Bendrups Tutorial #2 Flashcards Preview

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Flashcards in Bendrups Tutorial #2 Deck (18):
1

5 Hs and 5Ts of reversible Cardiac arrest?

Hypoxia
Hydrogen (acid)
hypothermia
hypovolaemia
hyper/hypo kalaemia

Thrombosis
Toxins
Tension Pneumo
Tamponade
Trauma

2

how does LVH lead to decrease systolic function?

>thicker myocardium
>decreased perfusion from less diastolic filling
>ischaemia
>loss of systolic function

3

you see someone slumped in their chair asleep during the day, what do you think of?

sleep apnoea
Primary hypoventilation

4

Which decline is faster, COPD or Heart Failure?

COPD: Slower
Heart Failure: Faster

5

someone with COPD and Heart failure presents and you have Abx and Frusemide, they get better, how do you know which one made it better?

The timing. Frusemide works

6

how do you determine the length of LOC of an unwitnessed event?

If it was in front of the TV, ask the shows that was on before or after
if hot food, ask if they needed to reheart it?

7

How to determine functionally if someone has intermittent claudication?

what do you do at a cross light if you arrive and it's already green?

8

classic side effect of colchicine?

diarrhoea

9

what do you use to prevent gout?

allopurinol

10

never combine allopurinol and?

azathiprine

11

what to give when having acute gout attack?

colchicine

12

how does colchicine work?

mitotic spindle inhibitor

13

gout looks how on radiographs?

radioluscent

14

what predisposes someone to gout?

if lots of nitrogen:
1. proteins and rich foods
2. high cell turn over (eg. tumour lysis

15

what diuretic worsens gout?

thiazides

16

what is Hartmann's solution?

compound sodium lactate (CSL) is a crystalloid solution that is most closely isotonic with blood and intended for intravenous administration

17

Hartmann's solution contains?

131 mEq of sodium ion = 131 mmol/L.
111 mEq of chloride ion = 111 mmol/L.
29 mEq of lactate = 29 mmol/L.
5 mEq of potassium ion = 5 mmol/L.
4 mEq of calcium ion = 2 mmol/L.
0 mEq of magnesium ion = 0 mmol/L
This amounts to an osmolarity of 279 mOsm/L.[2]

18

how much sodium in a litre of NaCl?

154 mEq of sodium ion = 154 mmol/L
154 mEq of chloride ion = 154 mmol/L