Hospitalist Med Word Scramble
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Question | Answer |
Hypertensive urgency: dx criteria | SBP > 180 or DBP > 120, w/o EOD |
Hypertensive emergency: dx criteria | SBP > 180 or DBP > 120 AND end organ damage (neuro, cardiac, renal, microangiopathic hemolytic anemia (MAHA), eclampsia |
Hypertensive urgency: tx algorithm | Lower bp in 24-48hr w/PO agents: 1. labetolol 200mg (esp in cva); 2. clonidine 0.2mg; 3. Captopril (if renal fn OK); 4. Hydralazine 10mg; 5. Nitropaste 1" |
Hypertensive emergency: tx algorithm | 1. labetolol (TOC in CVA); 2. nicardipine; 3. Nitro (good for ACS); 4. Nitroprusside (! cyanide tox if >24hr) |
CHF: tx algorithm | 111 |
Rising troponins in pt admitted to r/o MI: tx algorithm | 111 |
HTN crisis tx: avoid labetolol in: | CHF, brady, AV block |
Agitation tx | Haldol lactate: 2-5mg IM Q4-8hr prn; or 0.5-5mg PO BID-TID. ICU pt: 0.5-10mg IV, may rpt Q15-30min prn & titrate |
Hypokalemia: dx testing = | transtubular potassium gradient |
VINDICATE (DDx) | Vascular. Infection (or idiopathic). Neoplasm. Drugs. Inflammatory. Congenital / hereditary. Autoimmune. Trauma. Endocrine/metabolic |
Created by:
Abarnard
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