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Flashcards in Even more GI! Deck (20):
1

If pt w/ pancreatitis has >30% pancreatic necrosis what must be done?

give Abx and biopsy

2

What Abx is best for necrotic poancreas?

Imipenem

3

If pancreatic biopsy shows infection, what do you do next?

debride!

4

tPA can only be given in an ischemic stroke if administered w/in ___ hrs.

3

5

If person w/ ischemic stroke presents after 3 hrs, what do you give them?

aspirin

6

What do you give a person who has an ischemic stroke while on aspirin?

add dipyridamole or switch to clopidogrel

7

In what 2 situation would you give heparin to a pt w/ an ischemic stroke?

A-fib or Basilar artery infarct

8

Why is Ticlopidine always the wrong answer?

neutropenia, TTP

9

If a person under 50 has an ischemic stroke what two types of conditions must be investigated?

vasculitis and hypercoagulability states

10

Does hypo- or hypercalcemia cause seizures?

hypocalcemia (overactivity like carpopedal spasm)

11

Does hypo- or hypernatremia cause seizures?

both!

12

What is the frist drug to give if a pt. is in status epilepticus?

benzo

13

Pt is in status epilepticus and lorazepam didn't work, what do you give next? If that doesn't work, what next? What after that?

fosphenytoin
phenobarbitol
general anesthesia

14

What drugs are used for anesthesia induction after 60-90 mins of status epilepticus?

midazolam or propafol

15

Under what limited circumstances would you put a pt w/ a first-time seizure on long-term therapy?

-status epilepticus
-abnormal EEG
-strong fam HX

16

What are 4 characteristic Sx of phenytoin toxicity?

vertical nystagmus, vertigo, ataxia, gingival hyperplasia

17

Warfarin skin necrosis is d/t a deficiency of ______.

Protein C

18

At what age can routine screening mammographies be stopped?

75

19

When can you stop Pap smears?

beyond 65 after 3 consecutaive negative Pap smears

20

If a pt has low risk of coronary artery disease, do you have to check fasting lipids regularly?

no