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8 Cards in this Set

  • Front
  • Back
initial Rx for child presenting with acute asthma attack
short-acting B2-agonist (e.g. albuterol or levalbuterol)
IV steroids (takes 4 hrs to "kick-in")
oxygen (if SaO2 < 92%)
a normalizing PCO2 in a patient with an asthma exacerbation may indicate
IMPENDING RESPIRATORY FAILURE:
normally asthma pt's blow off lots of CO2 (tachypnea)
blow off less CO2 --> normalizes --> NOT ventilating well --> sign of muscle fatigue
what is the most accurate test to Dx appendicitis
CT scan
a women with appendicitis presentation should have what done before going to surgery
B-HCG (r/o ectopic pregnancy)
what is the classic characteristic of acute mesenteric ischemia
extreme pain out of proportion to exam
px presents with vomiting and abdominal pain and distention, AXR shows two areas with distended air
Dx and Rx
volvulus

colonoscopy
what is seen on CT in a px suspected of having ischemic colitis
bowel wall thickening
air within bowel wall (aka pneumatosis coli)
classic time frame that post op ileus resolves in the small bowel, stomach, & colon
small bowel: 1 day (<24hrs)

stomach: 2 - 3 days

colon: 3 -5 days