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70 Cards in this Set

  • Front
  • Back
whata re the dermatologic signs of anaphylaxis
urticaria, erythema, pruritus, angioedema
what ar e the respiratory signs of anaphylaxis?
nasal congestion, sneezing, coryza, cough, tachypnea, hoarseness, and a sensation of throat tightness
what are the cardiovascular sign so fanaphylaxis?
tachycardia, hypotension
what are some drugs that can cause anaphylaxis?
penicillin, cephalos, asa, nsaids
what is the differential for anaphylaxis
angioedema, urticaria
asthma, epiglottitis
psych- anxiety
what is diagnostic of anaphylaxis?
total tryptase 1-4 hrs.
histamine < 1 hr
what is the Rx for anaphylaxis?
epi
albuterol
Diphenhydramine (for cutaneous effects
Cimetidine
what is stable angina
chest pain that has an established character, timing, and duration.
what is unstable angina
angina that deviates from the normal pattern. Rest angina. increase in frequency, severity or duration
what is prinzmetals
stable angina, but caused by vasospasm.
nitrates and ca blockers
what are the anterior leads?
V1-V4
what are the inferior leads
II, III, aVF
what is the time course for CKMB?
increases after Troponins, drops by day 3
what are the causes of afib?
PIRATES
Pulmonary- COPD, PE
Ischemia
Rheumatic
Anemia, Myxoma
Thyroid
Ethanol
Sepsis
What is the antidote for acetaminophen
n-acetylcysteine (mucomyst)
What is the antidote for anticholinesterases?
atropine
What is the antidote for anticholinergic, antimuscarinic?
physostigmine
What is the antidote for black widow?
Ca Gluconate
What is the antidote for iron salts?
deferoxamine
What is the antidote for methanol, ethylene glycol
Etoh, fomepizole, dialysis
What is the antidote for lead
succimer, daedta, dimercaprol
What is the antidote for arsenic, mercury, gold
succimer, dimercaprol
What is the antidote for copper, arsenic, lead gold?
Penicillamine
GLAC
gold, lead, arsenic, copper
What is the antidote for cyanide
Nitrate, sodium thiosulfate
What is the antidote for salycilates
urine alk, dialysis, activated charcoal
What is the antidote for heparin
protamine
What is the antidote for methemoglobin
methylene blue
What is the antidote for opioids
naloxone
What is the antidote for benzos
flumazenil
What is the antidote for TCAs
sodium bicarb, diazepam, lorazepam
What is the antidote for warfarinn
vitamin K, FFP
What is the antidote for CO
100% o2
What is the antidote for dig
stop dig, normalize K, lidocaine for torsades, antidig
What is the antidote for b-blockers
glucagon
What is the antidote for tpa
aminoaproic acid
What is the antidote for PCP
NG
What is the antidote for activated theophylline
activated charcoal
What is the antidote for acid, alkali ingestion
endoscopy
waht are teh withrdawal symps of alcohol?
tremor, tachy, hypertension, agitation, seizures, hallucinations, DTs
how do you treat alcohol w/drawal?
benzos, haloperidol hallucinations, thiamine, folate, multivitamins
What are the signs of barbiturate w/drawal?
anxiety, seizure, delirium, tremor, cardiac adn resp depression.
what is the Rx for barbituate w/drawal?
benzos
what is the signs of benzo w/drawal?
anxiety, tremors, insomnia
what is the Rx for benzo w/drawal?
benzos, monitor for dts
what si the w/drawal symps of cocaine?
depression, hyperphagia, hypersomnolense.
what is the Rx for cocaine w/drawal?
supportive, no b-blockers
what isthe w/drawal signs of opiods?
anxiety, insomnia, flu, sweat, piloerection, fever, rhinorrhea, nausea, stomach, cramps, diarrhea, mydriasis
what si the Rx for opioid w/drawal?
clonidine or buprenoprhine
methadone
naltrexone if drug free.
what are the principles of airway in resuscitation?
o2
jaw thrust
clear foreign body
insert an oral or nasal airway as necessary
what are the toxins that can be dialyzed?
MUST BE Listed
Methanol
Uremia
Salicylates
Theophylline
Barbiturates
Ethylene glycol
Lithium
when should someone be intubated?
apnea, AMS, impending airway compromise, closed head injuries, failed bag-mask ventilation
what are the five thoracic injuries that cause immediate death when assessing breathing?
tension pneumo
cardiac tamponade
communicating pneumothorax
massive hemothorax
airway obstruction
what are the Substances that do not bind charcoal?
PHAILS
Pesticides
Hydrocarbons
Alcohols/Acids/Alkalis
Iron
Lithium
Solvents
what are teh major causes of hypovolemic shock?
hemorrhage and dehydration, third spacing
what is distributive shock?
misdtribution of blood from septic shock, neurogenic, and anaphylactic
what is cardaic shock
inability of the heart to adequately pump blood to the body owing to intrinsic or extrinsic factors
Intrisic: cardiogenic shock or CHF
Extrinsic: Pericardial effusions-> tamponade, tension pneumo, PE
what is the workup for shock?
volume status, SVR, and CO
what is teh SVR, skin, and neck veins seen in hypovolemic shock?
high SVR, cold, clammy skin, flat veins
What is the SVR, Skin, and neck veins seen in distributive shock?
low SVR, warm skin, flat to normal neck veins
how do you work up acute blood loss?
abdomen, pelvis, thorax. Peritoneal lavage, abdominal ultrasound
NG tube
stool guaiac
CXR
pelvic xray
what can cause third spacing?
burns, trauma, acute pancreatitis, liver disease
signs of mild volume loss?
patient is cold, orthostatic hypotension, flat neck veins, pale and cool skin
signs of moderate volume loss
patient is thirsty, tachy/hypotensive, oliguric
signs of severe volume loss
altered mental status, sever hypotension, tachy and tachypnea
what is the treatment of hypovolemia
trendelenburg
02
2L of crystalloid
reassess
1-2 additional liters
reassess
IV pressors and blood products

if a peritoneal bleed is identified- emergent exploratory laparotomy.

pelvic fracture-> angiography adn embolization.
what is the Rx for cardiogenic shock?
inotropes
vasodilators
diuretics
what is the pathophys of septic shock?
toxins from gram + and gram - bacteria as well as systemic inflammatory factors-> vasodilation of the peripheral circ and increased cap perm
-> sifgnificantly decreased svr, massive fluid loss into the tissue
what are the signs of early sepsis?
hyperdynamic: fever, tachy, hypotension in warm and pink patient
what are the late signs of septic shock
hypovolemic shock. Leukocytosis w/ left shift and lactic acidosis support the diagnosis
what is the Rx for shock?
identivy and treat the source of infectio nw/ iv antibiotics, surgical drainage, central line changes.

IV fluids