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Medicine > Floor management 3 > Flashcards

Floor management 3 Flashcards

1
Q

How to estimate intravascular volume

A

Mucous membranes
Peripheral edema
UOP

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2
Q

another option for encouraging BM

A

magnesium citrate

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3
Q

management of line DVT

A

warm compress

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4
Q

wound dressing ointment

A

xeroform (petrolatum)

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5
Q

classifying severity of c diff

A

Age greater than 65
AKI
WBC greater than 15
Albumin less than 3

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6
Q

vasculitis classificaiton

A

large – Takayasu + GCA
medium – PAN + kawasaki
small - ANCA positive (MPA, wagerer’s, churg-strauss) + immune complex (anti-GBM), cyroglobulinemia, HSP +
Variable – Behcets

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7
Q

other test for uremic encephalopathy

A

constructional apraxia with diamond drawing

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8
Q

what to always consider with creatinine

A

patient’s weight

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9
Q

top 5 causes of CKD

A

1) diabetes
2) HTN but not in isolation
3) chronic glomerulonephritis
4) interstitial disease
5) polycystic kidney disease

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10
Q

what to give to improve diuresis with loops

A

metolazone

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11
Q

lab cutoff for giving epo in ESRD patients

A

less than 22% TIBC

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12
Q

study accomplish trial

A

…

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13
Q

study hope trial

A

…

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14
Q

best initial screening for nephritic syndrome

A

C3,C4 + urine microscopy

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15
Q

interpreting blood and urine culturres

A

look at when culture becomes positive

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16
Q

goal when treating hepatic encephalopathy with lactulose

A

3 soft BM’s per day

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17
Q

evaluating alcohol withdrawal

A
  • need to ask history of withdrawal and gauge severity of withdrawal (kindling effect, brain becomes sensitized to withdrawal seizures)
  • stick tongue out, put hands out, ask about hallucinations
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18
Q

how to report vital signs

A

always give range

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19
Q

indications for steroids when treating pneumonia

A

Aspiration pneumonia

CAP

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20
Q

unasyn

A

ampicillin/sulbactam

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21
Q

common treatment for aspiration pneumonia

A

unasyn

22
Q

liver scoring?

A

…

23
Q

what to order if you don’t believe the creatinine

A

cystatin C

24
Q

standard steroid course for asthma/COPD exacerbation

A

5 days of 40 mg red

25
Q

what to know about bacteremia

A

total days of IV abx

26
Q

steroid equivalent for cortisol

A

5 prednisone

27
Q

lab to order to assess abscess risk

A

CRP

28
Q

hep c management

A

genotype

29
Q

how to monitor response to hep c

A

transaminitis suggests immunologic clearing of infection

30
Q

relation between obesity and BNP

A

inverse relationship

31
Q

duonebs

A

Ipratropium bromide / Albuterol

32
Q

symbicort

A

Budesonide / Formoterol

33
Q

oliguria definition

A

less than 30 cc/hr

34
Q

standard fluid resuscitation

A

2 L

35
Q

fluid losses due to insensible losses

A

700 cc/day

36
Q

fluid insensible losses with fever

A

2.5 ml per keg per day

37
Q

pancreatitis fluid adjustment

A

5-10 ml per kg per hr

titrated to hit of 35-40%

38
Q

what to call SNF’s in front of patients

A

facilities

39
Q

remember when discussing imaging

A

always pull up for team

40
Q

standard treatment of wernicke’s

A

3 days of thiamine 100 mg

41
Q

what to order for replacing potassium

A

potassium chloride 20 mEq

42
Q

capacity eval

A

awareness of 1) condition, 2) risks

43
Q

virus associated with acute liver failure

A

herpes

44
Q

other exam for hepatic encephalopathy

A

hold arms up and put hands together

45
Q

use of procalcitonin?

A

1) elevated suggests high risk for progression to sepsis
2) viral vs. bacterial pneumonia
3) amphetamine overdose

46
Q

indication for bactrim ppx with steroids

A

40 mg per day for over 1 month

47
Q

other pulmonary toileting option

A

flutter valve

48
Q

OPAT

A

outpatient parenteral antibiotic therapy

49
Q

dilution pattern to CBC

A

all cell lines are proportionally decreased

50
Q

DVT symptoms

A

Pain, swelling, redness, or warmth of affected area

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