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26 Cards in this Set

  • Front
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Hyperkalemia on ECG

Increased T wave height shortened QT interval prolonged PR interval


wide QRS complex

Coronary perfusion pressure

CoPP can be measured as the difference between the aortic diastolic pressure and LVEDP,


Normal: 60-80 mmHg


any drop can result in cardiac ischaemia,

Insulin receptor

insulin - tyrosine kinase to IP3/РКВ


• Al adrenergic - G protein-linked to IP3/diacylglycerol (DAG)


• B1/B2 adrenergic - G protein-linked to increase cAMP


• A2 adrenergic/u opiate - G protein-linked to reduce cAMP


• muscarinic receptors - G protein-linked to IP3 or to reduce cAMP (depending on subtype).

Insulin receptor

The insulin receptor is a tyrosine kinase receptor linked to inositol trisphosphate (IP3), which ultimately leads to activation of protein kinase B. Protein kinase B leads to translocation of the glucose transporter type 4 (GLUT4) receptor to the cell surface membrane, allowing glucose uptake. There is also a reduction in cyclic adenosine monophosphate (cAMP)


production via the insulin tyrosine kinase transduction pathway.

Fink effect

The Fink effect is also known as diffusion anoxia, diffusion hypoxia or the second gas effect. It is a factor that influences the partial pressure of oxygen within the alveoli. When a patient is recovering from nitrous oxide anaesthesia, large quantities of this gas diffuse from the blood into the alveoli, diluting the oxygen and carbon dioxide. A large enough decrease in the partial pressure of oxygen will lead to hypoxaemia.

Features of anaphylactic reactions

NOT IgE mediated


Can occur after first exposure to antigen


Activation of complement without immune complex formation.


Mast cell or basophil degranulation is present

Equation for osmolarity

2( Na+K) + urea + glucose

Nerve conduction test monitors impulses from which nerves

Alpha motor neuron

Primary polycythemia causes

JAK 2 mutation

Primary polycythemia causes

JAK 2 mutation

Causes for secondary polycythemia

Mc: ascent to high altitude


Raised Erythropoietin


Raised HCT

Methods to measure TBW

TBW= 42 L


Deuterium oxide


and


Tritium oxide

ICF measurement

TBW- ECF

ICF measurement

TBW- ECF

Interstitial volume

ECF- plasma volume

ICF measurement

TBW- ECF

Interstitial volume

ECF- plasma volume

ICF measurement

TBW- ECF


ICF= 28!L

ECF composition

14 litres total


10 L: interstitial


4-5 L: plasma


0-1 L: trans cellular

Plasma volume estimation can be done by which dye

Evans blue dye

Plasma volume estimation can be done by which dye

Evans blue dye

ECF volume measurement

Radiolabelled Bromine


Mannitol

Delta ratio

Difference in anion gap/ difference in bicarbonate

Renal blood flow calculation from PAH formula

[PAH] in urine x urine flow rate V (in cc/min)/[PAH] in plasma.

Formula to calculate serum osmolality

2( Na) + glucose+ Urea

Distribution of dextrose containing solutions

Concentrations less than 5%: rapidly metabolised leaving isotonic solution which distributes in all compartments as per distribution. 2/3: ICF, 1/3: ECF


Concentrations greater than 5%:


Even distribution across all compartments