ER Flashcards by Cassie Newburg

parkland burn formula and what used for?

how miuch fluids to give to burn patient

4ml x body mass kg x % BSA

5 first 8 hours
5 next 16 hours

How well did you know this?

Not at all

Perfectly

concerns with electrical burn

cardiac dysrhythmias, neurological problems, compartment syndrome, myoglobinuria, rhabdo, renal failure, acidosis

How well did you know this?

Not at all

Perfectly

pulmonary pathology in patieht who had salt water drowning

pulmonary edema

How well did you know this?

Not at all

Perfectly

EKG abnl in hypthermia patient

j wave

How well did you know this?

Not at all

Perfectly

cocaine overdose HTN and tachycardia tx

alpha blocker, benzos

How well did you know this?

Not at all

Perfectly

antidote of aspirin

sodium bicarb

How well did you know this?

Not at all

Perfectly

antidote of acetaminophen

NAC

How well did you know this?

Not at all

Perfectly

antidote of opiods

naloxone/naltrexone

How well did you know this?

Not at all

Perfectly

antidote of benzos

flumazenil

How well did you know this?

Not at all

Perfectly

antidote of TCA

sodium bicarb

How well did you know this?

Not at all

Perfectly

antidote of atropine

physostigmine

How well did you know this?

Not at all

Perfectly

antidote of propranolol

atropine, glucagon, Ca, insulin/glucose

How well did you know this?

Not at all

Perfectly

antidote of dig

dig abd fragments

How well did you know this?

Not at all

Perfectly

antidote of cyanide

sodium thiosulfate, nitrates, hydroxycobalamine

How well did you know this?

Not at all

Perfectly

antidote of methemoglobin

methylene blue

How well did you know this?

Not at all

Perfectly

antidote of methanol

fomepizol

How well did you know this?

Not at all

Perfectly

antidote of isoniazid

vit B6

How well did you know this?

Not at all

Perfectly

antidote of heparin

protamine sulfate

How well did you know this?

Not at all

Perfectly

antidote of lead poisoning adults and children

adults - succimer

children: mod - succimer
severe - dimercaprol, CaNa2EDTA

How well did you know this?

Not at all

Perfectly

antidote of arsenic

dimercaprol, succimer, penicillamine

How well did you know this?

Not at all

Perfectly

antidote of organophosphates

atropine, pralidoxime

How well did you know this?

Not at all

Perfectly

antidote of CO

100% O2

How well did you know this?

Not at all

Perfectly

antidote of Copper

penicillamine

How well did you know this?

Not at all

Perfectly

antidote of iron

deferoxamine

How well did you know this?

Not at all

Perfectly

antidote of mercury

dimercaprol

antidote of tPA

aminocaprioc acid

overdose causing metabolic acidosis and retinal damage leading to blindness

methanol/ethylene glycol

presentation of aspirin overdose

tinnitus resp alk --> mixed resp alk and met acidosis with incr anion gap

tx for an MI due to cocaine overdose

benzo, CCB

vasopressor used in high doses optimize the alpha1 vasoconstriction

epi

vasopressor used ADH analog

vasopressin

vasopressor used best choice for anaphylactic shock

epi

vasopressor used best choice for septic shock

vasopressor used best choice for cardiogenic shock

dobutamine

vasopressor used cause vasoconstriction but with brady

phenylephrine

side effects from theophylline overdose

seizure, increased temp, decreased BP, tachyarrhythmias

next step with pelvic fracture and DPL shows blood in pelvis

emergent lap

next step with pelvic fx and DPL shows urine in pelvis

urgent lap

next step with pelvic fx and DPL shows nothing and hemodynamic instability

angio + embolization

EKG finding associated with hypothermia

j wave

hepatic disease lab findings preop

increased bili, decreased alb, increased PT/PTT, decreased platelets

measures of how severe hypotension is in shock

urine output, mental status

ER patient with blood in urethral meatus or high riding prostate makes you suspect...

urethral trauma or bladder rupture

rejection treatable with immunosuppressive, mechanism of rejection, time frame

acute antidonor T cell proliferation in recipient 6d - 1 year

SE of cyclosporine

nephrotoxic

SE of azathiprine

bone marrow suppression, leukopenia

SE of tacrolimus

nephrotoxic

SE of corticosteroids

cushingoid, osteoporosis, DM

SE of murmonab

leukopenia

SE of rapamycin

thrombocytopenia, hyperlipidemia

SE of mycophenalate

leukopenia, lymphoma, teratogenic

SE of antithymocyte globulin

deplete T cells

SE of hydroxychloroquine

visual disturbance

SE of thalidomide

phocomelia

H causes of PEA

hypothermia, H+, hypoxemia, hyper/hypo K, hypoglycemia, hypovolemia

T causes of PEA

trauma, tension pneumo, tamponade, toxins, thrombosis MI, thrombosis PE

time frame to stop warfarin prior to surgery

5 days

acceptable urine output in trauma patient

50 cc/hour

acceptable urine output in normal patient

30 cc/hour

radiographic study used to diagnose injury to urethra

retrograde cystourethrogram

signs of basilar skull fracture

raccoon eyes battle sign blood behind TM CSF from nose/ears

initial treatment for a child presenting with acute asthma attack

beta2 agonist | IV steroids

patient with Type 2 DM needs CT scan with IV contrast, what medication should be temporarily held?

metformin

patient who recently received a bone marrow transplant develops a rash, nausea, vomiting, bleeding from gums after brushing teeth. What should be suspected in this patient?

graft vs host disease

anatomic locations are options for immediate needle decompression of a tension pneumothorax?

2nd or 3rd space in mid clavicular line 4th or 5th space in mid axillary line

treatment for febrile seizures?

supportive, acetaminophen, NSAID

LUQ pain and referred left shoulder pain, signs and disease

kehr's sign | splenic rupture

Ecchymosis of the skin overlying the periumbilical area, signs and disease

cullen sign | pancreatitis

Beck's triad?

hypotension distant heart sounds distended neck veins sign of cardiac tamponade

ER Flashcards

(69 cards)