Exam 1
What type of ventilation can lead to respiratory alkalosis?
AC
Pancreatic cancer. Infection, obstruction, paralytic ileus, glucose problems, fistula
Early S/S of increased ICP in peds
irritability, high-pitched cry-ear piercing scream is tell tale sign, bulging fontanel, increased HC, dilated scalp veins, setting sun, macewen's sign
Primary survey vs Secondary Survey
ABCDEs
NG tube, foley, etc.
Tracheal deviation and JVD... what we thinking
Your patient has a high pressure alarm going. What do you do?
Assess patient. Suction if needed.
Patient has temp above 100.1 after hemodialysis, what do you do?
Take blood cultures. Potential sepsis.
Hallmark sign of cerebral palsy.
prolonged arching of back, with head and heels bent backward, and meningeal irritation (opisthonos)
Triage system for both ER and mass casualty and explain them
emergent, non urgent and urgent
red green yellow black
the surgery for tricuspid atresia and HLHS result in
singular ventricle circulartion
How do we treat a MI?
Morphine, O2, Nitro, Aspirin
Your patient is hypotensive after dialysis what do you do?
bolus fluids
Signs of basilar skull fractures
racoon eyes
battles sign
CSF leakage
Priority action for electrical burns
assess cardiac
rural individuals ten to be what 4 things
poor, sick, older, less access to to health care
List some cardiogenic shock medications
Epi, norepi, levo, dobutamine
Tell me the cardiac disorders that increased pulmonary blood flow. How would fixing them change blood flow?
ASD, VSD, PDA, ASCD
creates normal blood flow and stops oxygenated blood going back to lungs.
Spinal Cord Disorder that causes nerves to degenerate (autoimmune demyelination). S/S include impaired sensation/movement, weakness, double or blurred vision, tingling, fatigue. Treat with beta inferons, corticosteroids, immunosuppressants
MS-Multiple sclerosis
Compartment syndrome number 1 sign
pain out of proportion
characteristics of urban population
Health disparities
Socioeconomic disparity
Higher rates of crime and violence
Psychological stress
Could be living paycheck to paycheck
More exposures to problems based on their lifestyle
Lack of affordable places to exercise
Ex) sidewalks, green spaces, gyms are expensive
Poor air quality
Ex) ride share to help with air pollution that leads to more respiratory issues later on
List medications for asthma
Bronchodialtors
steroids
Tell me 4 hallmark signs of nephrotic syndrome.
tell me what celiac kids cannot eat.
Hypoalbumin, high cholesterol, proteinuria, edema
Barley, rye, oats, wheat, malt
Autoimmune disease that causes antibodies to bind to Ach receptors on muscle membranes. Diagnose with serological testing, tensilon test, CT. Pt. can have difficulty talking, swallowing, chewing, muscle weakness, diplopia, thymus enlargement. Meds pyridostigmine before meals and neostigmine (IV).
Myasthenia Gravis
emotional phases of a disaster
pre disaster
impact
heroic
honeymoon
disillusionment
reconstruction
DKA vs HHS
DKA has metabolic acidosis and ketones
HHS doesnt have either and has higher BG