterone and this causes bleeding, you know they are adequately producing estrogen because they have
32
Q

Toxic shock syndrome risks

A

tampon use
recent surgery
skin lesions/burns
sinusitis/nasal surgery

33
Q

toxic shock syndrome presentation

A

high fever + hypotension + diffuse macular rash involving palms and soles + desquamation 1-3 weeks after disease onset + vomiting/diarhea + AMS

34
Q

CGD diagnosis

A

dihydrorhodamine 123 test or nitroblue tetrazolium testing

35
Q

CGD presentation

A

pneumonia + cutaneous abscesses + suppurative adenitis (recurrent pulmonary and cutaneous infections)

36
Q

statin mechanism

A

HMG-CoA reductase enzyme inhibition, preventing conversion of HMG CoA to mevalonic acid, increasing number of cell membrane LDL receptors.

37
Q

statin-induced myopathy mechanism

A

decrease coenzyme Q10 synthesis, which is involved in muscle cell energy production

38
Q

volume cutoff for urinary retention

A

over 150 mL

39
Q

postpartum urinary retention management

A
  • analgesics
  • encourage ambulation
  • urinary catheterization
40
Q

contraindication with LMWH

A

ESRD (metabolized by kidney)

41
Q

anticoagulation for provoked DVT

A

at least 3 months, heparin + warfarin, continue heparin for 4-5 days until INR is therapeutic

42
Q

low-molecular weight heparins

A

enoxaparin
dalteparin
fondaparinux

43
Q

Caveat about DVT presentation

A

About half of cases are asymptomatic

Medicine (71 decks)

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