Reading...
Play button
Play button
Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
26 Cards in this Set
- Front
- Back
|
Hyperactive deep tendon reflexes after surgery
|
hypocalcemia
|
|
|
acute tx of hyperCa
|
IV normal saline hydration followed by a loop
|
|
|
Initial tx in severe hypovolemic hyperNa
|
isotonic solutions (normal saline or Lactated Ringer)
|
|
|
vomiting leads to WHAT and is reversed with WHAT
|
hypochloremic metabolic alkalosis and hypokalemia are reversed by isotonic sodium chloride and potassium and volume resuscitation w norm saline
|
|
|
physiological metabolic disturbance in pregnancy
|
chronic compensated respiratory alkalosis dt the stimulatory effect of progesterone on the medullary (central) respiratory center
|
|
|
causes of met alk with urinary chloride level <20, mxn, tx
|
surrepititious vomiting, ECF volume contraction, saline
|
|
|
alveolar hypoventialation's (PE, PE, PE, ATEL) PaCO2
|
respiratory acidosis with high PaCO2 and low PaO2 (PE, PE, PE, ATEL low PaCO2 and PaO2)
|
|
|
primary polydipsia, who?, difference by PP and DI (both euvolemic with polyuria, but?)
|
Psychiatric/schizo; PP--hyponatremia; DI--hypernatremic
|
|
|
succinylcholine should not be used in pts with what electro ab
|
hyperkalemia
|
|
|
salicylate tox triad: fever, tinnitus, tachypnea--what’s pH, HCO3, PaCO2
|
ph near normal! HCO3 low PaCO2 low-mixed resp alk and anion gap met acid
|
|
|
MCC hyperK
|
meds: ACEi, spironlactone, trimethoprim
|
|
|
TX for hyperK
|
1. calcium gluconate (stabilizes cardiac membrane) 2. insulin/glucose, sodium bicarb, and beta2agonist(albuterol) (shift K intracellularly) 3. sodium polysterne sulfonate (binds excess K+)
|
|
|
weakness, sine wave/QRS prolongation, peaked T on EKG, flaccid paralysis
|
hyperkalemia
|
|
|
Cushing's electro abnorm
|
hypoK and hyperNa
|
|
|
tx for mild and severe hypovolemic hyperNa
|
mild: 5% dextrose in 0.45% saline; severe: 0.9% saline
|
|
|
mcc of hyperNa
|
hypovolemia
|
|
|
tx for euvolemic and hypervolemic hyperNa
|
5% dextrose in water (D5W)
|
|
|
adrenal insuff/failure (Addison's) electrol disturb
|
hypoNa, hyperK non-anion gap met acidosis
|
|
|
alcoholism leads to electro disturb
|
hypoMg-->hypoK
|
|
|
Diabetic ketoacidosis Acid base disurb
|
Met acid w resp acid compensation (kussmaul breathing rapid deep)
|
|
|
Hypercalcemia, hypocalciuria
|
Familial hypocalciuric hypercalcemia
|
|
|
acute vs chronic hypoNa
|
acute: prompt 3% saline chronic: slow correction (only by 0.5/h) to prevent central pontine myelinolysis
|
|
|
loop side effects
|
hypokalemia, metabol alkalosis, and prerenal renal failure.
|
|
|
AG met acid with envelop shaped crystals
|
ethylene glycol intox (antifreeze)
|
|
|
AG calculation and meaning if increased
|
AG= Na - (HCO3 + Cl), an increase indicates presence of non-Cl acids that contain inorganic, organic, exogenous, or unidentified anions
|
|
|
quickest way to help pt with hyperK
|
insulin/glucose
|
