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Rapid Review
Emergency Med
| Question | Answer |
|---|---|
| class of drugs that may cause syndrome of muscle rigidity, hyperthermia, autonomic instability, and extrapyramidal symptoms | antipsychotics |
| SE of corticosteroids | acute mania, immunosuppression, thin skin, osteoporosis, easy bruising, myopathies |
| TX for DTx | BZDs |
| TX for acetaminophen OD | N-acetylcysteine |
| TX for opiod OD | naloxone |
| TX for BZD OD | flumazenil |
| TX for neuroleptic malignant syndrome | dantrolene or bromocriptine |
| TX for malignant HTN | nitroprusside |
| tx of AF | rate control, rhythm conversion, anticoag |
| TX of SVT | rate control w/ carotid massage or other vagal stimulation |
| cuases of drug induced SLE | INH, penicillamine, hydralazine, procainamide |
| macrocytic, megaloblastic anemia w/ neurologic sx | B12 deficiency |
| macrocytic, megaloblastic anemia w/out neurologic sx | folate deficiency |
| burn pt presents w/ cherry-red flushed skin and coma. SaO2 is nl, but carboxyhemoglobin is elevated. TX? | Tx CO poisoning /w 100% oxy or w/ hyperbaric O2 if severe poisoning or pregnant |
| blood in the urethral meatus or high-riding prostate | bladder rupture or urethral injury |
| test to r/o urethral injury | retrograde cystourethrogram |
| radiographic evidence or aortic disruption or dissection | widened mediastinum (>8cm), loss of aortic knob, pleural cap, tracheal deviation to the right, depression of L main stem bronchus |
| radiographic indications for Sx in pts w/ acute abd | free air under the diaphragm, extravasation of contrast, severe bowl distention, space-occupying lesion (CT), mesenteric occlusion |
| [mc] organism in burn-related pts | pseudomonas |
| method of calculating fluid repletion in burn pts | parkland formula |
| acceptable urine output in trauma pt | 50 cc/hr |
| acceptable urine output in stable pt | 30 cc/hr |
| cannon 'a' waves | third-degree heart block |
| signs of neurogenic shock | hTN and brady |
| signs in inc ICP (cushing's triad) | HTN, brady, abnl resp |
| dec CO, dec PCWP, inc PVR | hypovolemic shock |
| dec CO, inc PCWP, inc PVR | cardiogenic shock |
| inc CO, dec PCWP, dec PVR | septic or anaphylactic shock |
| tx of septic shock | fluids and abx |
| tx of cardiogenic shock | identify cause; pressors |
| tx of hypovolemic shock | identify cuase; fluid and blood repletion |
| tx of anaphylactic shock | diphenhydramine or epi 1:1000 |
| supportive tx for ARDS | continue CPAP |
| signs of air embolism | pt w/ chest trauma who was previously stable suddenly dies |
| trauma series | AP chest, AP/lat Cspine, AP pelvis |
Created by:
fl_sun80
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