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EM IV Flashcards

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1
Q

Be sure to get a full […] on all Psych pts.

A

Be sure to get a full med hx on all Psych pts.

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2
Q

Be wary of Psych pts who are:

  • […]
  • young
  • sudden onset w/o hx

A

Be wary of Psych pts who are:

  • old
  • young
  • sudden onset w/o hx

be more thoughtful about possible medical causes

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3
Q

Be wary of Psych pts who are:

  • old
  • […]
  • sudden onset w/o hx

A

Be weary of Psych pts who are:

  • old
  • young
  • sudden onset w/o hx

be more thoughtful about possible medical causes

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4
Q

Be wary of Psych pts who are:

  • old
  • young
  • […]

A

Be weary of Psych pts who are:

  • old
  • young
  • sudden onset w/o hx

be more thoughtful about possible medical cause

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5
Q

Bell’s Palsy pts MUST have […] with neuro deficit.

A

Bell’s Palsy pts MUST have forehead involvement with neuro deficit.

Forehead sparing = BAD

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6
Q

Bell’s Palsy tx:

  • […]
  • lubricating eye drops
  • +/- acyclovir 400mg PO #5 Q24 x 10d // valcyclovir 500mg Q12 x 5d

A

Bell’s Palsy tx:

  • prednisone 60mg PO x7d (consider taper)
  • lubricating eye drops
  • +/- acyclovir 400mg PO #5 Q24 x 10d // valcyclovir 500mg Q12 x 5d

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7
Q

Bell’s Palsy tx:

  • prednisone 60mg PO x7d (consider taper)
  • […]
  • +/- acyclovir 400mg PO #5 Q24 x 10d // valcyclovir 500mg Q12 x 5d

A

Bell’s Palsy tx:

  • prednisone 60mg PO x7d (consider taper)
  • lubricating eye drops
  • +/- acyclovir 400mg PO #5 Q24 x 10d // valcyclovir 500mg Q12 x 5d

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8
Q

Bell’s Palsy tx:

  • prednisone 60mg PO x7d (consider taper)
  • lubricating eye drops
  • +/- […] // valcyclovir 500mg Q12 x 5d

A

Bell’s Palsy tx:

  • prednisone 60mg PO x7d (consider taper)
  • lubricating eye drops
  • +/- acyclovir 400mg PO #5 Q24 x 10d // valcyclovir 500mg Q12 x 5d
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9
Q

Bell’s Palsy tx:

  • prednisone 60mg PO x7d (consider taper)
  • lubricating eye drops
  • +/- acyclovir 400mg PO #5 Q24 x 10d // […]

A

Bell’s Palsy tx:

  • prednisone 60mg PO x7d (consider taper)
  • lubricating eye drops
  • +/- acyclovir 400mg PO #5 Q24 x 10d // valcyclovir 500mg Q12 x 5d

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10
Q

Benzo AMS tx:

  • […]
  • supportive care

A

Benzo AMS tx:

  • ABC’s
  • supportive care

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11
Q

Benzo AMS tx:

  • ABC’s
  • […]

A

Benzo AMS tx:

  • ABC’s
  • supportive care

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12
Q

BiPAP target settings are […] and can go up to 20/10.

A

BiPAP target settings are 10/5 and can go up to 20/10.

Insp/Exp

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13
Q

BiPAP target settings are 10/5 and can go up to […].

A

BiPAP target settings are 10/5 and can go up to 20/10.

Insp/Exp

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14
Q

BNP levels interpretation:

  • not CHF: […]
  • CHF: >400

A

BNP levels interpretation:

  • not CHF: <100
  • CHF: >400

100-400 indeterminate

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15
Q

BNP levels interpretation:

  • not CHF: <100
  • CHF: […]

A

BNP levels interpretation:

  • not CHF: <100
  • CHF: >400

100-400 indeterminate

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16
Q

Both Type1 and Type2 Diabetics can get […] or HHS.

A

Both Type1 and Type2 Diabetics can get DKA or HHS.

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17
Q

Both Type1 and Type2 Diabetics can get DKA or […].

A

Both Type1 and Type2 Diabetics can get DKA or HHS.

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18
Q

Bowel Perforation can be dx’d with […].

A

Bowel Perforation can be dx’d with upright CXR.

free air or rigid abdomen = emergent surgery

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19
Q

Bowel Perforations is usually due to […].

A

Bowel Perforations is usually due to ulcer or procedure.

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20
Q

BP Med Hydralazine

  • dose: […]
  • moa: peripheral vasodilator (preferential arterio > venodilation)
  • cons: tachycardia, decreased SV + CO
  • notes: decrease in DBP > SBP

A

BP Med Hydralazine

  • dose: 10mg slow IV Q6 (up to max 40mg)
  • moa: peripheral vasodilator (preferential arterio > venodilation)
  • cons: tachycardia, decreased SV + CO
  • notes: decrease in DBP > SBP

rarely used

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21
Q

BP Med Hydralazine

  • dose: 10mg slow IV Q6 (up to max 40mg)
  • moa: […]
  • cons: tachycardia, decreased SV + CO
  • notes: decrease in DBP > SBP

A

BP Med Hydralazine

  • dose: 10mg slow IV Q6 (up to max 40mg)
  • moa: peripheral vasodilator (preferential arterio > venodilation)
  • cons: tachycardia, decreased SV + CO
  • notes: decrease in DBP > SBP

rarely used

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22
Q

BP Med Hydralazine

  • dose: 10mg slow IV Q6 (up to max 40mg)
  • moa: peripheral vasodilator (preferential arterio > venodilation)
  • cons: […]
  • notes: decrease in DBP > SBP

A

BP Med Hydralazine

  • dose: 10mg slow IV Q6 (up to max 40mg)
  • moa: peripheral vasodilator (preferential arterio > venodilation)
  • cons: tachycardia, decreased SV + CO
  • notes: decrease in DBP > SBP

rarely used

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23
Q

BP Med Hydralazine

  • dose: 10mg slow IV Q6 (up to max 40mg)
  • moa: peripheral vasodilator (preferential arterio > venodilation)
  • cons: tachycardia, decreased SV + CO
  • notes: […]

A

BP Med Hydralazine

  • dose: 10mg slow IV Q6 (up to max 40mg)
  • moa: peripheral vasodilator (preferential arterio > venodilation)
  • cons: tachycardia, decreased SV + CO
  • notes: decrease in DBP > SBP

rarely used

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24
Q

BP Med Labetalol

  • dose: […]
  • moa: beta > αlpha blocker
  • pros: no HR change, no cerebral flow change, rapid onset
  • avoid: COPD, CHF, heart block, bradycardia
  • use: ACS, ischemic CVA

A

BP Med Labetalol

  • dose: 10mg IV q10min => 0.5-2 mg/min IV
  • moa: beta > αlpha blocker
  • pros: no HR change, no cerebral flow change, rapid onset
  • avoid: COPD, CHF, heart block, bradycardia
  • use: ACS, ischemic CVA

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25
BP Med Labetalol ## Footnote * dose: 10mg IV q10min =\> 0.5-2 mg/min IV * moa: [...] * pros: no HR change, no cerebral flow change, rapid onset * avoid: COPD, CHF, heart block, bradycardia * use: ACS, ischemic CVA
BP Med Labetalol * dose: 10mg IV q10min =\> 0.5-2 mg/min IV * moa: **beta \> αlpha blocker** * pros: no HR change, no cerebral flow change, rapid onset * avoid: COPD, CHF, heart block, bradycardia * use: ACS, ischemic CVA
26
BP Med Labetalol ## Footnote * dose: 10mg IV q10min =\> 0.5-2 mg/min IV * moa: beta \> αlpha blocker * pros: [...] * avoid: COPD, CHF, heart block, bradycardia * use: ACS, ischemic CVA
BP Med Labetalol * dose: 10mg IV q10min =\> 0.5-2 mg/min IV * moa: beta \> αlpha blocker * pros: **no HR change, no cerebral flow change, rapid onset** * avoid: COPD, CHF, heart block, bradycardia * use: ACS, ischemic CVA
27
BP Med Labetalol ## Footnote * dose: 10mg IV q10min =\> 0.5-2 mg/min IV * moa: beta \> αlpha blocker * pros: no HR change, no cerebral flow change, rapid onset * avoid: [...] * use: ACS, ischemic CVA
BP Med Labetalol ## Footnote * dose: 10mg IV q10min =\> 0.5-2 mg/min IV * moa: beta \> αlpha blocker * pros: no HR change, no cerebral flow change, rapid onset * avoid: **COPD, CHF, heart block, bradycardia** * use: ACS, ischemic CVA
28
BP Med Labetalol ## Footnote * dose: 10mg IV q10min =\> 0.5-2 mg/min IV * moa: beta \> αlpha blocker * pros: no HR change, no cerebral flow change, rapid onset * avoid: COPD, CHF, heart block, bradycardia * use: [...]
BP Med Labetalol ## Footnote * dose: 10mg IV q10min =\> 0.5-2 mg/min IV * moa: beta \> αlpha blocker * pros: no HR change, no cerebral flow change, rapid onset * avoid: COPD, CHF, heart block, bradycardia * use: **ACS, ischemic CVA**
29
BP Med Nicardipine ## Footnote * dose: [...] * moa: CCB decrease PVR * cons: long half life * avoid: ACS, CHF, cirrhosis * use: CVA, renal
BP Med Nicardipine * dose: **5mg/h =\> +2.5mg/hr (max15mg/hr)** * moa: CCB decrease PVR * cons: long half life * avoid: ACS, CHF, cirrhosis * use: CVA, renal
30
BP Med Nicardipine ## Footnote * dose: 5mg/h =\> +2.5mg/hr (max15mg/hr) * moa: [...] * cons: long half life * avoid: ACS, CHF, cirrhosis * use: CVA, renal
BP Med Nicardipine ## Footnote * dose: 5mg/h =\> +2.5mg/hr (max15mg/hr) * moa: **CCB decrease PVR** * cons: long half life * avoid: ACS, CHF, cirrhosis * use: CVA, renal
31
BP Med Nicardipine ## Footnote * dose: 5mg/h =\> +2.5mg/hr (max15mg/hr) * moa: CCB decrease PVR * cons: [...] * avoid: ACS, CHF, cirrhosis * use: CVA, renal
BP Med Nicardipine ## Footnote * dose: 5mg/h =\> +2.5mg/hr (max15mg/hr) * moa: CCB decrease PVR * cons: **long half life** * avoid: ACS, CHF, cirrhosis * use: CVA, renal
32
BP Med Nicardipine ## Footnote * dose: 5mg/h =\> +2.5mg/hr (max15mg/hr) * moa: CCB decrease PVR * cons: long half life * avoid: ACS, CHF, cirrhosis * use: [...], renal
BP Med Nicardipine ## Footnote * dose: 5mg/h =\> +2.5mg/hr (max15mg/hr) * moa: CCB decrease PVR * cons: long half life * avoid: ACS, CHF, cirrhosis * use: **CVA, renal**
33
BP Med Nicardipine ## Footnote * dose: 5mg/h =\> +2.5mg/hr (max15mg/hr) * moa: CCB decrease PVR * cons: long half life * avoid: ACS, CHF, cirrhosis * use: CVA, [...]
BP Med Nicardipine ## Footnote * dose: 5mg/h =\> +2.5mg/hr (max15mg/hr) * moa: CCB decrease PVR * cons: long half life * avoid: ACS, CHF, cirrhosis * use: CVA, **renal**
34
BP Med Nicardipine ## Footnote * dose: 5mg/h =\> +2.5mg/hr (max15mg/hr) * moa: CCB decrease PVR * cons: long half life * avoid: [...], CHF, cirrhosis * use: CVA, renal
BP Med Nicardipine ## Footnote * dose: 5mg/h =\> +2.5mg/hr (max15mg/hr) * moa: CCB decrease PVR * cons: long half life * avoid: **ACS,** CHF, cirrhosis * use: CVA, renal
35
BP Med Nicardipine ## Footnote * dose: 5mg/h =\> +2.5mg/hr (max15mg/hr) * moa: CCB decrease PVR * cons: long half life * avoid: ACS, [...], cirrhosis * use: CVA, renal
BP Med Nicardipine ## Footnote * dose: 5mg/h =\> +2.5mg/hr (max15mg/hr) * moa: CCB decrease PVR * cons: long half life * avoid: ACS, **CHF**, cirrhosis * use: CVA, renal
36
BP Med Nicardipine ## Footnote * dose: 5mg/h =\> +2.5mg/hr (max15mg/hr) * moa: CCB decrease PVR * cons: long half life * avoid: ACS, CHF, [...] * use: CVA, renal
BP Med Nicardipine ## Footnote * dose: 5mg/h =\> +2.5mg/hr (max15mg/hr) * moa: CCB decrease PVR * cons: long half life * avoid: ACS, CHF, **cirrhosis** * use: CVA, renal
37
BP Med Nitroglycerin: ## Footnote • dose: [...] * moa: veno \> arteriodilator * pros: rapid on/off, increase coronary flow * cons: tachycardia * use: ACS, CHF
BP Med Nitroglycerin: ## Footnote • dose: **5-20mcg/min IV** * moa: veno \> arteriodilator * pros: rapid on/off, increase coronary flow * cons: tachycardia * use: ACS, CHF LV dysf + pulmonary edema = CHF
38
BP Med Nitroglycerin: ## Footnote • dose: 5-20mcg/min IV * moa: [...] * pros: rapid on/off, increase coronary flow * cons: tachycardia * use: ACS, CHF
BP Med Nitroglycerin: ## Footnote • dose: 5-20mcg/min IV * moa: **veno \> arteriodilator** * pros: rapid on/off, increase coronary flow * cons: tachycardia * use: ACS, CHF LV dysf + pulmonary edema = CHF
39
BP Med Nitroglycerin: ## Footnote • dose: 5-20mcg/min IV * moa: veno \> arteriodilator * pros: [...] * cons: tachycardia * use: ACS, CHF
BP Med Nitroglycerin: ## Footnote • dose: 5-20mcg/min IV * moa: veno \> arteriodilator * pros: **rapid on/off, increase coronary flow** * cons: tachycardia * use: ACS, CHF LV dysf + pulmonary edema = CHF
40
BP Med Nitroglycerin: ## Footnote • dose: 5-20mcg/min IV * moa: veno \> arteriodilator * pros: rapid on/off, increase coronary flow * cons: [...] * use: ACS, CHF
BP Med Nitroglycerin: ## Footnote • dose: 5-20mcg/min IV * moa: veno \> arteriodilator * pros: rapid on/off, increase coronary flow * cons: **tachycardia** * use: ACS, CHF LV dysf + pulmonary edema = CHF
41
BP Med Nitroglycerin: ## Footnote • dose: 5-20mcg/min IV * moa: veno \> arteriodilator * pros: rapid on/off, increase coronary flow * cons: tachycardia * use: [...], CHF
BP Med Nitroglycerin: ## Footnote • dose: 5-20mcg/min IV * moa: veno \> arteriodilator * pros: rapid on/off, increase coronary flow * cons: tachycardia * use: **ACS**, CHF LV dysf + pulmonary edema = CHF
42
BP Med Nitroglycerin: ## Footnote • dose: 5-20mcg/min IV * moa: veno \> arteriodilator * pros: rapid on/off, increase coronary flow * cons: tachycardia * use: ACS, [...]
BP Med Nitroglycerin: ## Footnote • dose: 5-20mcg/min IV * moa: veno \> arteriodilator * pros: rapid on/off, increase coronary flow * cons: tachycardia * use: ACS, **CHF** LV dysf + pulmonary edema = CHF
43
BP Med Nitroprusside ## Footnote * dose: [...] * moa: arterial \> venodilator * pros: effective, quick on/off * cons: tachycardia, coronary steal, cyanide tox * avoid: liver failure, increased ICP, pregnancy
BP Med Nitroprusside ## Footnote * dose: **0.5mcg/kg/min =\> titrate by 0.5mcg/kg/min** * moa: arterial \> venodilator * pros: effective, quick on/off * cons: tachycardia, coronary steal, cyanide tox * avoid: liver failure, increased ICP, pregnancy RARELY USED
44
BP Med Nitroprusside ## Footnote * dose: 0.5mcg/kg/min =\> titrate by 0.5mcg/kg/min * moa: [...] * pros: effective, quick on/off * cons: tachycardia, coronary steal, cyanide tox * avoid: liver failure, increased ICP, pregnancy
BP Med Nitroprusside ## Footnote * dose: 0.5mcg/kg/min =\> titrate by 0.5mcg/kg/min * moa: **arterial \> venodilator** * pros: effective, quick on/off * cons: tachycardia, coronary steal, cyanide tox * avoid: liver failure, increased ICP, pregnancy RARELY USED
45
BP Med Nitroprusside ## Footnote * dose: 0.5mcg/kg/min =\> titrate by 0.5mcg/kg/min * moa: arterial \> venodilator * pros: [...] * cons: tachycardia, coronary steal, cyanide tox * avoid: liver failure, increased ICP, pregnancy
BP Med Nitroprusside ## Footnote * dose: 0.5mcg/kg/min =\> titrate by 0.5mcg/kg/min * moa: arterial \> venodilator * pros: **effective, quick on/off** * cons: tachycardia, coronary steal, cyanide tox * avoid: liver failure, increased ICP, pregnancy RARELY USED
46
BP Med Nitroprusside ## Footnote * dose: 0.5mcg/kg/min =\> titrate by 0.5mcg/kg/min * moa: arterial \> venodilator * pros: effective, quick on/off * cons: [...], coronary steal, cyanide tox * avoid: liver failure, increased ICP, pregnancy
BP Med Nitroprusside ## Footnote * dose: 0.5mcg/kg/min =\> titrate by 0.5mcg/kg/min * moa: arterial \> venodilator * pros: effective, quick on/off * cons: **tachycardia**, coronary steal, cyanide tox * avoid: liver failure, increased ICP, pregnancy RARELY USED
47
BP Med Nitroprusside ## Footnote * dose: 0.5mcg/kg/min =\> titrate by 0.5mcg/kg/min * moa: arterial \> venodilator * pros: effective, quick on/off * cons: tachycardia, [...], cyanide tox * avoid: liver failure, increased ICP, pregnancy
BP Med Nitroprusside ## Footnote * dose: 0.5mcg/kg/min =\> titrate by 0.5mcg/kg/min * moa: arterial \> venodilator * pros: effective, quick on/off * cons: tachycardia, **coronary steal**, cyanide tox * avoid: liver failure, increased ICP, pregnancy RARELY USED
48
BP Med Nitroprusside ## Footnote * dose: 0.5mcg/kg/min =\> titrate by 0.5mcg/kg/min * moa: arterial \> venodilator * pros: effective, quick on/off * cons: tachycardia, coronary steal, [...] * avoid: liver failure, increased ICP, pregnancy
BP Med Nitroprusside ## Footnote * dose: 0.5mcg/kg/min =\> titrate by 0.5mcg/kg/min * moa: arterial \> venodilator * pros: effective, quick on/off * cons: tachycardia, coronary steal, **cyanide tox** * avoid: liver failure, increased ICP, pregnancy RARELY USED
49
BP Med Nitroprusside ## Footnote * dose: 0.5mcg/kg/min =\> titrate by 0.5mcg/kg/min * moa: arterial \> venodilator * pros: effective, quick on/off * cons: tachycardia, coronary steal, cyanide tox * avoid: [...], increased ICP, pregnancy
BP Med Nitroprusside ## Footnote * dose: 0.5mcg/kg/min =\> titrate by 0.5mcg/kg/min * moa: arterial \> venodilator * pros: effective, quick on/off * cons: tachycardia, coronary steal, cyanide tox * avoid: **liver failure**, increased ICP, pregnancy RARELY USED
50
BP Med Nitroprusside ## Footnote * dose: 0.5mcg/kg/min =\> titrate by 0.5mcg/kg/min * moa: arterial \> venodilator * pros: effective, quick on/off * cons: tachycardia, coronary steal, cyanide tox * avoid: liver failure, [...], pregnancy
BP Med Nitroprusside ## Footnote * dose: 0.5mcg/kg/min =\> titrate by 0.5mcg/kg/min * moa: arterial \> venodilator * pros: effective, quick on/off * cons: tachycardia, coronary steal, cyanide tox * avoid: liver failure, **increased ICP**, pregnancy RARELY USED
51
BP Med Nitroprusside ## Footnote * dose: 0.5mcg/kg/min =\> titrate by 0.5mcg/kg/min * moa: arterial \> venodilator * pros: effective, quick on/off * cons: tachycardia, coronary steal, cyanide tox * avoid: liver failure, increased ICP, [...]
BP Med Nitroprusside ## Footnote * dose: 0.5mcg/kg/min =\> titrate by 0.5mcg/kg/min * moa: arterial \> venodilator * pros: effective, quick on/off * cons: tachycardia, coronary steal, cyanide tox * avoid: liver failure, increased ICP, **pregnancy** RARELY USED
52
BP meds in Stroke/TIA setting: ## Footnote * [...] * labetalol * esmolol
BP meds in Stroke/TIA setting: * **nicardipine** * labetalol * esmolol
53
BP meds in Stroke/TIA setting: ## Footnote * nicardipine * [...] * esmolol
BP meds in Stroke/TIA setting: ## Footnote * nicardipine * **labetalol** * esmolol
54
BP meds in Stroke/TIA setting: ## Footnote * nicardipine * labetalol * [...]
BP meds in Stroke/TIA setting: * nicardipine * labetalol * **esmolol**
55
BP meds scenarios: ## Footnote * neuro sx: [...] // IV labetalol * hemorrhagic stroke: IV nicardipine * ischemic stroke: +/- permissive htn (\<220/120) * aortic dissection: IV esmolol // labetalol, +/- IV nicardipine, +/- IV nitroprusside * MI: IV nitroglycerin, +/- IV metoprolol * pulmonary edema: IV nitroglycerin, +/- IV lasix * renal insufficiency: IV nicardipine // IV labetalol
BP meds scenarios: ## Footnote * neuro sx: **IV nicardipine** // IV labetalol * hemorrhagic stroke: IV nicardipine * ischemic stroke: +/- permissive htn (\<220/120) * aortic dissection: IV esmolol // labetalol, +/- IV nicardipine, +/- IV nitroprusside * MI: IV nitroglycerin, +/- IV metoprolol * pulmonary edema: IV nitroglycerin, +/- IV lasix * renal insufficiency: IV nicardipine // IV labetalol
56
BP meds scenarios: ## Footnote * neuro sx: IV nicardipine // [...] * hemorrhagic stroke: IV nicardipine * ischemic stroke: +/- permissive htn (\<220/120) * aortic dissection: IV esmolol // labetalol, +/- IV nicardipine, +/- IV nitroprusside * MI: IV nitroglycerin, +/- IV metoprolol * pulmonary edema: IV nitroglycerin, +/- IV lasix * renal insufficiency: IV nicardipine // IV labetalol
BP meds scenarios: ## Footnote * neuro sx: IV nicardipine // **IV labetalol** * hemorrhagic stroke: IV nicardipine * ischemic stroke: +/- permissive htn (\<220/120) * aortic dissection: IV esmolol // labetalol, +/- IV nicardipine, +/- IV nitroprusside * MI: IV nitroglycerin, +/- IV metoprolol * pulmonary edema: IV nitroglycerin, +/- IV lasix * renal insufficiency: IV nicardipine // IV labetalol
57
BP meds scenarios: ## Footnote * neuro sx: IV nicardipine // IV labetalol * hemorrhagic stroke: [...] * ischemic stroke: +/- permissive htn (\<220/120) * aortic dissection: IV esmolol // labetalol, +/- IV nicardipine, +/- IV nitroprusside * MI: IV nitroglycerin, +/- IV metoprolol * pulmonary edema: IV nitroglycerin, +/- IV lasix * renal insufficiency: IV nicardipine // IV labetalol
BP meds scenarios: * neuro sx: IV nicardipine // IV labetalol * hemorrhagic stroke: **IV nicardipine** * ischemic stroke: +/- permissive htn (\<220/120) * aortic dissection: IV esmolol // labetalol, +/- IV nicardipine, +/- IV nitroprusside * MI: IV nitroglycerin, +/- IV metoprolol * pulmonary edema: IV nitroglycerin, +/- IV lasix * renal insufficiency: IV nicardipine // IV labetalol
58
BP meds scenarios: ## Footnote * neuro sx: IV nicardipine // IV labetalol * hemorrhagic stroke: IV nicardipine * ischemic stroke: +/- [...] * aortic dissection: IV esmolol // labetalol, +/- IV nicardipine, +/- IV nitroprusside * MI: IV nitroglycerin, +/- IV metoprolol * pulmonary edema: IV nitroglycerin, +/- IV lasix * renal insufficiency: IV nicardipine // IV labetalol
BP meds scenarios: * neuro sx: IV nicardipine // IV labetalol * hemorrhagic stroke: IV nicardipine * ischemic stroke: +/- **permissive htn (\<220/120)** * aortic dissection: IV esmolol // labetalol, +/- IV nicardipine, +/- IV nitroprusside * MI: IV nitroglycerin, +/- IV metoprolol * pulmonary edema: IV nitroglycerin, +/- IV lasix * renal insufficiency: IV nicardipine // IV labetalol
59
BP meds scenarios: ## Footnote * neuro sx: IV nicardipine // IV labetalol * hemorrhagic stroke: IV nicardipine * ischemic stroke: +/- permissive htn (\<220/120) * aortic dissection: [...], +/- IV nicardipine, +/- IV nitroprusside * MI: IV nitroglycerin, +/- IV metoprolol * pulmonary edema: IV nitroglycerin, +/- IV lasix * renal insufficiency: IV nicardipine // IV labetalol
BP meds scenarios: ## Footnote * neuro sx: IV nicardipine // IV labetalol * hemorrhagic stroke: IV nicardipine * ischemic stroke: +/- permissive htn (\<220/120) * aortic dissection: **IV esmolol // labetalol,** +/- IV nicardipine, +/- IV nitroprusside * MI: IV nitroglycerin, +/- IV metoprolol * pulmonary edema: IV nitroglycerin, +/- IV lasix * renal insufficiency: IV nicardipine // IV labetalol
60
BP meds scenarios: ## Footnote * neuro sx: IV nicardipine // IV labetalol * hemorrhagic stroke: IV nicardipine * ischemic stroke: +/- permissive htn (\<220/120) * aortic dissection: IV esmolol // labetalol, +/- [...], +/- IV nitroprusside * MI: IV nitroglycerin, +/- IV metoprolol * pulmonary edema: IV nitroglycerin, +/- IV lasix * renal insufficiency: IV nicardipine // IV labetalol
BP meds scenarios: ## Footnote * neuro sx: IV nicardipine // IV labetalol * hemorrhagic stroke: IV nicardipine * ischemic stroke: +/- permissive htn (\<220/120) * aortic dissection: IV esmolol // labetalol, +/- **IV nicardipine**, +/- IV nitroprusside * MI: IV nitroglycerin, +/- IV metoprolol * pulmonary edema: IV nitroglycerin, +/- IV lasix * renal insufficiency: IV nicardipine // IV labetalol
61
BP meds scenarios: ## Footnote * neuro sx: IV nicardipine // IV labetalol * hemorrhagic stroke: IV nicardipine * ischemic stroke: +/- permissive htn (\<220/120) * aortic dissection: IV esmolol // labetalol, +/- IV nicardipine, +/- [...] * MI: IV nitroglycerin, +/- IV metoprolol * pulmonary edema: IV nitroglycerin, +/- IV lasix * renal insufficiency: IV nicardipine // IV labetalol
BP meds scenarios: * neuro sx: IV nicardipine // IV labetalol * hemorrhagic stroke: IV nicardipine * ischemic stroke: +/- permissive htn (\<220/120) * aortic dissection: IV esmolol // labetalol, +/- IV nicardipine, +/- **IV nitroprusside** * MI: IV nitroglycerin, +/- IV metoprolol * pulmonary edema: IV nitroglycerin, +/- IV lasix * renal insufficiency: IV nicardipine // IV labetalol
62
BP meds scenarios: ## Footnote * neuro sx: IV nicardipine // IV labetalol * hemorrhagic stroke: IV nicardipine * ischemic stroke: +/- permissive htn (\<220/120) * aortic dissection: IV esmolol // labetalol, +/- IV nicardipine, +/- IV nitroprusside * MI: [...], +/- IV metoprolol * pulmonary edema: IV nitroglycerin, +/- IV lasix * renal insufficiency: IV nicardipine // IV labetalol
BP meds scenarios: ## Footnote * neuro sx: IV nicardipine // IV labetalol * hemorrhagic stroke: IV nicardipine * ischemic stroke: +/- permissive htn (\<220/120) * aortic dissection: IV esmolol // labetalol, +/- IV nicardipine, +/- IV nitroprusside * MI: **IV nitroglycerin**, +/- IV metoprolol * pulmonary edema: IV nitroglycerin, +/- IV lasix * renal insufficiency: IV nicardipine // IV labetalol
63
BP meds scenarios: ## Footnote * neuro sx: IV nicardipine // IV labetalol * hemorrhagic stroke: IV nicardipine * ischemic stroke: +/- permissive htn (\<220/120) * aortic dissection: IV esmolol // labetalol, +/- IV nicardipine, +/- IV nitroprusside * MI: IV nitroglycerin, +/- [...] * pulmonary edema: IV nitroglycerin, +/- IV lasix * renal insufficiency: IV nicardipine // IV labetalol
BP meds scenarios: ## Footnote * neuro sx: IV nicardipine // IV labetalol * hemorrhagic stroke: IV nicardipine * ischemic stroke: +/- permissive htn (\<220/120) * aortic dissection: IV esmolol // labetalol, +/- IV nicardipine, +/- IV nitroprusside * MI: IV nitroglycerin, +/- IV **metoprolol** * pulmonary edema: IV nitroglycerin, +/- IV lasix * renal insufficiency: IV nicardipine // IV labetalol
64
BP meds scenarios: ## Footnote * neuro sx: IV nicardipine // IV labetalol * hemorrhagic stroke: IV nicardipine * ischemic stroke: +/- permissive htn (\<220/120) * aortic dissection: IV esmolol // labetalol, +/- IV nicardipine, +/- IV nitroprusside * MI: IV nitroglycerin, +/- IV metoprolol * pulmonary edema: [...], +/- IV lasix * renal insufficiency: IV nicardipine // IV labetalol
BP meds scenarios: ## Footnote * neuro sx: IV nicardipine // IV labetalol * hemorrhagic stroke: IV nicardipine * ischemic stroke: +/- permissive htn (\<220/120) * aortic dissection: IV esmolol // labetalol, +/- IV nicardipine, +/- IV nitroprusside * MI: IV nitroglycerin, +/- IV metoprolol * pulmonary edema: **IV nitroglycerin**, +/- IV lasix * renal insufficiency: IV nicardipine // IV labetalol
65
BP meds scenarios: ## Footnote * neuro sx: IV nicardipine // IV labetalol * hemorrhagic stroke: IV nicardipine * ischemic stroke: +/- permissive htn (\<220/120) * aortic dissection: IV esmolol // labetalol, +/- IV nicardipine, +/- IV nitroprusside * MI: IV nitroglycerin, +/- IV metoprolol * pulmonary edema: IV nitroglycerin, +/- [...] * renal insufficiency: IV nicardipine // IV labetalol
BP meds scenarios: * neuro sx: IV nicardipine // IV labetalol * hemorrhagic stroke: IV nicardipine * ischemic stroke: +/- permissive htn (\<220/120) * aortic dissection: IV esmolol // labetalol, +/- IV nicardipine, +/- IV nitroprusside * MI: IV nitroglycerin, +/- IV metoprolol * pulmonary edema: IV nitroglycerin, +/- **IV lasix** * renal insufficiency: IV nicardipine // IV labetalol
66
BP meds scenarios: ## Footnote * neuro sx: IV nicardipine // IV labetalol * hemorrhagic stroke: IV nicardipine * ischemic stroke: +/- permissive htn (\<220/120) * aortic dissection: IV esmolol // labetalol, +/- IV nicardipine, +/- IV nitroprusside * MI: IV nitroglycerin, +/- IV metoprolol * pulmonary edema: IV nitroglycerin, +/- IV lasix * renal insufficiency: [...] // IV labetalol
BP meds scenarios: * neuro sx: IV nicardipine // IV labetalol * hemorrhagic stroke: IV nicardipine * ischemic stroke: +/- permissive htn (\<220/120) * aortic dissection: IV esmolol // labetalol, +/- IV nicardipine, +/- IV nitroprusside * MI: IV nitroglycerin, +/- IV metoprolol * pulmonary edema: IV nitroglycerin, +/- IV lasix * renal insufficiency: **IV nicardipine** // IV labetalol
67
BP meds scenarios: ## Footnote * neuro sx: IV nicardipine // IV labetalol * hemorrhagic stroke: IV nicardipine * ischemic stroke: +/- permissive htn (\<220/120) * aortic dissection: IV esmolol // labetalol, +/- IV nicardipine, +/- IV nitroprusside * MI: IV nitroglycerin, +/- IV metoprolol * pulmonary edema: IV nitroglycerin, +/- IV lasix * renal insufficiency: IV nicardipine // [...]
BP meds scenarios: * neuro sx: IV nicardipine // IV labetalol * hemorrhagic stroke: IV nicardipine * ischemic stroke: +/- permissive htn (\<220/120) * aortic dissection: IV esmolol // labetalol, +/- IV nicardipine, +/- IV nitroprusside * MI: IV nitroglycerin, +/- IV metoprolol * pulmonary edema: IV nitroglycerin, +/- IV lasix * renal insufficiency: IV nicardipine // **IV labetalol**
68
Bradycardic categories: ## Footnote SA node dysfunction: * [...] * sinus arrest * tachy-brady (sick sinus) AV node dysfunction: * 1st degree AV block * 2nd degree AV block- type I * 2nd degree AV block- type II * 3rd degree AV block (complete)
Bradycardic categories: SA node dysfunction: * **sinus brady** * sinus arrest * tachy-brady (sick sinus) AV node dysfunction: * 1st degree AV block * 2nd degree AV block- type I * 2nd degree AV block- type II * 3rd degree AV block (complete)
69
Bradycardic categories: ## Footnote SA node dysfunction: * sinus brady * [...] * tachy-brady (sick sinus) AV node dysfunction: * 1st degree AV block * 2nd degree AV block- type I * 2nd degree AV block- type II * 3rd degree AV block (complete)
Bradycardic categories: SA node dysfunction: * sinus brady * **sinus arrest** * tachy-brady (sick sinus) AV node dysfunction: * 1st degree AV block * 2nd degree AV block- type I * 2nd degree AV block- type II * 3rd degree AV block (complete)
70
Bradycardic categories: ## Footnote SA node dysfunction: * sinus brady * sinus arrest * [...] AV node dysfunction: * 1st degree AV block * 2nd degree AV block- type I * 2nd degree AV block- type II * 3rd degree AV block (complete)
Bradycardic categories: ## Footnote SA node dysfunction: * sinus brady * sinus arrest * **tachy-brady (sick sinus)** AV node dysfunction: * 1st degree AV block * 2nd degree AV block- type I * 2nd degree AV block- type II * 3rd degree AV block (complete)
71
Bradycardic categories: ## Footnote SA node dysfunction: * sinus brady * sinus arrest * tachy-brady (sick sinus) AV node dysfunction: * [...] * 2nd degree AV block- type I * 2nd degree AV block- type II * 3rd degree AV block (complete)
Bradycardic categories: ## Footnote SA node dysfunction: * sinus brady * sinus arrest * tachy-brady (sick sinus) AV node dysfunction: * **1st degree AV block** * 2nd degree AV block- type I * 2nd degree AV block- type II * 3rd degree AV block (complete)
72
Bradycardic categories: ## Footnote SA node dysfunction: * sinus brady * sinus arrest * tachy-brady (sick sinus) AV node dysfunction: * 1st degree AV block * [...] * 2nd degree AV block- type II * 3rd degree AV block (complete)
Bradycardic categories: ## Footnote SA node dysfunction: * sinus brady * sinus arrest * tachy-brady (sick sinus) AV node dysfunction: * 1st degree AV block * **2nd degree AV block- type I** * 2nd degree AV block- type II * 3rd degree AV block (complete)
73
Bradycardic categories: ## Footnote SA node dysfunction: * sinus brady * sinus arrest * tachy-brady (sick sinus) AV node dysfunction: * 1st degree AV block * 2nd degree AV block- type I * [...] * 3rd degree AV block (complete)
Bradycardic categories: SA node dysfunction: * sinus brady * sinus arrest * tachy-brady (sick sinus) AV node dysfunction: * 1st degree AV block * 2nd degree AV block- type I * **2nd degree AV block- type II** * 3rd degree AV block (complete)
74
Bradycardic categories: ## Footnote SA node dysfunction: * sinus brady * sinus arrest * tachy-brady (sick sinus) AV node dysfunction: * 1st degree AV block * 2nd degree AV block- type I * 2nd degree AV block- type II * [...]
Bradycardic categories: ## Footnote SA node dysfunction: * sinus brady * sinus arrest * tachy-brady (sick sinus) AV node dysfunction: * 1st degree AV block * 2nd degree AV block- type I * 2nd degree AV block- type II * **3rd degree AV block (complete)**
75
Bradycardic intervention is only necessary if [...].
Bradycardic intervention is only necessary if **the pt is symptomatic!**
76
Breathing can take [...]% of critically ill patient’s metabolism =\> intubating early will improve hemodynamics and therapy response.
Breathing can take **30**% of critically ill patient’s metabolism =\> intubating early will improve hemodynamics and therapy response.
77
Bronchiolitis high risk pts: ## Footnote * [...] * premature * immunodeficient * cardiac anomaly
Bronchiolitis high risk pts: ## Footnote * **\<12 weeks** * premature * immunodeficient * cardiac anomaly 12 Bed ICU mnemonic
78
Bronchiolitis high risk pts: ## Footnote * \<12 weeks * [...] * immunodeficient * cardiac anomaly
Bronchiolitis high risk pts: ## Footnote * \<12 weeks * **premature** * immunodeficient * cardiac anomaly 12 Bed ICU mnemonic
79
Bronchiolitis high risk pts: ## Footnote * \<12 weeks * premature * [...] * cardiac anomaly
Bronchiolitis high risk pts: ## Footnote * \<12 weeks * premature * **immunodeficient** * cardiac anomaly 12 Bed ICU mnemonic
80
Bronchiolitis high risk pts: ## Footnote * \<12 weeks * premature * immunodeficient * [...]
Bronchiolitis high risk pts: ## Footnote * \<12 weeks * premature * immunodeficient * **cardiac anomaly** 12 Bed ICU mnemonic
81
Bronchiolitis tx [...].
Bronchiolitis tx **nasal suctioning + O2 prn**. not indicated: duonebs, racemic epi, steroids
82
Brugada dispo: ## Footnote • [...]
Brugada dispo: ## Footnote **• admit for defibrillator placement** high risk for sudden death
83
Brugada EKG: ## Footnote * [...] * saddleback ST V1-V
Brugada EKG: ## Footnote * coved ST V1-V3 * saddleback ST V1-V
84
Brugada EKG: ## Footnote * coved ST V1-V3 * [...]
Brugada EKG: * coved ST V1-V3 * **saddleback ST V1-V3**
85
Brugada Syndrome occurs due to [...].
Brugada Syndrome occurs due to **Na channel disorder**.
86
Brugada young healthy pt prx: ## Footnote * [...] * frequent syncope
Brugada young healthy pt prx: * **EKG changes/RBBB** * frequent syncope
87
Brugada young healthy pt prx: ## Footnote * EKG changes/RBBB * [...]
Brugada young healthy pt prx: ## Footnote * EKG changes/RBBB * **frequent syncope** saddle back ST
88
Canadian Head CT rule: ## Footnote * [...] * blood thinners * seizure s/p injury * GCS \<15 * skull fracture * vomiting * age \>65 * retrograde amnesia * dangerous mechanism * ANY above criteria = CT
Canadian Head CT rule: * **age \<16** * blood thinners * seizure s/p injury * GCS \<15 * skull fracture * vomiting * age \>65 * retrograde amnesia * dangerous mechanism * ANY above criteria = CT
89
Canadian Head CT rule: ## Footnote * age \<16 * [...] * seizure s/p injury * GCS \<15 * skull fracture * vomiting * age \>65 * retrograde amnesia * dangerous mechanism * ANY above criteria = CT
Canadian Head CT rule: * age \<16 * **blood thinners** * seizure s/p injury * GCS \<15 * skull fracture * vomiting * age \>65 * retrograde amnesia * dangerous mechanism * ANY above criteria = CT
90
Canadian Head CT rule: ## Footnote * age \<16 * blood thinners * [...] * GCS \<15 * skull fracture * vomiting * age \>65 * retrograde amnesia * dangerous mechanism * ANY above criteria = CT
Canadian Head CT rule: ## Footnote * age \<16 * blood thinners * **seizure s/p injury** * GCS \<15 * skull fracture * vomiting * age \>65 * retrograde amnesia * dangerous mechanism * ANY above criteria = CT
91
Canadian Head CT rule: ## Footnote * age \<16 * blood thinners * seizure s/p injury * [...] * skull fracture * vomiting * age \>65 * retrograde amnesia * dangerous mechanism * ANY above criteria = CT
Canadian Head CT rule: * age \<16 * blood thinners * seizure s/p injury * **GCS \<15** * skull fracture * vomiting * age \>65 * retrograde amnesia * dangerous mechanism * ANY above criteria = CT
92
Canadian Head CT rule: ## Footnote * age \<16 * blood thinners * seizure s/p injury * GCS \<15 * [...] * vomiting * age \>65 * retrograde amnesia * dangerous mechanism * ANY above criteria = CT
Canadian Head CT rule: * age \<16 * blood thinners * seizure s/p injury * GCS \<15 * **skull fracture** * vomiting * age \>65 * retrograde amnesia * dangerous mechanism * ANY above criteria = CT
93
Canadian Head CT rule: ## Footnote * age \<16 * blood thinners * seizure s/p injury * GCS \<15 * skull fracture * [...] * age \>65 * retrograde amnesia * dangerous mechanism * ANY above criteria = CT
Canadian Head CT rule: * age \<16 * blood thinners * seizure s/p injury * GCS \<15 * skull fracture * **vomiting** * age \>65 * retrograde amnesia * dangerous mechanism * ANY above criteria = CT
94
Canadian Head CT rule: ## Footnote * age \<16 * blood thinners * seizure s/p injury * GCS \<15 * skull fracture * vomiting * [...] * retrograde amnesia * dangerous mechanism * ANY above criteria = CT
Canadian Head CT rule: ## Footnote * age \<16 * blood thinners * seizure s/p injury * GCS \<15 * skull fracture * vomiting * **age \>65** * retrograde amnesia * dangerous mechanism * ANY above criteria = CT
95
Canadian Head CT rule: ## Footnote * age \<16 * blood thinners * seizure s/p injury * GCS \<15 * skull fracture * vomiting * age \>65 * [...] * dangerous mechanism * ANY above criteria = CT
Canadian Head CT rule: * age \<16 * blood thinners * seizure s/p injury * GCS \<15 * skull fracture * vomiting * age \>65 * **retrograde amnesia** * dangerous mechanism * ANY above criteria = CT
96
Canadian Head CT rule: ## Footnote * age \<16 * blood thinners * seizure s/p injury * GCS \<15 * skull fracture * vomiting * age \>65 * retrograde amnesia * [...] * ANY above criteria = CT
Canadian Head CT rule: * age \<16 * blood thinners * seizure s/p injury * GCS \<15 * skull fracture * vomiting * age \>65 * retrograde amnesia * **dangerous mechanism** * ANY above criteria = CT
97
Candidiasis tx: (+ doses) ## Footnote • [...]
Candidiasis tx: (+ doses) **• fluconazole 150mg PO x1**
98
CAP tx: (+doses) ## Footnote * low risk: [...] // doxy // azithro * high risk: augmentin // ceftriaxone AND doxy // azithro
CAP tx: (+doses) ## Footnote * low risk: **amox** // doxy // azithro * high risk: augmentin // ceftriaxone AND doxy // azithro low risk= mono therapy high risk= dual therapy
99
CAP tx: (+doses) ## Footnote * low risk: amox // [...] // azithro * high risk: augmentin // ceftriaxone AND doxy // azithro
CAP tx: (+doses) ## Footnote * low risk: amox // **doxy** // azithro * high risk: augmentin // ceftriaxone AND doxy // azithro low risk= mono therapy high risk= dual therapy
100
CAP tx: (+doses) ## Footnote * low risk: amox // doxy // [...] * high risk: augmentin // ceftriaxone AND doxy // azithro
CAP tx: (+doses) ## Footnote * low risk: amox // doxy // **azithro** * high risk: augmentin // ceftriaxone AND doxy // azithro low risk= mono therapy high risk= dual therapy
101
CAP tx: (+doses) ## Footnote * low risk: amox // doxy // azithro * high risk: [...] AND doxy // azithro
CAP tx: (+doses) ## Footnote * low risk: amox // doxy // azithro * high risk: **augmentin** // ceftriaxone AND doxy // azithro low risk= mono therapy high risk= dual therapy
102
CAP tx: (+doses) ## Footnote * low risk: amox // doxy // azithro * high risk: augmentin // ceftriaxone AND [...]
CAP tx: (+doses) ## Footnote * low risk: amox // doxy // azithro * high risk: augmentin // **ceftriaxone AND doxy // azithro** low risk= mono therapy high risk= dual therapy
103
Cardiac CP INITIAL tx: (+ doses) ## Footnote * [...] * nitroglycern 0.4mg sublingual Q5min x3 * O2 (for O2% \<90)
Cardiac CP INITIAL tx: (+ doses) ## Footnote * aspirin 325mg PO * nitroglycern 0.4mg sublingual Q5min x3 * O2 (for O2% \<90)
104
Cardiac CP INITIAL tx: (+ doses) ## Footnote * aspirin 325mg PO * [...] * O2 (for O2% \<90)
Cardiac CP INITIAL tx: (+ doses) ## Footnote * aspirin 325mg PO * **nitroglycern 0.4mg sublingual Q5min x3** * O2 (for O2% \<90)
105
Cardiac CP INITIAL tx: (+ doses) ## Footnote * aspirin 325mg PO * nitroglycern 0.4mg sublingual Q5min x3 * [...]
Cardiac CP INITIAL tx: (+ doses) ## Footnote * aspirin 325mg PO * nitroglycern 0.4mg sublingual Q5min x3 * **O2 (for O2% \<90)**
106
Cardiac labs: ## Footnote * [...] * coags * troponin * +/- BNP * +/- d-dimer
Cardiac labs: ## Footnote * **CBC/CMP** * coags * troponin * +/- BNP * +/- d-dimer
107
Cardiac labs: ## Footnote * CBC/CMP * [...] * troponin * +/- BNP * +/- d-dimer
Cardiac labs: ## Footnote * CBC/CMP * **coags** * troponin * +/- BNP * +/- d-dimer
108
Cardiac labs: ## Footnote * CBC/CMP * coags * [...] * +/- BNP * +/- d-dimer
Cardiac labs: ## Footnote * CBC/CMP * coags * **troponin** * +/- BNP * +/- d-dimer
109
Cardiac labs: ## Footnote * CBC/CMP * coags * troponin * +/- [...] * +/- d-dimer
Cardiac labs: ## Footnote * CBC/CMP * coags * troponin * +/- **BNP** * +/- d-dimer
110
Cardiac labs: ## Footnote * CBC/CMP * coags * troponin * +/- BNP * +/- [...]
Cardiac labs: ## Footnote * CBC/CMP * coags * troponin * +/- BNP * +/- **d-dimer**
111
Centor Criteria: ## Footnote * [...] * exudate= 1 * ant cervical nodes= 1 * temp \>38C (100.4)= 1 * cough absent= 1 * 2+ = consider rapid strep test
Centor Criteria: * **age (3-14)= 1** * exudate= 1 * ant cervical nodes= 1 * temp \>38C (100.4)= 1 * cough absent= 1 * 2+ = consider rapid strep test
112
Centor Criteria: ## Footnote * age (3-14)= 1 * [...] * ant cervical nodes= 1 * temp \>38C (100.4)= 1 * cough absent= 1 * 2+ = consider rapid strep test
Centor Criteria: ## Footnote * age (3-14)= 1 * **exudate= 1** * ant cervical nodes= 1 * temp \>38C (100.4)= 1 * cough absent= 1 * 2+ = consider rapid strep test
113
Centor Criteria: ## Footnote * age (3-14)= 1 * exudate= 1 * [...] * temp \>38C (100.4)= 1 * cough absent= 1 * 2+ = consider rapid strep test
Centor Criteria: ## Footnote * age (3-14)= 1 * exudate= 1 * **ant cervical nodes= 1** * temp \>38C (100.4)= 1 * cough absent= 1 * 2+ = consider rapid strep test
114
Centor Criteria: ## Footnote * age (3-14)= 1 * exudate= 1 * ant cervical nodes= 1 * [...] * cough absent= 1 * 2+ = consider rapid strep test
Centor Criteria: * age (3-14)= 1 * exudate= 1 * ant cervical nodes= 1 * **temp \>38C (100.4)= 1** * cough absent= 1 * 2+ = consider rapid strep test
115
Centor Criteria: ## Footnote * age (3-14)= 1 * exudate= 1 * ant cervical nodes= 1 * temp \>38C (100.4)= 1 * [...] * 2+ = consider rapid strep test
Centor Criteria: ## Footnote * age (3-14)= 1 * exudate= 1 * ant cervical nodes= 1 * temp \>38C (100.4)= 1 * **cough absent= 1** * 2+ = consider rapid strep test
116
Centor Criteria: ## Footnote * age (3-14)= 1 * exudate= 1 * ant cervical nodes= 1 * temp \>38C (100.4)= 1 * cough absent= 1 * 2+ = [...]
Centor Criteria: ## Footnote * age (3-14)= 1 * exudate= 1 * ant cervical nodes= 1 * temp \>38C (100.4)= 1 * cough absent= 1 * 2+ = **consider rapid strep test**
117
Central Retinal Artery Occlusion prx: ## Footnote * [...] * cherry red spot on macula * whitening of retina * hx of risk factors (afib)
Central Retinal Artery Occlusion prx: ## Footnote * **painless unilateral loss of vision** * cherry red spot on macula * whitening of retina * hx of risk factors (afib)
118
Central Retinal Artery Occlusion prx: ## Footnote * painless unilateral loss of vision * [...] * whitening of retina
Central Retinal Artery Occlusion prx: ## Footnote * painless unilateral loss of vision * **cherry red spot on macula** * whitening of retina * hx of risk factors (afib)
119
Central Retinal Artery Occlusion prx: ## Footnote * painless unilateral loss of vision * cherry red spot on macula * [...] * hx of risk factors (afib)
Central Retinal Artery Occlusion prx: * painless unilateral loss of vision * cherry red spot on macula * **whitening of retina** * hx of risk factors (afib)
120
Central Retinal Artery Occlusion prx: ## Footnote * painless unilateral loss of vision * cherry red spot on macula * whitening of retina * [...]
Central Retinal Artery Occlusion prx: ## Footnote * painless unilateral loss of vision * cherry red spot on macula * whitening of retina * **hx of risk factors (afib)**
Emergency Medicine
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