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ER/ICU/Surg 6 CC

Critical Care

QuestionAnswer
What are the antidotes to the following toxins?: antimuscarininc, anticholinergic agents Physostigmine
What are the antidotes to the following toxins?: benzos flumazenil
What are the antidotes to the following toxins?: TCAs sodium bicarb
What are the antidotes to the following toxins?: warfarin FFP (immediate results), vit K (takes time to work)
What are the antidotes to the following toxins?: methanol, ethylene glycol (antifreeze) Fomepizole, ehtanol
What are the antidotes to the following toxins?: arsenic Dimercaprol, succimer, and penicillamine
An 18yo man is found to have a systolic heart murmur heard at the apex and left lower sternal border that increases in intensity while standing after squatting. What dx do you suspect? HOCM
What's the clinical definition of HTN? BP>140/90 x 3 on 3 separate occassions at least 2 weeks apart
Tx for non-hemolytic transfusion rxn? Acetaminophen
Fever, chills, nausea, flushing, tachycardia, tachypnea in a pt receiving a blood transfusion? Acute hemolytic transfusion rxn. MCC is overlooked ABO incompatibility. Tx is supportive.
When does delyaed hemolytic rxn have its onset? 2-10d after transfuion. Look for slight fever, falling H/H, and mild incr in unconj bilirubin
How is uriticaria in transfusion rxns treated? Diphenhydramine
Thrombocytopenia developing 5-10d after transfusion primarily in women? Post-transfusion purpura
What are the preferred vessels in the placement of a Swan-Ganz catheter? R IJV adn L subclavian v
What type of immunodeficiency increases the risk of anaphylactic rxn? IgA deficiency
Which blood product is most appropriate in the following scenarios?: severe anemia due to autoimmune hemolytic anemia PRBCs
Which blood product is most appropriate in the following scenarios?: hemophilia A: factor 8 (factor "Ate"). B: factor 9
Which blood product is most appropriate in the following scenarios?: DIC FFP +/- platelets
Which blood product is most appropriate in the following scenarios?: shock due to trauma or postpartum hemorrhage whole blood, PBRCs
Which blood product is most appropriate in the following scenarios?: to maintain blood pressure during large volume paracentesis Albumin
Which blood product is most appropriate in the following scenarios?: hemorrhage due to warfarin OD FFP
Which blood product is most appropriate in the following scenarios?: need for vWF-rich blood products cryoprecipitate
Which blood product is most appropriate in the following scenarios?: thrombocytopenia platelets
Which vasopressor matches the following statements?: theoretically causes renal vasodilation dopamine
Which vasopressor matches the following statements?: high doses optimize the alpha-1 vasoconstriction epinephrine
Which vasopressor matches the following statements?: ADH analogue vasopressin
Which vasopressor matches the following statements?: best choice for anaphylactic shock epinephrine
Which vasopressor matches the following statements?: best choice for septic shock NE
Which vasopressor matches the following statements?: best choice for cardiogenic shock dobutamine
Which vasopressor matches the following statements?: causes vasoconstriction but with bradycardia NE
In a Swan-Ganz catheter (pulm a catheter), of what is the wedge pressure a good estimate? L atrial pressure (also LV diastolic pressure)
Which blood products replace clotting factors? FFP, cryoprecipitate, whole blood, donor clotting factors, recombinant clotting factors
Created by: sarah3148