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8 Cards in this Set
- Front
- Back
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What do you use for sepsis evaluation?
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SIRS criteria (systemic inflammatory response syndrome)
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What is the SIRS criteria?
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For sepsis evaluation
Temp: <36 or >38 HR: >90 RR: >20 or PaCO2 < 32mmHg WBC: <4, >12, or 10% bands SIRS is diagnosed when the score is 2 or more |
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What do you use for stroke risk (ie determining whether you should put someone on warfarin)?
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CHADS2 score
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What is the CHADS2 score?
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CHF
Hypertension: BP > 140/90 or on anti-HTN Age > 74 DM Stroke history (or TIA or thromboembolism) All are worth 1 point except previous stroke history is worth 2 points. Put patient on warfarin if the score is 2 or higher. If score is 1, use either aspirin or warfarin |
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What do you use for assessing pneumonia severity?
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CURB65
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What is the CURB65 score?
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Confusion (of new onset)
Urea > 7mmol/L or 19mg/dL RR > 30 BP < 90 (sys) or 60 (dia) 65 years old or older Each is worth one point. 0-1: outpatient 2-3: hospitalize or closely monitor 4-5: hospitalize and possibly ICU |
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What is the (modified) Duke criteria used for? What is it?
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Infective endocarditis
Diagnose if: 2 major, 1 major + 3 minor, or 5 minor Major: 1. Positive blood culture with typical IE microorganism 2. Evidence of endocardial involvement per ECHO Minor: 1. Predisposing factor: heart lesion, recreational IV drugs 2. Fever > 38C 3. Evidence of embolism: arterial, PE, Janeway 4. Immunologic problems: glmerulonephritis, Oslers nodes 5. Positive blood culture (that doesn't meet a major) or serologic evidence of infection |
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What is Light's Criteria and what is it used for?
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Used if trying to distinguish between transudative and exudative pleural effusion. It is likely exudative if at least one of the three are positive.
1.The ratio of pleural fluid protein to serum protein is greater than 0.5 2.The ratio of pleural fluid LDH and serum LDH is greater than 0.6 3.Pleural fluid LDH is greater than 0.6 or ⅔ times the normal upper limit for serum. |
