Shift

Question 1

Fluids or no in acute sickle crisis?

Answer 1

No, acute chest is exacerbated by leaky vessels and edema

If you do: 75-100/hr of d5 1/2 NS for hypotonic fluids

Question 2

3 ppl that would die on a ventilator

Answer 2

DKA- kussmaul breathing
ASA overdose
Pulm HTN

Question 3

3 things to cause sickling

Answer 3

Dehydration
Temperature changes
Hypoxia

Athletes can’t congregate urine. Outside all day in heat and peeing out their volume

Question 4

Intubation stuff to get ready

Answer 4

Oral adjuncts 
Correct tube 
Suction 
LMA
Bvm
Boogie
VL

Question 5

pain regimen

Answer 5

1-2 extrastrength tylenol q8
500 mg naproxen BID
oxycodone 5 mg for a few days

Question 6

abx for open fracture?

Answer 6

hit or miss

Question 7

cirrhosis three big things to worry about

Answer 7

1. GIB
2. acute cirrhosis
   - pulm edema/resp distress
   - peripheral edema
   - lytes/cbc/BMP/PtPTT/lipase/type and screen/UA
   - infection concern? CXR, blood cx, urine cx
3. SBP - can just be fatigue symptom, paracentesis- Rocephin and check lytes!
4. infectious
5. varices

Question 8

PE labs

Answer 8

BNP
trops
LA
US right heart strain

Question 9

port taken out, concern fo rinfection, neck pain…

Answer 9

scan neck- LeMeires disease

Question 10

lantus peaks at what hour mark for hypoglcyemia?

Answer 10

20 hours

q2 hours should be done

Question 11

hyperkalemia work up needed

Answer 11

septic work up

insulin w/ aki

Question 12

QTc 500 = no zofran/compazine/phenergan so give…

Answer 12

12.5 benadryl

Question 13

preggo bleeder pearls

Answer 13

1. rhogam needed?
2. if neg nitrite, leukocyte but squames and bacteria=repeat UA
3. Placenta previa maybe? dotn do bimanual

Question 14

finger lac pearls

Answer 14

fracture?
foreign body?
what cut by?

Tourniqute the finger with rubber band, digital block, dermabond

Question 15

central cord syndrome pealrs

Answer 15

slip on MUD (mechanism picture there)
Motor > sensory
upper>lower extremtiies
Distal> proximal

Question 16

WHat diabetic drug can give ou euglycemic DKA?

Answer 16

sglt2 inhibtior

Question 17

what 2 clinical signs are very predicitive of DKA?

Answer 17

1. Kussmaul breathing

2. ketone smell

Question 18

What 2 things best presdict HF over leg swelling, orthopnea etc?

Answer 18

1. BNP

2. Ultrasound

Question 19

Glucose is low + WGMA=?

Answer 19

AKA

fluids and sugar

Question 20

Failed abx w/ possible UTI differential?

Answer 20

1. sterile pyuria
2. renal abscess
3. urethritis

Question 21

What are two things you want to correct before intuanting someone to prevent them coding?

Answer 21

Acidosis- bicarbonate

Hypotension- phenylephrine sticks

Question 22

3 things to look out for in sickle cellers?

Answer 22

1. Acute aplastic crisis if no retics
2. Acute chest
3. Sepsis

Question 23

Chances of cervical complication if CT negative and you take the c collar off?

Answer 23

0.05 percent

Question 24

3 post flu complications to look out for?

Answer 24

1. Lost vital PNA
2. Chest pain for cardiomyopathy
3. Dehydration no PO

Question 25

what are you doing with rovisgns that maes RLQ painful?

Answer 25

Pushing bowel contents over to that area

Question 26

How much MME in 3 days can I prescribe?

Answer 26

180

Question 27

What is weber fxs and what do you do

Answer 27

``` Weber A(closer to ankle) and b and c is fibular fractures. Possible cadillac splint and no. Weighbearing ```