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62 Cards in this Set
- Front
- Back
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Basal calorie calculation
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IBW x 10
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Patient self-determination act of 1990 requires that all pts may exercise what right?
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to have an advanced directive
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best screening test for acromegaly
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somatocedine C level
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which med to be given preop for pheocromocytoma
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alpha adrenergic blocker
- phenoxybenzamine (Dibenzyline) |
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Infx associated with GB
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Campylobacter
CMV EBV HSV |
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Phenytoin ( Dilantin) O/D
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coma
unsteady gait slurred speech confusion nausea hypothermia fever hypotention resp depression tx: supportive |
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CN II
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Otic nerve
-exam visual fields -eye chart - fundoscopic eval |
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CN III
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Occulomotor
-eye movement up/down/inward -narrowing and dilation of pupils to light |
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CN IV
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Trochlear
-eye movement down/inward |
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CN V
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Tigeminal
facial sensation, chewing, crainal reflex |
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CN VI
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Abducens
-abductor muscles, outward movement |
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CN VII
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Facial
- facial expression, taste |
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Cushings Triad
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Hyperglycemia
Hypernatremia Hypokalemia |
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reed sternberg cell
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Hodgkins lymphoma
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tx of cluster H/A
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oxygen therapy
Ergotamine inhalation Sumatriptan + O2 |
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murphy's sign
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Abrupt cessation of inspiration of on palpatin of the gallbladder
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Weber
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Tuning fork to midline head
normal: there is no latealization conductive hearing loss--> lateralization to affected ear sensorineural hearing loss--> lateralization to unaffected ear |
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Rinne
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Noraml = AC > BC (2:1)
conductive hearing loss = BC>AC in affected ear Sensorineural loss = AC >BC in affected ear |
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hering-breuer reflex
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pulmonary stretch receptors in bronchial wall that prevent overdistention of lung.
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1st line tx for stress incontinence
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weight loss
kegle exercises alpha adrenergic agonist - pseudoephedrine |
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most common cause of septic joint
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gooccocol arthritis
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varacity
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duty to be truthful with the patient
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leading cause of cancer morbidity in men
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prostate CA
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leading cause of cancer morbidity in women
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breast CA
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managed care
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collaborative approach to provide health care to a DEFINED population
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case management
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collaborative process of assessment planning, facilitation to meet INDIVIDUAL's health needs
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drug fever
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has no consistent diurnal variation like bacterial fever:
lowest in the morning and highest at end of day. |
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post op fever
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give fluids + improve atelectasis
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left shift
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Neutrophils > 70%
ANC > 7,000/mm3 Bands >4% |
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(ANC) absolute neutrophil count
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ANC = WBC x neutrophil count
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uveitis
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inflammation of uveal tract
- seen in CMV, herpes, toxoplasmosis, syphillis, SLE, RA |
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which flouroquinolone should not be used for UTI
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Moxifloxacin
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acid base distrubance in pt with Pulmonary embolus
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respiratory alkalosis
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BEST way to diagnosie and quantify pulmonary HTN
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cardiac cath
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decreased ICP during intubation
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lidocaine (Xylocaine)
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obstructive lung disease
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characterized by reduced airflow rates
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restrictive lung disease
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characterized by reduced volumes
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What is the t1/2 Amiodarone
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40 days, Largest Vd
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Drug drug reaction between gemfibrozil and Statin drugs?
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Rhabdomyolysis worsens
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What is carbamazapine the DOC for?
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trigeminal neuralgia
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Rule of 9's
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9% each arm
9% head 18% each leg 18% front torso 18% back torso 1% pal 1% groin |
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Parkland formula
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fluid requirements for the first 24 hrs =
% BSA burned x 4 x KG Give 1/2 fluid over 1st 8 hours Then given 2nd half over next 16 hours |
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What is the radiographic pattern in SBO?
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horizontal pattern
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What is the radiographic pattern in LBO?
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frame pattern
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Syphlis: screening/dx
stages/Tx |
Screening --> rapid plasma reagin
Dx --> Treponemal Test primary: painless shanker, lymph nodes secondary: generalized lymphadenopathy, mascular rash on arms tertiary: granulomas, neuro s/s TX: IV PCN |
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How do you dx gonorrhea?
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Gram + dipplococci
grows on Thayer Martin or Transgrow media * CDC reportable* * Tx pt for chlamydia too* |
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Findings in SIADH
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serum osmol <270
serum Na < 135 urine osmol > 400 urine Na >20 |
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Diabetes Insipidus findings
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serum Na > 135
Serum osmol >290 urine osmol < 250 urine Na <10 Tx: replace fluid DDAVP/vasopressin |
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Acute suppurative thyroiditis
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caused by bacterial invasion with inflammation of thyroid.
s/s: unilateral neck pain with possible radiation to ear fever diaphoresis |
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Tx for malignant hyperthermia
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Dantrolene: muscle relaxent
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IV insulin rate during DKA
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0.1 units/kg/hr
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average fluid deficit in DKA
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5 liters
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Drugs that cause hypoglycemia
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Sulfonylureas
Repaglinide (Prandin) Neteglinide (Starlix) Pramlinitide (Symlin) Exenatide (Byetta) |
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Metformin is a _______ that increases _____
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Biguanide
decreases hepatic glucose release |
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Metformin is contraindicated in...
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renal dysfunction
CHF pregnancy |
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what are SE of metformin
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GI upset, D/N/V, abdominal bloating, flatulence, anorexia, lactid acidosis
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Sulfonylureas stimulate....
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insulin release
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Synthroid dosage
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1.6 mcg/kg/day
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diagnosis of pheocromocytoma
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increased urinary metanephrines
AND VMA |
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What is the dawn phenomenon?
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A morning rise in blood sugar in response to waning insulin and a growth hormone surge (that further antagonizes insulin).
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What is the somogyi effect?
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A rebounding high blood sugar that is a response to low blood sugar
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What does the serum fructosamine level measure?
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the approximate glycemic control in the past 2 to 3 week period.
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