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19 Cards in this Set
- Front
- Back
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At what level of Iron should deferoxamine be given? |
Serum Iron > 350mcg/dL |
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Treatment of Iron Toxicity |
-whole bowel irrigation (PEG 2L/hr in adult, 500mL/hr in children -Deferoxamine for symptomatic patient with serum iron > 350mcg/dL -monitor LA -signs of coagulopathy -CXR may show tablets -check ASA and acetaminophen levels |
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Work Up of Pyloric Stenosis |
-US -IV hydration -Labs normal until significant dehydration, hypochloremic, hypokalemic metabolic alkalosis -tx: pylorotomy |
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Coumadin Reversal |
-Vitamin K -FFP |
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Coma Cocktail |
-Nalaxone -Thiamine -Dextrose |
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Cushing Reflex |
-Hypertension -Bradycardia |
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BP medications to give and not give in SAH |
-Nimodipine, titration to SBP < 140 -No nitrates |
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Dilantin loading dose |
18mg/kg |
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Differential Diagnosis for Abdominal Pain and Shock |
-mesenteric Ischemia -AAA rupture -GI Hemorrhage -Severe pancreatitis -Cholangitis -Perofrated Viscus -MI -PE |
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Patient with abdominal pain, GI emptying, hx of heart disease, pain out of proportion on abdominal exam. Dx? |
-Mesenteric Ischemia |
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MC causes of intestinal obstruction |
-Adhesions (50%) -Incarcerated hernia (15%) -neoplasms (15%) |
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Orders for Ascitic fluid analysis |
-Cell Count -Gram Stain -Culture -protein -glucose -LDH -(Albumin, bilirubin) |
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SBP Diagnosis by paracentesis fluid |
->1000 WBCs ->250 PMNs |
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1st Line Treatment for SBP, PD-related Peritonitis, Surgical Peritonitis |
SBP: -Cefotaxime 2g -In mild, uncomplicated disease may consider PO quinolones -Consider IV albumin 1.5g/kg Surgical Peritonitis: -Rocephine + Flagyl OR Unasyn PD-Related Peritonitis: -1st gen cephalosporin or vanco |
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Ranson Criteria for Pancreatitis |
Increased number indicates increased risk of mortality. At Presentation: -Age >55 -Glucose > 200 -WBC > 16000 -AST > 250 -LDH > 700 |
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Charcot's Triad - components and diagnosis |
Components: -RUQ pain -fever -jaundice Dx: cholangitis (may also be present in acute cholecystitis |
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Abx for treatment of cholangitis |
-Unasyn and Flagyl -Ampicillin, aminoglycoside, flagyl |
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Differential Dx for for emergent causes of back pain |
-AAA -Epidural Abscess -Cauda Equina Syndrome -Pyelonephritis -Ureterolithiasis -GI etiology (pancreatitis, ulcers, cholecystitis) |
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Presentation of Cauda Equina Syndrome |
-back pain -leg pain -saddle anesthesia -bowel and/or bladder retention or incontinence |
