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13 Cards in this Set
- Front
- Back
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Newborns - bugs
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GBS, Listeria, E. coli, GDS
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Infants / children
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SHiN
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Adults
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SHiN, Staph, Strep, Listeria
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HIV / impaired cellular immunity
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Listeria, GNR, Strep pneumo, N
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CSF shunt
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GNR, staph, Strep pneumo
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Meningeal signs:
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Jolt accentuation = #1 (HA worse with shaking head side-to-side)
Nuchal rigidity Kernig's Brudzinski's |
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Meningitis - when to start IV ABx?
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BEFORE LP (can do LP up to 2 hours after starting)
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CSF - opening pressure - how to measure?
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ON SIDE! NOT upright!
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CSF studies by tube:
Tube 1: Tube 2: Tube 3: Tube 4: |
1: cell count and diff
2: GS, Cx, microbial stdies 3: glucose, protein 4: cell count and diff |
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Traumatic tap - corrections
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1 WBC per 700 RBC is consistent with a traumatic tap
correct CSF protein: subtract 1 mg/dL per 1000 RBCs |
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Meningitis - steroids in ADULTS - indications?
dexamethasone 0.15 mg/kg |
Pneumococcus - suspected or proven; d/c if no bugs on LP
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Meningitis - steroids in KIDS - indications?
dexamethasone 0.15 mg/kg |
H. flu - suspected or proven
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Meningitis - Steroids - CONTRAINDICATIONS?
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NOT if ABx have already been started
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