Treatments 3 Flashcards Preview

Medications > Treatments 3 > Flashcards

Flashcards in Treatments 3 Deck (115)
Loading flashcards...
1

Trauma assessment, primary

ABCDE
Airway (ET/cricothyroid)
Breathing (O2, pulse ox, ventilation, pneumothorax)
Circulation (pulse, vitals, IVF x2 PIVs or central line, bleeding)
Disability (GCS, glucose)
Exposure (remove clothes, DRE/Foley, blanket)

2

Trauma assessment, secondary

Reassess ABCs
DRE/Foley (not if high riding prostate/blood at urethral meatus)
NGT placement
Hx
Head-to-toe exam
Examine back, remove backboard
X-rays, FAST, CT, labs, fx management

3

Lower ICP

Head of bed at 30 degrees
Mannitol IV (q6 hrs Na and osmolarity)
Intubate and hyperventilate (temp relief)
Decompressive craniectomy
Ventriculostomy, barbiturate coma, paralysis

4

Neck trauma, zone I

Clavicles to cricoid
CT angiogram, EGD, bronchoscopy, laryngoscopy

5

Neck trauma, zone II

Cricoid to angle of mandible
Surgical exploration

6

Neck trauma, zone III

Angle of mandible to base of skull
CT angiogram, EGD, bronchoscopy, laryngoscopy

7

Abdominal trauma, penetrating injury

(Emergent) exploratory laparotomy

8

Pelvic fx + DPL shows blood in pelvis

Emergent laparotomy

9

Pelvix fx + DPL shows urine in pelvis

Urgent laparotomy (bladder repair)

10

Pelvic fx + DPL shows nothing + hemodynamically unstable

Angiography + possible embolization

11

BAT + unstable vital signs + FAST shows fluid in pelvis

Emergent laparotomy

12

BAT + unstable vital signs + FAST shows no fluid in pelvis

Angiography + possible embolization

13

BAT + unstable vital signs + FAST inconclusive

DPL

14

BAT + stable vital signs

CT abdomen/pelvis, observation

15

Tension pneumothorax

Immediate chest tube placement
Needle decompression if CT delayed (2/3rd IC space mid-clavicular or 5th IC midaxillary)

16

Flail chest

O2
BiPAP or ET
Analgesia

17

Gonorrhea prophylaxis

Ceftriaxone 125 mg IM

18

Chlamydia prophylaxis

Azithromycin 1 g PO or
Doxycycline 100 mg PO bid x7 days

19

Trichomonas prophylaxis

Metronidazole 2 mg PO

20

Post-op to improve pulmonary fxn

Incentive spirometry
Deep breathing exercises
PT
Analgesia

21

Pre-op labs concerning for liver disease

Increased PT/PTT
Decreased platelets
Decreased albumin
Increased bilirubin

22

Obstruction (abdominal)

Surgical lysis of adhesions

23

Diverticulitis

Metronidazole and fluoroquinolone (PO outpatient or IV inpatient)

24

Massive GI hemorrhage (perforation)

Angiography w/ embolization, surgical repair of detectable site of bleeding

25

Appendicitis

Appendectomy

26

Acute mesenteric ischemia

NPO
NG tube
Antibiotics
Resection of necrotic bowel

27

Malignant hyperthermia

Evaporative cooling
Dantrolene
Cold inhaled O2, GI lavage, IV fluids

28

Chronic mesenteric ischemia

Bypass, endarectomy, or angioplasty and stenting

29

Graft vs. host disease

Corticosteroids
Tacrolimus, mycophenolate

30

Hyperacute transplant rejection

(First 24 hrs)
Untreatable