Cardiology
For heart failure progression, what should patients be monitoring daily?
Use this meter everyday to see how my asthma is doing.
Peak flow meter
Its the best way to care.
TIC
Trauma Informed care
They love each other! The best way to tell renal health and looking at this organ's health.
The heart!
What is my favourite model to use in this class?
The clinical judgment model!!
2-4-6-8, now we need to defibrillate! These two rhythms...
V fib and pulseless v tach
Absent breath sounds on the left side with right sided tracheal deviation? What are we going to do?!?
Pneumothorax, chest tube insertion
This hyperglycemic emergency occurs in the total absence of insulin.
DKA
When the kidney is struggling, this lab value goes up while the other goes down.
Creatinine and eGFR
Kussmaul's breathing trying to breath off this type of acidosis.
Metabolic
This medication is used for rate regulation, chest pain, and to decrease in heart workload and remodeling.
Metoprolol
Don't drive me down! My COPD means I rely on these receptors to drive me to breathe. Watch my O2!
Peripheral chemoreceptors
Yikes! My blood glucose is 35, I'm hypotensive, and I have HHS! What is your first priority?
Rehydrate
AKI don't know! A crush injury is what type?
Intra renal
This ________ involves the early detection of a disease AND prompt intervention to prevent its progression whereas this ______ focuses on minimizing the impact of an existing disease and preventing complications.
The difference between secondary and tertiary health promotion strategies?
A printed ECG strip where the rate is 120 bpm, has irregular QRS complexes with no distinct p or t waves.
Atrial fibrillation
My chest xray shows atelectasis! What do I need? Name three things.
Deep breathing and coughing
PEEP
Mobility
The glucocorticoid stress hormone....
Cortisol
Azotemia is characterized by this high blood work level.
Blood nitrogen urea (BUN)
pH = 7.30 (7.35-7.45)
PaCO2 = 35 mmHg (35-45 mmHg)
HCO3- = 15 mmol/L (22-26 mmol/L)
PaO2 = 77 mmHg (80-100 mmHg)
Glucose = 20 mmol/L (4-7 mmol/L)
K+ = 5.0 mmol/L (3.5-5.0 mmol/L)
What and maybe why?
Metabolic acidosis- DKA
Oh my! The patient has new onset chest pain!
I need these two tests stat!
I need these two medications!
And don't forget the oxygen and a chest xray!
Toponins and ECG
Nitro and hydromorph
Your patient has a pneumonia that is being treated with antibiotics but their blood cultures have come back positive for enterococci. What is this called, what is the risk?
Bacteremia. Sepsis.
Can you give me a B..B...I...T...This is the AHS BBIT protocol.
Basal insulin – scheduled long or intermediate-acting insulin given once or twice daily to cover basal insulin needs
Bolus (meal) insulin – scheduled rapid or short-acting insulin given prior to meals to cover rise in blood glucose due to intermittent caloric intake or feeding, either orally or enterally.
Correction (supplemental) insulin – rapid or short-acting insulin given with meal insulin (patient eating or receiving feeds) or on its own (patient NPO) when blood glucose measurement is above target for that patient, at that time. The correctional insulin is designed to correct unanticipated hyperglycemia in the event that the patient’s previously scheduled insulin dose did not match their needs and ensures that high glucose values are not left untreated. The dosing scale is based on patient’s sensitivity to insulin.
Nephrotic or nephritic...this one is exhibited by frothy urine.
Nephrotic
***BONUS**
Why?
pH: 7.53
PaCo2: 28
PaO2:130
HCO3: 22
What and why?