Treatment
Best practice for DKA patients is to have ___lines
What is 2!
One is typically dedicated to Insulin drip
Normal MAP should be.......
What is 65 and above
What is for Post Prostate Surgery with Urinary Retention and Bleeding in the bladder
These are considered Crystalloid IV Fluids....
This is the final stage in Chronic Kidney Disease
This treatment is often used with Bowel obstruction patients od decompress the abd...
What is an NGT
Coffee Ground Emesis can be a sign of.......
Upper GI Bleed
This type of Kidney Disease is Reversible?
What is Acute Renal Failure (Acute Kidney Injury)
Dialysis patients receive this medication for poor RBC production...
What is Epogen
Name 3 reasons why the Elderly are at higher risk for Abd complaints in the ED?
What is Comorbidities, Polypharmacy, Weakened Immune System, Increased incidence of surgical presentations, increased mortality, vague nonspecific presentations.
TNK should be administered within ___ ____ of diagnosis
What is 30 minutes
SAMPLE stands for....
Symptoms, Allergies, Medication hx, Past Medical Hx, Last oral intake/BM, Events leading to the incident.
Every ____seconds, someone in the US has a stroke
What is 40 Seconds
IV pain reassessment needs to be completed how often_______
What is 15-30 min after dose was given.
______ meningitis is the more serious infection
What is Bacterial
What kind of Drip medication is used for Bleeding Esophageal Varices?
What is Octreotide (Decreases portal pressure by relaxing mesenteric vascular smooth muscle) bolus, then followed by gtt (Drip)
Bright red rectal bleeding can be a sign of......
Lower GI Bleed
-Remember this is usually painless and can indicate a perforation or infectious case
If seizure activity lasts longer than 5 minutes, this is called
What is Status Epilepticus
This medication an affect the QT interval if given in Larger doses via IV....
What is Zofran (Ondansetron)
Torsades de Pointes is a risk when giving large doses of IV Zofran. Recommended dose should not exceed 8mg.
These populations of patients are at higher risk for Abdominal Pain...
What is the Elderly, Women of childbearing age, Infants, and Post-Op patients
This procedure helps with bleeding from varices and is performed by Radiology....
What is a TIPS procedure
Transjugular Intrahepatic Portosystemic Shunt
This risk factor is associated with Bowel obstruction...
What is Previous Abd Surgery
A patient lying rigidly still or in a fetal position is a classic symptom of this __________
What is Peritonitis!
Remember Peritonitis is caused by an infection with bacteria entering the lining of your belly in you GI tract
When do we switch over to D5NS with K+ IV fluids and why for DKA patients?
When BGL reaches 250 and consider the shifts of electrolytes in and out of the cells as glucose is moving. This requires careful monitoring of K+ and other electrolytes
If the entire family complaints about headaches, we need to have suspicion for....
Carbon Monoxide poisoning
Kidney stones smaller than __mm usually pass spontaneously
What is 4mm
This is the formula for Anion Gap...
What is Sodium- Chloride +Bicarbonate...
Normal-8-12 meq/l
>12 =DKA
______stroke can be caused by thrombosis or embolism
What is Schemic
____are the first line choice for treatment of Kidney stones
what are NSaids
This posturing is worse and indicates a brain injury below the midbrain which indicated brain herniation (limbs are pointing out, away from your body).
What is Decerebrate Posturing
Treatment for DKA includes...
What is Insulin, Potassium replacement, and Bicarbonate replacement
This is the Gold standard for diagnosing Meningitis
Condition characterized by a tear in the tissue where the esophagus and the stomach meet due to vomiting
What is Mallory-Weiss Syndrome
Treatment for Hyperkalemia includes this mnemonic CANDI K which refers to....
Calcium, Albuterol, Sodium Bicarb, Dextrose, Insulin, Kayexalate
---Always keep pts on monitor
In Pediatric patients, DKA is a major cause of what for this patients?
What is Learning Delays, Long-Term morbidity, and Mortality, especially those with undiagnosed T1DM