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17 Cards in this Set
- Front
- Back
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What is the tx for an MI d/t cocaine overdose?
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Ativan to calm the pt, and Ca channel blockers for rate control
Beta Blockers are your 1st for an MI, but with cocaine, if you take out the B2 vasodilation and you are left with Alpha1 vasoconstriction. So BB will raise BP |
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In which immunodeficiency is there an absence of thymic shadow on newborn CXR?
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DiGeorge syndrome, and also SCID (d/t adenosine deaminase deficiency)
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A post-op patient has poor urine output, a BUN of 85, creatinine of 3, and clear lungs. What is the enxt step in the management of this patient?
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IV fluids
Facts: pt has azotemia... is post op...has a BUN:Cr > 20 = prerenal azotemia. The clear lungs signify that the pt is not fluid overloaded and can tollerate fluid |
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Which vaccines should not be given to a patient with HIV?
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Dont give live vaccines to HIV pts.
Live vaccines: Varicella zoster, intra-nasal influenza, oral polio, yellow fever, BCG, anthrax, oral typhoid and small pox. the one exception is MMR, if the pt has CD4>200. Mneumonic for live viruses: Mr.Sabins Small Yellow Chicken influenza, Hep B, and step pneumo should* be given to HIV+, and for MSM also give Hep A |
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When should you suspect thrombocytopenia d/t heparin use? What is the most feared complication of Heparin Induced Thrombocytopenia?
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If pt is on heparin and the platelets drop by 50%, suspect HIT.
The most feared complication is hypercoaguable states that result in DVT, PE, stroke. |
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What is the next step in the mgmt of a child with severe asthma exacerbation and persistently low ox sat despite medication?
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Give O2 to greater than 92%
poor oxygenation <92, or unable to speak d/t WOB = inubation |
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What is the classic presentation of a patient with androgen insensitivity syndrome?
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46XY pt with a defect in androgen receptors. Normal appearing female with a vagina, no female pipes, and has testes.
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What is the MC food borne bacterial GI tract infxn?
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Salmonella
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What is the classic presentation of a pt with hyperprolactinemia?
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Females: gynecomastia, galactorhea, amenorrhea, hypogonadism*
Males: decreased lebido, infertility, impotence |
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What lab changes will be seen in a pt with hyperaldosteronemia?
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hypokalemia, hypernatremia, metabolic alkalosis, Increased 24hr urine aldosterone
Aldosterone: conserve Na+, secrete K+, increase water retention to raise BP. Without adequate K+ in the ECF, the H/K exchange pump shuts down and no H is pumped out, leading to a hypokalemia |
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Antidote for Opioids?
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Naloxone, naltexone
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Antidote for Heparin?
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Protamine sulfate
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Antidote for Benzos?
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flumazanil
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Antidote for Barbiturate (phenobarbital)?
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give bicarb (HCO3) alkalinize the urine or dialysis
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Antidote for carbon monoxide?
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100% O2
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What type of oral contraceptive can be given to lactating women?
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Progestin only
combo OCP supresses lactation |
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What is the definintion of primary amenorrhea?
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absence of menses at age 16 and everything else being normal
13 without 2ndary sexual characteristics |
