I Feel Like Sh--
88yo, SOB, cough, tachypnea, upper airway coarse breath sounds, mild fever, wheezes, sore throat, slow onset over past few days, lung sounds diminished but clear. Christmas season is here and she wants to spend it with family.
What is RSV?
Your CHF patient calls you into the room c/o SOB, denies chest discomfort. ECG shows ST elevation in V1-V4 with reciprocal ST depression in ll,lll, aVF.
What is antero-septal STEMI.
Your diabetic, post-op fem-pop patient calls you into their room. When you walk in they are pale, thachypneic and lethargic/responds to pain. What things do you want to do?
What is call for help, call rapid response, get blood sugar (nml), get vs (84/50, 124, 30, 92%), call for ecg, assess the patient (large pool of blood in groin area), call MD.
Now what do you want to do? Call blood bank for MTP, start second IV and get labs H+H/coags, call OR, prep pt for OR.
Altered Mental Status, anisorca, elevated ammonia, hypoalbuminemia.
Liver failure.
What meds would you give in what order?
Albumin 1st, then Lasix, Lactulose, Rifaximin
The body's response to an antigen causing stridor, upper airway swelling, angioedema, generalized welts, tachycardia and hypotension.
Tell us the treatment. Med, concentration, dose, route.
What is an anaphylactic reaction?
What is epinephrine 1:1000, 0.3cc, IM.
Your 46 yo female, 3 days post-op cholecystectomy patient calls you into the room. She is c/o abdominal pain, fever, diarrhea, indigestion, and you notice her sclera is jaundiced.
What is post-Cholecystectomy syndrome? Leaking of bile into the abdominal cavity post-op, or gall stones left in duct.
Occurs is approx. 1% of cases.