GSW/Hemorrhagic Shock
Together, these two things are the primary treatment of hemorrhagic shock.
Stop the bleeding and replace volume.
True or false: when used correctly every time, high-quality latex condoms are 100% effective at preventing the transmission of gonorrhea.
What is false?
This alpha-1 adrenergic blocker is frequently prescribed off-label to help alleviate trauma-related nightmares.
What is prazosin?
This validated 10-item clinical assessment tool is used to quantify the severity of alcohol withdrawal and guide symptom-triggered benzodiazepine therapy.
What is the CIWA-Ar (Clinical Institute Withdrawal Assessment for Alcohol)?
This type of pain occurs when the patient feels pain, burning, or crushing in a limb that is no longer there.
What is phantom limb pain?
The entry wound is typically __________ than the exit wound.
What is smaller?
This third generation cephalosporin is the first line treatment for uncomplicated gonorrhea.
What is a single IM injection of ceftriaxone (Rocephin)?
This atypical antipsychotic is often utilized to manage hyperarousal and severe sleeplessness in patients with PTSD.
What is quetiapine (or Seroquel)?
An AST of 310 and an ALT of 125 yields a ratio greater than 2:1, which is a classic laboratory indicator of this specific inflammatory condition.
What is alcoholic hepatitis?
Before James can safely return to daily life with a prosthetic leg, these two rehab services help with mobility, transfers, ADLs, and independence.
PT/OT
Routinely administered in other forms of shock, use of these drugs in the early treatment of hemorrhagic shock is controversial.
What are vasopressors?
This is a common co-infection with gonorrhea, so providers will often prescribe a course of doxycycline in addition to the treatment for gonorrhea.
What is chlamydia?
Taking an SSRI concurrently with tramadol significantly increases the risk of this potentially fatal condition characterized by autonomic hyperactivity.
What is Serotonin Syndrome?
Hypomagnesemia and hypokalemia combined with fluoroquinolone antibiotics place a patient at extreme risk for this specific, dangerous EKG abnormality.
What is QT prolongation (or prolonged QTc interval)?
This nonpharmacological therapy uses a mirror to trick the brain and may help decrease phantom limb pain.
What is mirror therapy?
This type of bullet exhibits a high degree of deformation/expansion upon impact and transfers all of its energy to tissue.
What is a hollow-point/jacketed hollow-point?
According to the CDC, these are three symptoms of gonorrhea in men.
Dysuria, penile discharge (white/yellow/green), and painful or swollen testicles (less common).
This SNRI serves a dual clinical purpose by treating both severe depression and neuropathic conditions, such as phantom limb pain.
What is duloxetine (or Cymbalta)?
This medication, an antihistamine with antiserotonergic properties, is given orally to block excess serotonin activity in patients suffering from a severe medication reaction.
What is cyproheptadine?
For James’ post-op opioid PCA, this setting is avoided to reduce the risk of oversedation and respiratory depression in a high-risk substance-use patient.
What is a continuous infusion rate?
Patient is experiencing 10/10 pain due to GSW, but is in hemorrhagic shock beginning to have hypotension and narrowed pulse pressure. This IV medication is appropriate for pain management without causing further hypotension.
What is ketamine?
According to the CDC, people treated for chlamydia and/or gonorrhea should follow up with retesting how long after treatment?
What is 3 months?
Administered as a 50 mg daily oral dose, this opioid antagonist is utilized in rehabilitation to block the euphoric effects of alcohol and reduce systemic cravings.
What is naltrexone?
This severe, life-threatening manifestation of alcohol withdrawal presents with altered mental status, autonomic hyperactivity, and hallucinations, typically occurring 48 to 96 hours after the last drink.
What is Delirium Tremens (or DTs)?
After an above-knee amputation, prolonged sitting or placing pillows under the limb can increase risk for this complication.
What is a hip flexion contracture?