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35 Cards in this Set
- Front
- Back
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Class of drugs that may cause syndrome of muscle rigidity, hyperthermia, autonomic instability, and extrapyramidal symptoms.
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Antipsychotics (neuroleptic malignant syndrome)
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SE of corticosteroids
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Acute mania, immunosuppression, thin skin, osteoporosis, easy bruising, myopathies
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Tx for DT's
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Benso's
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Tx of tylenol OD
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N-acetylcysteine
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Tx of opiod OD
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naloxone (reversible opiod antagonist)
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Tx of benzo OD
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Flumazenil
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Tx for neuroleptic malignant syndrome and malignany hyperthermia
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Dantrolene
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Tx of malignant HTN
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Nitroprusside
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Tx of A.fib
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Rate control, rhythm conversion, and anticoagulation
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Tx of supraventricular tachycardia
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If stable, rate control w/ carotid massage or other vagal stimulation; if unsuccessful consider adenosine
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Causes of drug induced SLE
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INH,penicillamine, hydralazine, procainamide, chlorpromazine, methyldopa, quinidine
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Macrocytic, megaloblastic anemia w/ neurological symtoms
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B12 deficiency
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Macrocytic, megaloblastic anemia w/out neurological symtoms
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Folate def.
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A burn pt presents w/ cherry red flushed skin and coma. Sa02 is normal, but carboxyhemoglobin is elevated. Dx? Tx?
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Carbon monoxide poisoning. Treat w/ 100% O2 or w/ hyperbaric O2 if poisoning is severe or the pt is pregnant
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Blood in the urethral meatus or high-riding prostate
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Bladder rupture or urethral injury
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Test to r/o urethral injury
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Retrograde cystourethrogram
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Radiographic evidence of aortic disruption or dissection
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Widened mediastinum (>8cm), loss of aortic knob, pleural cap, tracheal deiation to the right, depression of left main stem bronchus
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Radiographic indications for surgery in pts w/ acute abdomen
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Free air under the diaphrasm, extravasation of contrast, severe bowel distention, space occupying lesion (CT), mesenteric occlusion (angiography)
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The most common organism in burn related infections
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Pseudomonas
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Method of calculating fluid repletion in burn pts
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Parkland formula
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Acceptable urine output in a trauma pt
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50cc/hr
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Acceptable urine output in a stable pt
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30cc/hr
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Cannon a waves
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Third degree heart block
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Signs of neurogenic shock
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Hypotension and bradycardia
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Signs of elevated ICP
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Cushings triad:HTN, bradycardia, and abnormal respirations
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decreased CO, decreased pumonary capillary wedge pressure, increased PVR
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Hypovolemic shock
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decreased CO, increased PCWP, increased PVR
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Cardiogenic (or obstructive) shock
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increased CO, decreased PCWP, decreased PVR
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Septic shock or anaphylactic shock
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Tx of septic shock
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IVF and ABXs
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Tx of cardiogenic shock
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Identify cause; give pressors (ie dopamine)
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Tx of hypoolemic shock
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Identify cuase; fluid and blood repletion
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Tx of anaphylactic shock
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Diphenhydramine or epinephrine 1:1000
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Supportive tx for ARDS
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Continuous positive airway pressure
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Signs of air embolism
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A pt w/ chest trauma who was preiously stable suddenly dies
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Trauma series
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AP chest, AP/later C-spine, AP pelvis
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