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30 Cards in this Set
- Front
- Back
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Motor6: Localizes pain w/ direct motion gets you how many points on the Glascow Scale? |
5 |
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Motor6: FLEXION WITHDRAW TO PAIN @ Nailbed gets you how many points on the Glascow Scale?
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4 |
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Motor6: Full body Decorticate response (halfsies: upper flexed/lower extended) gets you how many points |
3 |
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Motor6: Full Body Decerbrate response (full extension) gets you how many points |
2 |
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Voice5(V5): Mumbled/murmbers & coos gets you how many points |
2 |
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Voice5 (V5): Disoriented but coherent gets you how many points |
4 |
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Voice(V5): Word Salad gets you how many points |
3 |
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Eyes(4Eyes): Response to pain get you how many points |
2 |
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Eyes (4Eyes): Response to Voice gets you how many points? |
3 |
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What's the lowest score possible on Glascow |
3 |
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What's a normal score on glascow? |
12 to 15 |
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Eyes: Pain 2 Voice 3 |
Pain:2 Voice:3 |
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V=5 Murmer: 2 Word Salad 3 Coherent but confused 4 |
Murmer: 2
Word Salad 3 Coherent but confused 4 |
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Motor6 2=Decereb (all flex) 3=Decort (half flex/half extend) 4=Flexn Withdraw @ nailbed 5=Localized swat away |
2=Decereb (all flex)
3=Decort (half flex/half extend) 4=Flexn Withdraw @ nailbed 5=Localized swat away |
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Glascow 12-15 |
Ok |
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Glascow 9-12 |
Moderate: Get CT |
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Glascow under 9 |
Severe |
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Glascow of 3 (nothing less possible) |
Dead |
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Pericardial Tamponade |
low bp, jvp, muffled hs. Positive on Heart Sounds. Pericardiocentises w/ 16 guage |
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tension pneumothorax |
low bp, distended neck veins, no lung sounds, No testing needed. Insert needle w/ 16 guage. |
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Blown pupil ala David Bowie/Mydriasis style after incident? What's the diagnosis and treatment (include where). |
Skull fracture w/ torn vein/hematoma resulting: football player taking blow temple: epidural bleed due to middle meningeal artery tear (noted immediately), or subdural hematoma. Burr hole same side as blown pupil. |
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What's the worst you can do to pneumothorax |
send of unsupervised to xray |
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In recognizing respiratory vs metabolic acid base disturbances. Which is a direct relxnshp? |
With Metabolic disturbances, PH and CO2 (or Bicarb/HCO3-25) increase or decrease together. |
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In recognizing respiratory vs metabolic acid base disturbances. Which has an inverse rlxnshp?
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With Respiratory disturbances, PH and CO2 (or Bicarb/HCO3-25) are inversely related. |
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Calculate Anion gap. What's normal range? |
(Uncorrected Na++)-(Cloride and Bicarb) Normally between 8-12 |
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What's a corrected Na++ |
For every 100mg/dl elevation over 100mg/dl, add 1.5 mEq to Na. Do if glucose in DKA is 500 (500-100=4). 4x1.5=6. Add 6 points to current Na level for corrected level: 129+6=135 |
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Treatment for DKA is treating acidosis first and foremost. Insulin and fluids drives lytes in. What to do when glucose and/or potassium begins to correct in face of lingering acidosis? |
Keep treating the acidosis. GIVE D5 and K (don't let k go below 4-5). Don't for get ABCs and never give bicarbs. Typical fluid deficit is 5 liters |
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Hyperosmolar hyperglycemic state differs from dka how? |
DM2 and not associated w/acidosis. Very high mortality. caused by dehydration and glucose 600/800. Results in AMS. |
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What happens with high potassium |
High K results in high everything: Peak Twaves, U waves, tachy. Just keep rx acidosis and even give K where necessary |
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What happens with low K |
flat t waves, depression of everything. Low mag too? expect torsades. |
