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30 Cards in this Set
- Front
- Back
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Rx for febrile seizues
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lower temp
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a/w with honeycomb pattern on CT of chest
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pulmonary interstitial fibrosis
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Rx for pulmonary interstitial fibrosis
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steroids
azathioprine/cyclophosphamide n-acetylcysteine |
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most likely cause of
45 yo obese female with pruritis, clay colored stools and dark urine elevated alk phosph and bilirubin |
biliary tract obstruction (cholelithiasis)
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volume status a/w hyponatremia a/w:
thiazides |
hypo or eu
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volume status a/w hyponatremia a/w:
SIADH |
eu
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volume status a/w hyponatremia a/w:
cirrhosis |
hyper
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volume status a/w hyponatremia a/w:
addisons |
hypo
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volume status a/w hyponatremia a/w:
hypothyroidism |
eu
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volume status a/w hyponatremia a/w:
renal failure |
hyper
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volume status a/w hyponatremia a/w:
psychogenic polydipsia |
eu
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urine Na and urine osm in:
SIADH |
inc
concentrated |
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urine Na and urine osm in:
psychogenic polydipsia |
dec
dilute |
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urine Na and urine osm in:
thiazides |
inc
concentrated |
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urine Na and urine osm in:
alcoholism |
dec
dilute |
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urine Na and urine osm in:
hypothyroidism |
inc
concentrated |
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what shifts K out of cells
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low insulin
B- acidosis digoxin cell lysis |
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what shifts K into cells
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insulin
B+ alkalosis cell creation |
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what are the causes of euvolemic hyponatremia
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SIADH
polydipsia hypothyroidism |
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Rx for nephrogenix DI
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increase water intake
thiazides amiloride endomethacin |
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consequence of correcting hyponatremia too quickly
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central pontine myelinolysis
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how rapidly can Na levels be corrected
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<12 mEq/day
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consequence of correcting hypernatremia too quickly
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cerebral edema
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next step in management of px with hyperkalemia with peaked T waves
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Ca gluconate or chloride
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Dx
hyponatremia, low serum osm and high urine osm |
SIADH
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Rx known to cause hyperkalemia
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ACEI/ARBs
digoxine K sparing B- |
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Rx known to cause hypokalemia
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B2+
insulin thiazides loops CA- |
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Rx used to rapidly correct hyperkalemia by shifting potassium into cells
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Na bicarb
B2+ insulin with glucogon |
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electrolyte abnormality a/w QT shortening
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hyperCa
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electrolyte abnormality a.w QT lengthening
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hypoCa
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