Hematology
Pt A's (female) labs read: Platelet-50,000, WBC: 6,000, HBG-39%. what is the expected diagnosis?
thrombocytopenia
what are the complications of chemo?
alopecia
disturbed body image
stomatitis
What is the biggest adverse effect of Metformin?
Lactic acidosis
what result on the glosgow means intubation?
8 and under intubate
what are the classifications of TBI's?
Diffuse (generalized)
Focal (localized)
which anemia causes jaundice?
immune hemolytic anemia
what is the purpose of IgE?
response to allergens
What is the treatment for DKA?
0.9NS
electrolytes
IV regular insulin
what does Cushing's triad indicate and what does it include?
increased intercranial pressure
increased blood pressure, diminished respiratory effort, decreased heart rate
what is the difference between decorticate and decerebrate?
decorticate: flexion of arms wrists and finger with adduction in upper extremities (toward the core)
decerebrate: arms are down and hands and wrists and pronated away from body (away from body)
what are characteristics of non-hodgkins lymphoma?
multiple lymph nodes
bad prognosis
what is superior vena cava syndrome and its treatment?
Compression or invasion of the superior vena cava by the tumor, which obstructs venous circulation
Chemo/radiation
Stent
Anticoagulants
Support
What are the 3 D's of Diabetes Inspidus?
Diabetes Insipidus
Decreased ADH
Dieresis
what are the 2 types of strokes? Explain.
ischemia: inadequate blood flow to the brain (partial or complete block) due to clot.
Hemorrhagic: results from bleeding into the brain itself
A patient comes in with aphasia, right visual field deficit, and paralysis and weakness on the right side. What is the patient experiencing?
how long before an acute hemolytic reaction occurs with the blood transfusion and what are clinical manifestations?
15 minutes
fever, rash, shortness of breath
what is spinal cord compression and its treatment?
Occurs when there is a compression of the spinal cord by the tumor leading to neurologic impairment
Radiation is #1
Chemo
Corticosteroids
Surgery
What are the symptoms of myxedema?
Nonpitting edema in the face
thick tongue
what are early signs of a stroke?
F: face symmetry
A: arm
S: speech-garble, word salad
T: time
what is tPA used for and how long do you have to give it?
acute ischemic stroke
3 hour window of symptom onset
rbc
wbc
neutrophils
platelets
what is tumor lysis syndrome an its treatment?
Chemo destroys the tumor and causes it to spread to other places
fluids and diuretics
What electrolyte imbalances occur with Cushing's syndrome?
Hypernatremia
Hypokalemia
what is the most important consideration in any type of head injury?
knowing if there was any brain injury
differentiate early and late signs of increased ICP.
early: disorientation, restlessness, increase respiratory rate, mental confusion, headache
late: coma, decreased respiratory rate, bp and temp increase, fluctuation btwn bradycardia and tachycardia