Sugar Gone Wild
A diagnosis of diabetes using the HgA1c requires two repeated tests at or above this value.
What is 6.5%?
This is the normal serum Calcium range.
What is 8.5-10.5 mg/dL ?
In this type of anemia, you may see schistocytes on the peripheral blood smear and an elevated reticulocyte count.
What is hemolytic anemia?
Your patient has thrombocytopenia with no evidence of bleeding, a low risk of bleeding, and no plans for surgery. You should plan to transfuse platelets when they drop below this number.
What is 10k?
In addition to stopping all heparin-like medications, this is the most important intervention in a patient with newly diagnosed HIT.
What is anticoagulation with a non-heparinoid medication?
In this type of transfusion reaction your patient experiences: Urticaria, pruritus, rash, localized angioedema. Symptoms resolve with Diphenhydramine and then the transfusion was successfully completed.
What is a mild allergic transfusion reaction?
Joint society guidelines recommend measuring this serum ketone over urine ketones because it is more accurate for diagnosing and monitoring.
What is beta hydroxybutyrate?
Fatigue, cold intolerance, constipation, and dry skin are all symptoms of this condition
What is hypothyroid?
Even though he isn't paid for this, Dr. Pack wholeheartedly believes this app should be your best friend on clinical rotations.
What is MD Calc?
After confirming a diagnosis of either DKA or HHS, this intervention takes first priority.
What is fluid resuscitation?
This level of calcium in the blood is considered an emergency/crisis
What is a calcium level of >14 mg/dL
The first symptom that should be treated in a hemodynamically stable patient in sickle cell crisis with a hgb of 7.2gm is.
What is severe pain?
This medication is the mainstay of treatment for bleeding in mild von Willebrand's disease.
What is DDAVP?
This score may help the NP decide the patient's pre-test probability for HIT.
What is the 4T Score?
This simple conservative practice may prevent uneccessary blood transfusions.
What is Limiting phlebotomy draws?
or
What is Restrictive blood transfusion protocol?
Infection, cold exposure, stroke, MI, and sedative drugs are common triggers that may transform hypothyroidism into this life threatening emergency.
What is myxedema coma?
In this patient population, Levothyroxine replacement is increased by 30%
What is the pregnant patient?
Vitamin K is the antidote for warfarin toxicity. What agent can be used when the effects of heparin need to be reversed?
What is protamine sulfate?
Your patient's potassium comes back at 3.2 mmol/L. Insulin is running at 8 units/hr. This should be next step in management.
What is stopping insulin and aggressive potassium replacement?
This condition is diagnosed by elevated PTH, High Calcium, and low phosphate
What is primary hyperparathyroidism?
Pt's with Alcohol use disorder (AUD) at at high risk for this macrocytic anemia.
What is folic acid deficinecy?
In pregnant patients with pre-eclampsia, the most common thrombotic microangiopathy is
What is HELLP syndrome?
This is the only effective treatment for a patient in sepsis-associated DIC
What is treating the underlying cause?
This transfusion hgb threshold has been shown to improve outcomes in patients with stable CV system and history
What is 7 gm
This Transfusion complication presents with respiratory distress, an elevated BNP, a positive fluid balance, and responds to diuretics
Whay is transfusion associated fluid overload ot TACO?
This critical illness presents with hyperthermia, neuropsychiatric symptoms, and tachyarrhythmias and is life threatening if left untreated
What is Thyroid storm?
This intervention provides for the highest body weight loss in the management of obesity.
What is the Roux-en-Y gastric bypass?
This medication (part of the sulfonylurea class) eeks past the others with the highest risk of hypoglycemia, especially in the elderly.
What is glyburide?
This sign in the hypoparathyroid patient reveals low calcium by tapping the pre-auricular area and noting facial twitching.
What is Chvostek's sign?
This is the lifespan of the Red Bloos Cell under normal circumstances
What is 120 days
Given a positive PLASMIC score, the NP should not wait for the ADAMTS13 result before starting this intervention
What is plasma exchange?
Despite oozing, your patient with DIC and no evidence of a clinically significant bleed should receive what sort of prophylaxis for VTE?
What is chemoprophylaxis?
In this type of transfusion reaction your patient develops fever/chills, flank/back pain, hypotension, dyspnea, hemoglobinuria, sense of impending doom, DIC, acute renal failure
What is
Acute Hemolytic Transfusion
Reaction (AHTR)?
This hematologic condition can present with thrombocytopenia, but is characterized by a paradoxical prothrombotic state despite a low platelet count
What is Hepatin Induced Thrombocytopenia or HIT?
This test should be done 6-8 weeks after a Levothyroxine dose change.
What is TSH, T3 and or T4?
What class of medications is responsible for the majority of euglycemic DKA presentations and should be held 3-4 days before elective surgery?
What are SGLT2 inhibitors?
DKA is diagnosed by glucose ≥ 200, BHB ≥ 3, and pH < 7.3. While the treatment is very similar, the values for these criteria are different in hyperosmolar hyperglycemic state.
- glucose ≥ 600
- beta hydroxybutyrate < 3
- pH ≥ 7.3
- (serum osmo > 320 or > 300 calculated)
This Hormone stimulates bone resorption to release calcium into circulation
What is parathyroid hormone (PTH)?
This weekly medication can be used to treat anemia when iron stores are normal
what is eythropoietan?
You admit a patient with a history of HIV and isolated thrombocytopenia around 15k. He has no clinically significant bleeding. The NP anticipates starting this treatment.
What are corticosteroids?
This oral anticoagulant should never be started early in the course of HIT.
What is warfarin?
In this transfusion reaction you patient develops acute respiratory distress 6 hours post transfusion, pulmonary edema, elevated BNP, positive fluid balance. His acute hypoxemic respiratory failure improves with lasix.
What is Transfusion Associated Cardiac Overload (TACO)?
These three life-threatening endocrine emergencies share a common initial treatment step of immediate administration of intravenous hydrocortisone or glucocorticoids
What are myxedema coma, addisonian (adrenal) crisis and thyroid storm?
In this condition there are positive TSH receptor antibodies (TRAb), and a TSH that is below 0.01 mIU/L, and total T3 and Free T4 are high.
What is Grave's disease?
Blasts are often elevated in severe sepsis. When higher than 20%, this process might replace your concern for infection.
What is acute myelogenous leukemia?