Anticoagulation
A high INR means what?
A low INR means what?
High INR = increased risk of bleeding
Low INR = increased risk of clotting
What receptor does propofol work on?
GABA
Gram negative organisms show up as what color on a gram stain?
Pink
High WBC means what?
Leukocytosis - could be infection, inflammation, injury, immune system disorder
What does this EKG represent?
V-fib
What is the criteria for reduced dosing for Eliquis? (hint: 3)
What receptor does ketamine work on?
NMDA
A patient is prescribed tetracycline. They want to know when they can have a glass of milk. What do you tell them?
1 hour before or 2 hours after dose
What lab values go in this diagram?
WBC, Hgb, Hct, Plt
What does PACU stand for?
Post anesthesia care unit
Brand of dabigatran?
Pradaxa
What receptor does phenylephrine work on and what does it do?
Alpha-1, increases BP
Quinolones end in what suffix?
-floxacin
What lab values go in this diagram?
Na, Cl, BUN, Glucose
K, CO2, creatinine
What is the CIWA scale for?
Severity of alcohol withdrawal
Which anticoagulant is safe in pregnancy?
LMWH - Lovenox
What situation is it appropriate for a patient to receive lactated ringers rather than normal saline?
If a patient needs a larger amount of fluid (i.e. during surgery) lactated ringers is indicated because the pH is more similar to plasma
You receive a script for Keflex. The pt has an allergy to PCN. Can you fill the prescription?
No - risk of cross-reactivity with cephalosporins and penicillins. Call MD.
What is the IBW equation? (Hint: one for males and one for females)
Male = 50 + (2.3 x every inch over 5 ft)
Female = 45.5 (2.3 x every inch over 5 ft)
What does atropine do?
Increases heart rate
What is HIT? And what % drop in platelet count from baseline indicates HIT?
Heparin induced thrombocytopenia
30-50% drop from baseline (typically go with 50%)
Local anesthetics can sometimes lead to cardiac and neurological toxicities. What is the reversal agent for local anesthetic toxicity?
Intralipid
A pt has an uncomplicated UTI. Dr wants to prescribe Macrobid. Their CrCl is 28.94. What dosage should they receive?
CI
What is the cockcroft gault equation?
((140-age) x Weight in kg) / 72 x Scr
x 0.85 for females
What is rhabdomyolysis and what lab values are used for diagnosis?
Muscle injury leads to muscle tissue breakdown which releases muscle fiber contents into the blood. Can lead to renal and cardiac toxicities. Lab: CK or CPK values