Step 3 33 Flashcards
1
Q
Lower GI bleed therapy
A
fluids NPO Transfuse SCDs GI consult colonoscopy polyethylene glycol for bowel prep biopsy high-fiber diet
2
Q
trauma patient hypotensive workup
A
EKG CXR C-spine x-ray CBC BMP co-ags troponin
3
Q
trauma patient therapy
A
IV fentanyl
4
Q
complete heart block therapy
A
atropine IV
transcutaneous pacemaker
Consult cardiology
5
Q
rhabdo workup
A
CPK Ionized calcium Serum mag serum phos serum uric acid urine myoglobin coags I-O's
6
Q
TB workup
A
CBC BMP CXR Sputum gram stain, AFB, culture, and sensitivity ESR ECG LFT's (INH is hepatotoxic) Optho consult (before starting ethambutol) Serum uric acid (pyrazinamide)
7
Q
TB therapy
A
INH pyridoxine Rifampin pyrazinamide ethambutol Counseling (smoking cessation, no alcohol, regular diet) Notify public health department
8
Q
TB monitoring and timeframe
A
Repeat AFB until 3 consecutive smears are negative
Followup q1 month with LFTs
9
Q
prostatitis workup
A
Admit CBC BMP UA gram stain, culture, sensitivity BCX
10
Q
SLE workup
A
CBC BMP CXR EKG ANA UA ESR anti-Ds DNA complement
11
Q
SLE therapy
A
Rheum consult
prednisone
Counseling
12
Q
respiratory infection in SCD kid therapy
A
D51/2 nS IV morphine IV cefuroxime and IV azithro IS Albuterol nebulization
13
Q
anaphylaxis therapy
A
Epi (repeat if no response) Albuterol neb hydrocortisone IV Diphenhydramine IV Ranitidine IV IF still hypotensive, dopamine Allergy consult OP radioallergosorbent test (RAST)
14
Q
anaphylaxis workup
A
ABG CXR 12-lead CBC BMP
15
Q
orders for EKG with peaked T waves
A
Calcium gluconate
D50 and insulin
Sodium bicarb
Kayexalate
16
Q
ADPKD therapy
A
Counsel
EPO
BP control
Nephrology consult
17
Q
back pain workup
A
CBC BMP serum calcium ESR Spine x-ray
18
Q
back therapy
A
toradol if severe
19
Q
fracture in old lady workup
A
SPEP
TSH
Dexa at follow-up
20
Q
fracture in old lady therapy
A
naproxen calcium carbonate vitamin D alendronate diet
