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30 Cards in this Set
- Front
- Back
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SIADH Tx
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Demeclocycline
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HYPERnatremia Tx
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Normal saline until pt is hydrated and then switch to half normal saline. DONT USE D5W
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Central DI tx
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Vassopressin
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Nephro DI tx
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thiazide
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Hypokalemia EKG
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1. Loss of T wave
2. U waves 3. arrythmias |
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alkalosis causes _____kalemia
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hypokalemia
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acidosis causes _______kalemia
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hyperkalemia
** give bicarbonate for severly increased hyperkalemia*** |
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EKG in HYPERkalemia
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1. Peaked T waves
2. wide QRS 3. PR prolongation 4. loss of P waves |
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Tx Hyperkalemia
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Ca
Bicarb Insulin Glucose Kayexelate |
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Effects of Aldosterone
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Na reabsorbtion
K secretion H secretion * aldosterone is secreted in response to dec blood volume or inc K** |
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HypOcalcemia EKG
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prolonged QT Interval
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Phosphorus and Calcium derangements
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phosph and Ca usually in opposite directions.
In renal failure :Ca supplementation along with phosphorus restriction |
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Signs and sx of hypermagnesium
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1. decreased deep tendon reflexes
2. hypotension 3. resp depression Tx. stop mg , iv hydration, furosemide , dialysis |
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pernicious anemia due to
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Vit b12 deficiency due to antipareital cell antibodies destroy the ability to secrete intrinsic factor.
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Test to diagnose B12 deficiency
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Schilling Test
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INH cause ______ deficiency
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B6 (pyridoxine) deficinecy
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Addisons disease post op complication
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shock postoperatively- especially if Pt didnt receive extra steroids before surgery.
TX: GIVE STEROID |
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Dobutamine mech action
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beta 1 agonist
increases contractility |
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Dopamine mech action
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low- inc renal perfusion
high- beta 1 agonist highest- alpha 1 agonist (vasoconstriction) |
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Norepinephrine mech action
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alpha 1 -( vasoconstricts)
beta agonist |
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Phenylephrine
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Alpha 1 agonist
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Hashimotos
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anti microsomal antibodies
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Sick Euthryroid
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dec. t4, normal TSH
results from illness tx. underlying cause |
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Tx for Hyperthyroid
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Propylthiouracil or Methimazole
consider sx for <25 yrs, preg woman consider radioactive iodine for other pts propanolol for symptoms of thyroid storm |
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Graves disease vs. Plummers disease
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Graves: myxedema, exopthalmos, + thyroid stimulating immunoglobulins, + thyroid stim antibodies, WHOLE GLAND takes up radioactive iodine
Plummer- no antibodies, no Exopthal, no myxedema, iodine uptake in nodules, low in rest of gland |
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Preganancy and Thyroid binding globulin
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TBG is elevated. total thyroid levels high, but free thryoid hormone normal. do not treat. TSH normal
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addisons
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autoimmune adrenal coritcal destruction
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Pt on long term steroids stops all meds before surgery develops hypotension + electrolyte distrubances. Tx?
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give corticosteroids
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What is Sheehan's syndrome?
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secondary adrenal inssuf due to pituitary apoplexy, hx postpartum hypotension
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2ndary adrenal insuffiency
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ACTH is decreased
no hyperpigmentation |
