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15 Cards in this Set
- Front
- Back
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what is the MCC of cushings syndrome
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#1 exogenous glucocorticoids
#2 pituitary ACTH-secreting tumor (i.e. Cushing's Ds) |
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what is the Parkland burn formula
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4mL x body wt in kg x %BSA:
1/2 given in 1st 8 hrs 1/2 given over following 16 hrs |
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what is becks triad for cardiac tamponade
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JVD (decr'd capacity of RV)
hypotension (decr'd capacity of LV) distant heart sounds |
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hypoperfusion and resultant tissue ischemia are the concern in shock pt's
what is the chemical marker for this |
lactate
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what complications can arise from the use of vasopressors such as NE in treating shock
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ischemia/necrosis of fingertips/toes
mesenteric ischemia renal failure |
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pathophysiology of shock:
cardiogenic |
failure of the pump
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pathophysiology of shock:
extracardiogenic |
compression of the pump
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pathophysiology of shock:
hypovolemic |
not enough fluid to pump
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pathophysiology of shock:
anaphylactic |
widespread vasodilation in response to allergen
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pathophysiology of shock:
neurogenic |
widespread vasodilation due to loss of autonomic-regulated vascular tone
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pathophysiology of shock:
septic |
widespread vasodilation due to massive release of inflammatory mediators
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CO, SVR, PCWP:
cardiogenic shock |
CO: decr'd
SVR: incr'd PCWP: incr'd (source: Step-Up-to-Med, 2nd ed) |
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CO, SVR, PCWP:
hypovolemic shock |
CO: decr'd
SVR: incr'd PCWP: decr'd (source: Step-Up-to-Med, 2nd ed) |
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CO, SVR, PCWP:
neurogenic |
CO: decr'd
SVR: decr'd PCWP: decr'd (source: Step-Up-to-Med, 2nd ed) |
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CO, SVR, PCWP:
septic |
CO: incr'd
SVR: decr'd PCWP: decr'd (source: Step-Up-to-Med, 2nd ed) |
