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GU 6 (Acid/base)

Step-2

QuestionAnswer
Which antihypertensive drug fits the following SE: first dose orthostatic hypotension prazosin or doxazosin
Which antihypertensive drug fits the following SE: hypertrichosis minoxidil
Which antihypertensive drug fits the following SE: dry mouth, sedation, severe rebound HTN clonidine
Which antihypertensive drug fits the following SE: bradycardia, impotence, asthma exacerbation b-blockers
Which antihypertensive drug fits the following SE: reflex tachycardia vasodilators
Which antihypertensive drug fits the following SE: cough ACE-I
Which antihypertensive drug fits the following SE: avoid in pts with sulfa allergy HCTZ
Which antihypertensive drug fits the following SE: angioedema ACE-I
Which antihypertensive drug fits the following SE: development of drug-induced lupus hydralazine
Which antihypertensive drug fits the following SE: cyanide tox sodium nitroprusside
What can a physician refuse to continue treating a pt on the grounds of futility? when there is no rationale for treatment, when the maximal intervention has already failed, when the tx doesn't achieve the goals of care
What is the next step in the dx of cholecystitis when the US is equivocal? HIDA scan
Describe the urine pH, serum K+, and serum HCO3- for type I renal tubular acidosis (distal). High pH, low K+, variable, often low HCO3-
Describe the urine pH, serum K+, and serum HCO3- for type II renal tubular acidosis (proximal). normal pH, low K+, low HCO3-
Describe the urine pH, serum K+, and serum HCO3- for type IV renal tubular acidosis(hypoaldosterone). normal pH, increase K+, normal HCO3-
What acid-base d/o would cause the following lab values: pH 7.30, HCO3- 12, pCO2 26 metabolic acidosis with resp. compensation
What acid-base d/o would cause the following lab values: pH 7.25, HCO3- 17, pCO2 40 metabolic acidosis
What acid-base d/o would cause the following lab values: pH 7.23, HCO3- 24, pCO2 55 respiratory acidosis
What is the ddx for metabolic acidosis with normal anion gap? How can serum K be useful in narrowing the ddx? Low K (RTA types I and II, diarrhea, Fanconi syndrome), High K (Addison dz, RTA type IV, hyperalimentation
What is the treatment for Type I RTA? oral HCO3-, K+, thiazides
What is the treatment for Type II RTA? oral HCO3-, K+, thiazides
What is the treatment for Type IV RTA? flutrocortisone, K+ restriction
Name the common cause(s) of the following acid base disturbance: metaolic alkalosis dehydration, vomiting, diuretics, hyperaldosteronism, cushing syndrome
Name the common cause(s) of the following acid base disturbance: respiratory alkalosis hyperventilation (high altitudes, ASA tox, PE, asthma)
Name the common cause(s) of the following acid base disturbance: respiratory acidosis COPD, Resp. depression (narcotic OD, neuromuscular dysfunction)
Name the common cause(s) of the following acid base disturbance: anion gap metabolic acidosis MUD PILES: methanol, uremia, diabetic ketoacidosis, paraldehyde, INH, lactic acidosis, ethanol, salicylates
Name the common cause(s) of the following acid base disturbance: non-gap metabolic acidosis diarrhea, RTA, TPN, addison dz
What acid-base d/o would cause the following lab values: pH 7.42, HCO3- 32, pCO2 64 combined metabolic alkalosis/resp acidosis
What acid-base d/o would cause the following lab values: pH 7.39, HCO3- 12, pCO2 22 combined metabolic acidosis with respiratory alkalosis
What acid-base d/o would cause the following lab values: pH 7.33, HCO3- 13, pCO2 28 metabolic acidosis with resp. comp
What acid-base d/o would cause the following lab values: pH 7.24, HCO3- 18, pCO2 40 metabolic acidosis
What acid-base d/o would cause the following lab values: pH 7.30, HCO3- 24, pCO2 54 respiratory acidosis
What acid-base d/o would cause the following lab values: pH 7.50, HCO3- 22, pCO2 22 resp alkalosis
What acid-base d/o would cause the following lab values: pH 7.34, HCO3- 31, pCO2 62 respiratory acidosis with metabolic comp
What acid-base d/o would cause the following lab values: pH 7.10, HCO3- 15, pCO2 50 combined metabolic and respiratory acidosis
Created by: shelybel
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