Help
Options
Didn't know it?
click below
click below
Knew it?
click below
click below
Don't Know
Remaining cards (0)
Know
retry
shuffle
restart
0:00
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
Misc Emergency Med
Emergency Medicine
| Question | Answer |
|---|---|
| DKA vs HHNS | HHNS: no ketosis/acidosis; both: dehydration, hypotension |
| DKA labs | glucose >250, HCO3 <15, pH<7.3 |
| HHNS labs | glu >600, serum osmo >320; prerenal azotemia |
| DKA/HHNS tx | ABCs, cards monitor, pulse ox, O2, IV insulin |
| thyroid storm | monitor, cooling, tx dehydration, PTU, dexamethasone |
| myxedema coma testing | high TSH, low T4, low glucose/sodium /chloride; CXR: pulmo edema, lg card silhouette; EKG: brady, long PR, TWI |
| adrenal crisis labs: | low Na, high K+, hypoglycemia |
| sutures stay in for: | Face and Neck: 3–5 days; Trunk: 7–10 days; Upper extremities: 10–12 days; Lower extremities: 12–16 days |
| hypokalemia | areflexia, paralysis, ortho hypotension, ileus; EKG: U waves, ST flattening, TWI, ST depression |
| hyperkalemia | short QT, wide QRS, peaked TW; bicarb; Ca CO3 / Ca gluconate; IV insulin/glucose |
| Rumack-Matthew nomogram assesses: | APAP toxicity level |
| ASA tox dx/tx | tachy, hyperpnea/resp alkalosis, metab acidosis, hyperthermia; charcoal, IV urine alkalization, HD? |
| cocaine tox tx | NO beta blockers; tx w/benzos |
| methanol / ethylene glycol toxicity tx | gastric lavage in 1st 2 hrs; ethanol or 4-MP; HD if severe |
| For general OD: coma cocktail = | glucose, thiamine, naloxone, and O2 |
| ketosis without acidosis may be due to: | isopropyl toxicity |
| hot as a hare, dry as a bone, mad as a hatter, blind as a bat = | anticholinergic toxicity (benadryl, flexeril, atropine, cogentin); tx with charcoal, poss physostigmine |
| AMPLE | Allergy/Airway; Medications; PMHx; Last meal; Event: what happened? |
| Venomous members of crotaline snake family include: | Pit vipers: rattlesnakes, copperheads, water moccasins |
| Pit viper venom | Enzyme mixture causing coagulopathy and neuromuscular dysfunction (CN weakness, resp failure, AMS) |
| Elapid snake venom is: | coral snakes: neurotoxin |
| SLUDGE syndrome | Seen in plant/mushroom toxicity: salivation, lacrimation, urination, defecation, GI hypermotility, emesis |
| Hypothermia definition | Core temp of <35C (95F) |
| ECG changes seen in hypothermia | T-wave inversion. PR/QRS/QT prolongation. Osborn (J) wave. May also see sinus brady, AVB, AF/flutter, PVCs, V fib |
| 1st degree frostbite | edema, burning, erythema, stinging |
| 2nd degree frostbite | 1st degree symptoms plus blistering |
| 3rd degree frostbite | involves deeper layers of skin; hemorrhagic blisters; necrosis; blue-gray discoloration |
| 4th degree frostbite | involves deep tissue injuries of subcutaneous tissue, muscle, bone |
| Frostbite mgmt | Rapid rewarming in water at 107F. Pain control. Pen G 500,000U Q6h x48-72h. ABCs, ECG. Leave hemorrhagic blisters intact. |
Created by:
Abarnard
Popular Medical sets