Emergency Medicine Flashcards Preview

Step 2 CK > Emergency Medicine > Flashcards

Flashcards in Emergency Medicine Deck (42):
0

Location to decompress pneumothorax

2nd intercostal space

1

Gcs for intubation

less than 8, intubate

2

Palpable radial pulse

80 mm

4

3 categories gcs
And points

Eyes
Verbal
Motor
4-5-6

5

location of source of inspiratory stridor vs expiratory stridor

inspiratory is supraglottic

6

Avpu assessment

Alert
Verbal stim
Pain
Unconscious

7

Chest pain Dx. 6 bad

PAPA PE

Pneumo
Acs
Pericarditis
Aortic aneurysm
PE
Esophageal rupture

8

V1 to v6

Anterior

9

1, avl v5 v6

Lateral

10

V1 v4r

Right

11

Percocet

Oxycodone and acetominophen

12

Norco

Hydrocodone and acetominophen

13

Cardiac arrest and vf or vt
6 steps

Cpr 2 min
Shock
Cpr and epi 2 min
Shock
Cpr and amiodarone

Alternate with epi and amiodarone

14

Asystole
3 steps

Cpr q2
Shock

Epi every 3 minutes

15

time window for gastric lavage

< 2 hours

50% of pills left at 1 hour
15% of pills left at 2 hours

16

sequence of acid-base abnormalities in aspirin OD (2)

1. respiratory alkalosis
2. metabolic acidosis (from lactate)

17

double substance OD
you give flumazenil with naloxone and seizure.

What are the substances?

benzoes and TCA

TCA causes seizures, benzo would normally suppress it

18

2 labs findings for CO poisoning for abg

low bicarb
low pH

19

tx for acetominophen >24 hours ago

no therapy

20

1st and 2nd drug in organophosphate poisoning

1. atropine
2. pralidoxime

21

what electrolyte abnormality causes digoxin toxicity

hypokalemia

but the toxicity causes hyperkalemia

22

best initial dx test for lead poisoning

+ free erythrocyte protoporphyrin

23

serum osmolality

2(Na) + BUN/2.8 +glucose/18

24

black widow lab abnormality

hypocalcemia

25

black widow tx (2)

calcium
antivenin

26

brown recluse tx (3)

debridement
steroids
dapsone

27

dog and cat bite pathogen

Pasteurella multicida

28

human bite pathogen

Eikenella corrodens

29

tx for all bites (2)

amoxicillin/clavulanate
tetanus vaccine if > 5 yrs

30

large brain hematoma management (step, rx, surgical intervention)

intubation, hyperventilation
mannitol
drainage

31

Mees lines, white hor. Lines on fingernails
N/v diarrhea

Arsenic

32

Arsenic poisoning antidote?

Dimercaprol

33

Almond scented breath, coma

Cyanide

34

Cyanide antidote

Hydroxocobalamine

35

Erethism

Reduced memory

36

Red hourglass on abdomen of spider

Black widow

37

what causes dig toxicity?

hypokalemia

38

hypothermia on EKG

J waves (before ST segment)

39

drowning tx

PP ventilation

NOT steroids or abx

40

indication and timing for precordial thump

41

only 2 indications for unsynchronized conversion

VF
pulseless VT

42

Gcs 3 scores

4 eyes
6 cylinder motor
Jackson 5 = verbal 5