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Flashcards in Treatments 2 Deck (122)
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1

Burns

1st/minor 2nd degree - outpatient, antimicrobial agents (topical silver sulfadiazine or bacitracin)
2nd >10%, 3rd >2%, 2nd/3rd on hands, face, genitalia, major flexion areas - inpatient
2nd/3rd >25% or face - airway management

2

Drowning

Airway, supplemental O2, NG tube, maintain temp, admission for any symptoms of hypoxia

3

Choking

Active coughing
Heimlich if unable to breathe
Emergency tracheotomy if continued obstruction
Bronchoscopy for visualization and removal (IV corticosteroids first may decrease inflammation)

4

Heat exhaustion

Hyrdation, electrolyte replacement

5

Heat stroke

Cool patient, benzos if seizures

6

Hypothermia

Warm patient, treat arrhythmias/hypotension as needed

7

Snake bite

Immobilize extremity
Clean wound
Antivenin

8

Scorpion bite

Antivenin
Atropine / phenobarbital for symptoms

9

Black widow bite

Local wound care
Antivenin
24 hr observation for systemic symptoms
Benzos if symptoms

10

Brown recluse bite

Local wound care
Dapsone to prevent necrosis
Oral erythromycin if infx

11

Dog/cat bite

Irrigation
Tetanus and rabies prophylaxis
Antibiotics if infx
Leave open on arm/hand, cat bite; close on face

12

Human bite

Irrigation
Antibiotics (amoxicillin-clavulanate)

13

PUD

+H pylori: amoxicillin + clarithromycin + PPI
-H pylori: PPI/H2 blocker

14

BPH

Alpha 1 blockers (doxazosin, tamsulosin)
5-alpha reductase inhibitors (finasteride)
Possible surgery

15

Atherosclerosis

Prevention
Stop smoking
Control HTN
Control hyperglycemia
Control hypercholesteremia (statins, also have anti-inflammatory properties and stabilize plaques)
Diet low in fat and cholesterol

16

Lower LDL

Statins (best)
Ezetimibe
Bile acid resins
(Fibrates)

17

Lower TG

Fibrates
Omega 3 FA
Statins (minor)

18

Raise HDL

Niacin
Statins (minor)

19

Stable angina

Sublingual nitro (peripheral venous vasodilator, reduces preload, reduces myocardial O2 demand)
Also helps esophageal pain (GERD, spasm)

20

Prinzmetal angina (arterial vasospasm)

CCB (either type)
(also nitrates)

21

Unstable angina, acute

ABCs
MONA (O2 only in hypoxemic patients)
BB (if no heart failure; careful in COPD, asthma, DM)
Statin (preferably before PCI)
Antiplatelet therapy
Anticoagulant therapy
K>4, Mg>2

22

Unstable angina, home

BB, ASA, nitroglycerin, statin, antiplatelet (1-12 months), ACE/ARB (DM, CHF, HTN)

23

Unstable angina, nonresponsive to medications

PTCA (balloon catheter w/ or w/o stent)
NO fibrinolysis

24

Indications for CABG

Left main stenosis >50%
Three vessel disease
Hx CAD and DM

25

MI, acute

MONA
Anticoagulant (heparin/LMWH)
BB
Statin
Antiplatelet
K>4, Mg>2
PCI if possible (use LMWH, add Gp IIb/IIIa inhibitor to AP)
If no PCI available w/i 12 hrs, consider fibrinolysis w/ tPA (must be w/i 12 hrs, sooner is better)
Cath to see if PTCA/CABG needed

26

MI, home

ASA or clopidogrel
BB*
ACE*
Aldosterone antagonist
Statin*
*Improve mortality

27

Dressler syndrome

NSAIDs or ASA

28

1st degree heart block

None

29

2nd degree heart block, Mobitz type I (Wenckebach)

Adjust medication dose
None
Symptomatic bradycardia, maybe pacemaker

30

2nd degree heart block, Mobitz type II

Pacemaker (can progress to 3rd degree)