Fp-C Medical Emergencies

Front 1

Sodium Na+ (neuroprotective)

Back 1

135 - 145

Front 2

Potassium K+

Back 2

3.5 - 5

Front 3

Chloride Cl-

Back 3

95-105

Front 4

Calcium Ca

Back 4

9-11

Front 5

Bicarb C02

Back 5

22-26

Front 6

BUN (kidney)

Back 6

6-24

Front 7

Creatinine (kidney)

Back 7

0.7-1.4

Front 8

Glucose

Back 8

80-120

Front 9

Serum Os

Back 9

285-295

Front 10

Glucose 350-800 =

Back 10

DKA

Front 11

Glucose > 800

Back 11

HHNK

Front 12

Anion Gap Calculation

Back 12

Na - ( Cl + HCO3 )

Front 13

Normal Anion Gap=

Back 13

< 12

Front 14

Profound Anion Gap =

Back 14

>16 ( Metabolic Acidosis )

Front 15

Normal RBC

Back 15

5

Front 16

Normal HGB

Back 16

15

Front 17

Normal HCT

Back 17

45

Front 18

PT (Prothrombin Time) =Triggered by _________ pathwayAffected by ______________ medication

Back 18

11 seconds normalTriggered by EXTRENSIC pathwayCoumadin

Front 19

PTT ( Partial Thromboplastin Time)Triggered by __________ pathwayAffected by _______________ Medication

Back 19

31-35 secondsTriggered by INTRENSIC PATHWAYHeparin

Front 20

Normal INR

Back 20

1

Front 21

Normal Adult Urine Output

Back 21

30-50 ml/hr

Front 22

Normal Child Urine Output

Back 22

1 ml/kg/hr

Front 23

Normal Infant Urine Output

Back 23

2 ml/kg/hr

Front 24

Treat Coumadin Overdose With:

Back 24

Vitamin K, FFP, PCC ( Factor 9 )

Front 25

Treat Heparin Overdose With:

Back 25

Protamine Sulfate

Front 26

The only blood component that does not require blood typing and cross-matching before administration is:

Back 26

Albumin

Front 27

Tea colored urine =

Back 27

Rhabdo

Front 28

If Gross Hematuria do not _____________

Back 28

NO FOLEY CATH

Front 29

DKA is due to a____________ and is a GBS of _________ with first line treatment being _________.

Back 29

Lack of Insulin> 350 - 800IVF followed by short acting IV insulin

Front 30

Do not drop GBS faster than

Back 30

100 mg/dl/hr

Front 31

HHNK is due to __________ and is a GBS of ________ . You should anticipate _____________. First line treatment being _____________.

Back 31

Excess Glucose> 800Severe HYPOkalemiaIVF followed by short acting IV insulin

Front 32

GI bleed is treated with ________________ & _______________________

Back 32

Octreotide (Sandostatin) and Vasopressin (Pitressin)

Front 33

_____________ tube may be used for treatment of esophageal varices.

Back 33

S-Blakemore

Front 34

SIADH is __________________ and results in:

Back 34

SIADH = Syndrome of inappropriate amounts of ADH)Results in: Dilutional Hyponatremia ( Water high Sodium Low)

Front 35

DI Management Includes

Back 35

Aggressive Fluid Management followed by Vasopressin (pitressin) Look for Full Clear foley

Front 36

Thyrotoxicosis AKA_________signs and symptomsAvoid what medication

Back 36

" Graves Disease" AKA "Thyroid Storm"A-fibWeight lossHeat intoleranceExopthalmos (buldging eyes)NervousnessASA

Front 37

Myxedema Coma AKAOfficially Myxedema coma when _________

Back 37

HypothyrodismOfficial with ANY CHANGE IN LOC

Front 38

Addisons Disease caused by ______________No ___________ production causing ____________and __________________Use caution with ______________ medication

Back 38

Adrenal insufficiencyNo cortisol production causing DECREASED BP and decreased vascular toneCAUTION WITH ETOMIDATE

Front 39

Cushings Syndrome Results from

Back 39

INCREASED levels of cortisol due to pituitary tumor

Front 40

Cushings Syndrome Signs and Symptoms

Back 40

Buffalo humpBull Neckupper body obesity with thin arms and legspurple striae on abdomenhypertensionhyperglycemiawomen with facial hair

Front 41

Pancreatitis may present with

Back 41

Cullens sign (umbilicus) Grey-Turners Sign (flanks)

Front 42

You should not give ___________ with pancreatitis due to spasticity of the sphincter of Oddi

Back 42

Morphine

Front 43

Hypocalcemia Signs and Symptoms

Back 43

Chvosteks's sign ( Flick cheek / eye twitch )Trosseue's Sign ( BP cuff above systolic greater than 3 minutes causes carpal spasm)

Front 44

In pts with bowel obstruction keep __________BO is affected by ___________ law

Back 44

Keep NPO Affected by Boyles Law

Front 45

Hephatic Encephalopathy caused by ________ and present with high levels of ________________.

Back 45

ETOH / Drug abusePresent with high levels of ammonia

Front 46

Hephatic Encephalopathy management includes

Back 46

Terminate GI bleedingEvacuate blood by NGT to inhibit protein intakeAdminister Lactulose

Front 47

Splenic Injury presents with __________ sign

Back 47

Kehrs Sign (L should pain)

Front 48

Septic Shock Lactate Level is ____________ With decreased _______________ and increased ____________.

Back 48

lactate > 2.5decreased SVR < 800increased Cardiac Output

Front 49

Brudzinskis sign

Back 49

flexion of neck causes involuntary flexion of legs (meningitis)

Front 50

Kernigs Sign

Back 50

Back irritation with flexion of lower legs (meningitis)

Front 51

Cullens Sign

Back 51

umbilical bruising (pancreatitis)

Front 52

Grey-Turners Sign

Back 52

Flank and groin bruising (pancreatitis)

Front 53

Kehrs Sign

Back 53

Referred L shoulder pain (splenic injury or ectopic pregnancy)

Front 54

Murphys sign

Back 54

pain when palpation the RUQ on inspiration (gallbladder)

Front 55

Levines sign

Back 55

Pt clinching fist over chest (cardiac)

Front 56

Coopernail Sign

Back 56

Bruising of scrotum or labia (abd trauma or pelvic fx)

Front 57

Babinski sign

Back 57

Extension of big toe when fanning other toes(upper motor neuron dysfunction)Normal in peds < 2 years old

Front 58

Hammans sign

Back 58

"crunching" sounds on auscultation over anterior chest synchronized with heart beat (tracheobronchial injury)

Front 59

Kussmauls sign

Back 59

rise in venous pressure

Front 60

Pulsus paradoxis

Back 60

fall in SBP >15 mmhg in normal inspiration (tension pneumo / pericardial tamponade)

Front 61

Paradoxical chest movement

Back 61

Flail chest

Front 62

Dresslers syndrome

Back 62

Pericarditis post MI or CABG

Front 63

Trousseaus Sign

Back 63

carpal spasms when BP cuff inflated (hypocalcemia)

Front 64

Chovesteks Sign

Back 64

cheek twitching when tapped (hypocalcemia)

Front 65

Virchows Triad

Back 65

venous thrombosis

Front 66

Cushings triad

Back 66

widening pulse pressurebradycardia varying RR ( increased ICP)

Front 67

Becks Triad

Back 67

hypotensionJVDmuffled heart tones(cardiac tamponade)

Front 68

Normal platelet count

Back 68

150-450