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31 Cards in this Set

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  • Back
Name the sedative pain relievers used in the ER?
Benzodiazepines:
Lorazepam (Ativan)
Midazolam (Versed)

Ketamine
Etomidate
Propofol
What is the X-ray trauma series
X-rays of the:

C-spine
chest
pelvis
What local anesthetics are used in the ER?
Lidocaine
Bupivicaine
What is the max dose of lidocaine?
Max dose:

c epi= 7mg/kg
s epi= 4.5mg/kg
Which drug should NOT be used in the Fingers, toes, ears, nose, penis
Epinephrine
How do you calculate the anion gap and what is the normal?
Na-(Cl+HCO3)= AG

Normal= 8-16
How do you treat metabolic acidosis?
IVF
Correct underlying problem
Bicarb (if pH <7.20)
What are the causes of metabolic alkalosis? How do you treat?
Excessive diuresis
Vomiting (loss of acid)

Treat with:
IVF
KCl
What electrolyte imbalance presents with:
N/V
AMS
Tachypnea (Kussmaul)
Shock
Metabolic Acidosis
Which electrolyte imbalance presents with:

Dehydration
Hypokalemia
Hypoproteinemia
Metabolic Alkalosis
How do you treat respiratory acidosis?
↑ Ventilations (intubation)
Tx underlying disorder:
Opiate intox, COPD
What condition presents with:
Weakness
Cramps
hypo-reflexia
Ileus
U waves
Hypokalemia
MCC of hypokalemia?
Diuretics
How do you treat hyperkalemia?
Calcium Gluconate or Calcium Chloride
Glucose D50 (dextrose)
Insulin
HCO3
Kayexalate
Albuterol
Lasix
MCC of hyperkalemia?
Renal failure c oliguria
MCC of hypomagnasemia?
Alcohol
What is the GCS of someone who:
Opens eyes only to pain
Moans unintelligible sounds
Flexion of hands and feet
Eyes open with pain= 2
Moans = 2
Decorticate = 3
What are contraindications for placing a foley?
Pelvic fracture
Blood at the meatus
Scrotal hematoma
High riding prostate
Type of shock that presents with:

Narrow pulse pressure
Tachycardia
Hypovolemic shock
Type of shock that presents with:

Wide pulse pressure
Tachycardia
Septic shock
Type of shock that presents with:

JVD
Hypotension
Tachycardia
Cardiogenic shock
Type of shock that presents with:

Vasodilation
Hypotension
Bradycardia
Neurogenic shock
Septic shock is most often due to what type of infection?
gram-negative bacteria
Name 2 topical anesthetic agents
Tetracaine
Lidocaine
What is the treatment for hyponatremia?
IVF NS
Fluid restriction
Hypertonic saline (c <120)
Lasix (furosemide)
MCC of hyponatremia?
Dilution
What happens with fast correction of hyponatremia
Central pontine myelinolysis
CHF
What are the causes of hypernatremia?
Excessive body water loss
Vomiting, Diarrhea, Diabetes insipidus
Decrease intake
Mineral corticoid excess
What is the treatment of hypernatremia?
IVF NS then ½ Normal p urine output is up

For Diabetes insipidus treat with desmopressin
How do you treat hypocalcemia?
Calcium gluconate (or calcium chloride) PO/IV
Vit. D
What is the treatment of hypercalcemia?
NS
Lasix (Furosemide)
Calcitonin
hydrocortisone