-
what degree burn doesnt have blisgters?
which degree burn blanches with pressure?
- 1st degree superficial
- but 1st degree superficial thickness has blisters
1st blanches with pressure
-
3 complications of electrical burns?
management?
- myoglobinuria
- arrhythmia
- compartment
iv fluids to prevent renal failure
-
fluid for burn patients?
LR
-
when do you treat burns as an outpatient?
1st degree burn
-
5 serious complications from burns?
- hypovolemia
- renal failure
- sepsis
- wound infection
- inhalational injury
-
difference between heat exhaustion and heat stroke
- heat exhaustion-- normal bun and creatinine
- heat stroke--high bun and creatitine
-
drowning in salt water or freshwater will cause pulmonary edema?
- salt water
- fresh water will cause hemolysis
-
next best step in an aspiration where there isno breathing and hypoxia sets in?
treacheotomy
-
hypothermia ekg change?
J wave
-
rx for snake bites?
rx for scorpion stings?
- antivenin, pressure, immobilization
- antivenin, atropine for cholingeric symptoms
-
effects of scorpion stings?
- acute pancreatitis
- cholingeric symptoms--sweating, diarrhea
-
effects of black widow spider bite, brown recluse spider bite?
rx for each?
black widow--abdominal cramps--calcium gluconate
brown recluse-- local wound care
-
what antibitoic has leukocyte inhibitory properties?
dapsone
-
antibiotic rx for cat/dog bites?
penicillin
-
when do you give tdap vs td?
you give tdap between 18 and 65 just once, after that, td is given every 10 years
-
if a wound is not tetanus prone, what do you give?
if the wound is tetanus prone
td shot if not immunized within 10 years
td vaccine and immunoglobulin if not immunized within 5 years
-
animal bites should be left open except where?
on the face
-
rx for black widow bite?
rx for brown recluse spider bite?
- calcium gluconate
- muscle relaxant
brown recluse--bite rebridement, steroids, dapsoe to prevent leukocyte migration and tissue damage
-
when do you give n acetylcysteine?
if more than 8 grams were ingested in less than 24 hours
-
rx for aspirin overdose?
alkalinization of urine
-
rx for bb or ccb?
- atropine
- glucagon
- calcium
- insulin dextrose
-
what kind of breath does cn poisoning give?
almond scented
-
rx for methemoglobin?
methylene blue, vitamin c
-
rx for cyanide poisoning?
- sodium thiosulfate
- nitrate--methemoglobin
- hydoxycobalamin
-
how does digoxin toxicity can be followed?
levels of potassium
-
when do you give digoxin antibodies?
-
best initial test for digoxin toxicity?
most accurate test?
-
what 2 substances increase the osmolar gap?
- ethylene glycol
- methanol--
-
side effects of ethylene glycol and methanol?
- ethylene glycol--renal toxicity with calcium oxalate stones and hypocalcemia
- methanol--retinal inflammation
-
best initial therapy for methanol and ethylene glycol?
most effective therapy for methanol and ethylene glycol ingestion?
when do you do dialysis?
- fomepizole
- ethanol is second line
- dialysis
- end organ damage or severe metabolic acidosis
-
what symptoms do snake bites produce?
- local tissue damage
- hemolysis, DIC
- neurotoxin producing respiratory paralyssi
-
rx for aspirin overdose?
alkalinization of urine
-
rx for sulfonylurea overdose?
dextrose
-
rx for tca overdose?
sodium bicarbonate
-
rx for caustic ingestion?
when do you do srugery?
what is contraindicated
what must be screened for in the future?
- flashing out with high volumes
- endoscopy to assess damage
surgery---perforation, mediastinits, peritoniits
- neutralizing agents are contraindicated
- ipecac
squamous cell carcinoma must be screened for because of irritation
-
rx for atropine overdose?
physostigmine
-
rx for organophosphate poisoning?
- atropine
- pralidoxime--regenerate acetylcholinestarase
-
rx for iron overload?
deferoxamine
-
what toxicity does mercury casue?
- inhaled--pulmonary fibrosis
- orally ingested---neurotxocity and acrodynia
-
rx for mercury poisoning?
dimercaprol
-
rx for tpa overdose?
aminocaproic acid
-
rx for theophylline toxicity?
bb
-
whole bowel irrigation(golytely) is used when?
- lithium overdose
- body packing
- iron ingestion
-
most accurate diagnostic test for carboxyhemoglobin?
serum level of carboxyhemoglobin
-
rx for carbon monoxide poisoning?
when is hyperbaric chamber give?
100% oxygen
- cns symptoms
- cardiac symptoms
- metabolic acidosis
-
how are pea and asystole treated?
the same, cpr and epi
-
what are the only pulseless rhythms that are shocked?
-
when should warfarin stopped before surgery?
aspirin?
nsaids?
inr for surgery
- 4 days
- 7 days
- 2 days
- inr<1.5
-
patient on warfarin needs surgery, what can be given in the perioperative period
heparin
-
rx for abdominal surgery post op to reduce atelectasis?
incentive spirometry
-
hla is not important for what organ transplant?li
importnatn?
- liver and heart
- kidney and pancreas
-
rx of lupus nephrits;
;
- mycophenolate
- steroids
- cyclophosphamide
-
contraindication for the transplant of the following?
heart
lung
liver
- smoking/pulmonary htn
- lung--smoking, heart, renal
- liver--alcoholism,suicide attempts
-
which rejection is managed with immunosuppresion?
acute--6 days to 1 year
-
what blood product has a large source of vwf?
cryoprecipitate
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