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Flashcards in Emergency Medicine Deck (286)
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1

Class of drugs that may cause syndrome of muscle rigidity, hyperthermia, autonomic instability, EPS

Antipsychotics- neuroleptic malingnant syndrome

2

Side effect of corticosteroids

Acute mania, immunosuppression, thin skin, easy bruising, myopathies

3

Tx DTs

BDZ

4

Tx acetaminophen OD

N-acetylcystein

5

Tx opiod overdose

Naloxone

6

Tx BDZ OD

Flumazenil

7

Tx NMS and hyperthermia

Dantrolene

8

Tx malignant HTN

Nitroprusside

9

Tx afib

Rate control, rhythm conversion, anticoagulation

10

Tx SVT

Stable: rate control with carotid massage or other vagal stimulation
Unsuccessful: adenosine

11

Causes drug induced SLE

INH
Penicillamine
Hydralazine
Procainamide
Chlorpromazine
Methyldopa
Quinidine

12

Macrocytic megaloblastic anemia with neuro Sx

B12 def

13

Macrocytic megaloblastic anemia w/o neuro Sx

Folate def

14

Burn pt with cherry red, flushed skin and coma. SaO2 normal but carboxyhemoglobin elevated. Tx

CO poisoning- 100% O2 or hyperbaric O2 if poisoning severe or pt pregnant

15

Blood in urethral meatus or high riding prostate or perineal ecchymosis or blood in scrotum or pelvic fx

Bladder rupture or urethral injury

16

Test to r/o urethral injury

Retrograde cystourethrogram

17

Radiographic evidence of aortic disruption or dissection

Widened mediastinum (>8 cm), loss of aortic knob, pleural cap, tracheal dev to right, depression L main stem bronchus

18

Radiographic indications for surgery of acute abdomen

Free air under diaphragm, extravasation of contrast, severe bowel distention, space occupying lesion on CT, mesenteric occlusion on angiography

19

Most common organism in burn related infection

Pseudomonas- look for fruity smell or blue green color

20

Method of calculating fluid replacement in burn pts

Parkland formula: 24 hr fluid = 4 x kg x % BSA
50% over first 8 hrs and rest over 16 hrs

21

Acceptable urine output in trauma pt

50 cc/hr

22

Acceptable urine output in stable pt

30 cc/hr

23

Signs neurogenic shock

Hypotension and bradycardia

24

Signs of increased ICP (Cushing's triad)

HTN
Bradycardia
abnormal respirations

25

Dec CO, Dec PCWP, inc PVR

Hypovolemic shock

26

Dec CO, Inc PCWP, Inc PVR

Cardiogenic or obstructive shock

27

Inc CO, Dec PCWP, Dec PVR

Septic or anaphylactic shock

28

Tx septic shock

Fluids and broad spectrum abx
Give fluid until CVP=8
Pressors- NE or DA
Cultures before abc

29

Tx cardiogenic shock

Identify cause, pressors like dopamine if hypotensive or dobutamine if not hypotensive

30

Tx hypovolemic shock

Identify cause, isotonic (LR or NS) fluid and blood repletion in 3:1 ratio
NO PRESSORS