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24 Cards in this Set
- Front
- Back
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Type of transfusion rxn?
Hypotension Wheezing Diaphoresis Rash/Urticaria Weak/dizzy |
Anaphylaxis/IgA deficiency
Usually occurs following plasma-containing products Tx: Epi + stop transfusion |
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Type of transfusion rxn?
Fever Chills Hypotension |
Acute hemolytic rxn.
See: elev LDH, elev INDIRECT bilirubin |
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Type of transfusion rxn?
Pulmonary edema Severe respiratory distress Hypoxia |
Acute lung injury secondary to transfusion
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How does RCA supply AV node?
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Via the posterior descending coronary artery (90%)
RCA also supplies SA node |
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What is threshold for vaginal ultrasound?
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1500 mIU/mL
(Note: a rise of at least 65% of hCG in 48 hr is good indicator that prego is normal) |
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When is laparoscopy appropriate if suspect ectopic?
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If hCG was above threshold and ultrasound was negative for IUP
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When is methotrexate DOC for ectopic prego?
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When pt is stable and you know it's an unruptured ectopic prego.
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When is salpingostomy a good alternative to methotrexate?
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If ectopic embry is too large or methotrexate is not lowering the hCG.
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When do you give Rhogam?
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Should be administered when mom is Rh-negative and dad is Rh-positive (or status is unknown).
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In what situations do you give Rhogam?
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1. Routine at 28 weeks
2. Immediately FOLLOWING invasive procedure like amnio, chorionic villus sampling 3. Elective abortions 4. Stillbirths 5. Ectopic prego 6. Types when transplacental bleeding is possible |
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Raloxifene
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selective estrogen receptor modulator.
acts as agonist and antagonist of estrogen. agonist to estrogen receptors of bone. antagonist to estrogen receptors in gyne area |
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Raloxifene is tx for?
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Osteoporosis
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Osteoporosis is dx as (by DEXA)?
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T-score <-2.5
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SE of Ralxoifene
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Exacerbates menopausal sx like vag dryness, hot flashes.
May cause blood clotting but no effect on bp. |
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Effect of raloxifene on CA?
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No incr risk of endometrial or ovarian CA.
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Causes of drug-induced AIN? (acute interstitial nephritis)
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1. PCN
2. Cephs 3. Rifampin 4. Sulfa 5. Quinolone 6. NSAIDS 7. Diuretics 8. Allopurinol 9. Phenytoin |
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What do you see in AIN?
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1. Eosinophilia
2. Eosinophiluria 3. Low grade fevers 4. Mild proteinuria 5. Athralgias 6. Hx of specific meds |
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Pharma causes of orthostatic hypotension
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1. TCAs
2. Alpha-1 blockers? 3. Alpha-2 agonist |
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Non-neurogenic causes of orthostatic hypotension
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1. Impaired venous return
2. Hypovolemia 3. Cardiac insufficiency |
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Neurogenic causes of ortho hypotension
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1. MS
2. Diabetic neuropathy |
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Define orthostatic hypotension (as defined by AA of Neurology)
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Systolic blood pressure decrease of at least 20 mmHg or a diastolic decrease of at least 10 mmHg within THREE min of standing
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S and S of intussusception
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1. Nausea
2. Bilous vomiting 3. Intermitten cramp abd pain 4. Sausage-shaped abd mass 5. Currant-jelly stools 6. Kids typically lie in position where knees are drawn to chest. |
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S and S of pyloric stenosis
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1. Non-billous vomiting
2. Tx: pyloroplasty 3. The pylorus becomes hypertrophied and causes a functional obstruction |
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When assessing infertility, what do you do about estrogen levels?
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1. If adequate estrogen, then give clomiphene citrate
2. If not adequate, then give human menopausal gonadotropin (hMG) (which is combo of LH and FSH) |
