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13 Cards in this Set
- Front
- Back
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Appendicitis Tx
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– IV abx and removal
– if perf, do Abx until afebrile and do 1o delayed closure – if abscess, do drainage and then removal 6-8 weeks later |
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Aortic rupture Dx
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– get CT or TEE before surgery
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Parkland formula
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– 4 x kg x %BSA – do ½ in first 8 hours, then the next half over 16 hours
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Asystole Tx
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– Epi and atropine (same as PEA)
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Stable V Tach tx
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– lidocaine or amiodarone
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V fib Tx (outside shock and Epi)
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– Vasopressen then shock then lidocaine
– Amiodarone then shock then procainamide or magnesium |
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Unstable A-fib or flutter Tx
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– 100 J shock
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Bradycardia
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– if Sx, try atropine
– can consider dopamine or dobutamine |
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Neck zone puncture Tx
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– 1 is aortography
– 2 is surgery – 3 is aortography and triple endoscopy |
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Fevers before post op day 3
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– not likely infectious unless Clostridium or B-hemolytic step
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Trauma radiology series
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– AP chest, AP pelvis, AP/lateral/odontoid C-spine views
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Alcohol withdrawl chronology
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– tremor in 6-12 hours
– tachy and seizures in 48 hours – DT’s in 2-7 days |
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Naltrexone
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– don’t give unless drug free for 7 to 10 days
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