6/21/13 b Flashcards Preview

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Flashcards in 6/21/13 b Deck (20):
1

What is the #1 killer of pts on dialysis?

CV disease

2

MEN 2a and 2b are d/t mutations in the _______-protooncogene.

RET

3

If a mechanically ventillated pt has a low PaO2, but also a low PaCO2, what 2 parameters could be increased to increase oxygenation?

FiO2 and PEEP

4

High FiO2 can cause pulmonary oxygen toxicity. Therefore, the goal should be to keep the FiO2 below ___% at all times.

40

5

If a mechanically ventillated pt's PaCO2 were too high, what two parameters could you increase?

respiratory rate or tidal volume

6

What is the mech of hypocalcemia following massive blood transfusion?

citrate chelates Ca++ out

7

What are 3 Sx of hypocalcemia?

decreased DTRs, muscle cramps, and seizures (rare)

8

Wha is the best step in Dx of cysticercosis?

ELISA for Abs

9

An infant w/ lethargy, dehydration, NO diarrhea, and an enlarged ant. fontanelle points to a process located _______.

intracranially

10

What are the drugs of choice in premenstrual dysphoric disorder or severe PMS?

SSRIs

11

What is the first-line therapy for dysmenorrhea?

NSAIDs

12

The history in a newborn of cyanosis on feeding which disappears upon crying is indicative of _______.

bilateral choanal atresia

13

What are the abnormalities of thje CHARGE association?

Colobomas
Heart defects
Atresia, Choanal
Retardation (growth/mental)
GU abnormalities
Ear abnormalities

14

What is the VACTERL assoc'n?

Vertebral defects
Anal atresia
Cardiac anomolies
Tracheo-
Esophageal fistula
Renal abnormalities
Limb defects

15

Pt has pulm edema d/t LV failure and doesn't improve w/ furosemide, nitrates, and morphine. What drug should be given now?

dobutamine

16

Why is dobutamine used rather than dopamine in LV failure?

both are positive inotropes, but dobutamine dilates peripheral vasculature, while dopamine has a pressor effect

17

What is the big risk adverse effect of Bleomycin or Busulfan?

pulmonary or retroperitoneal fibrosis

18

What is the danger of CYsplatin?

hemorrhagic cystitis

19

What is the danger of cytarabine?

eye problems (SIGHT-arabine will make you lose your sight!)

20

How do you prevent the eye problems associated with cytarabine?

topical steroids