bk misc

7.5 to 8.5

4-5

10cc

bypass er/triage

Sealed chamber supplying a high-pressure atmosphere primarily for medical therapy. Breathing air or oxygen at typically 1.5 – 3 times normal pressure increases the oxygen level in tissues. This effect is used, for example, to treat carbon monoxide poisoning or to inhibit growth of anaerobic bacteria (as in gas gangrene). The compressive effect of the elevated pressure causes damaging gas bubbles in tissues (as in air embolism or decompression sickness) to shrink and gradually be absorbed

condition which results when the alveoli of the lung are perfused with blood as normal, but ventilation (the supply of air) fails to supply the perfused region. In other words, the ventilation/perfusion ratio (the ratio of air reaching the alveoli to blood perfusing them) is zero.[1] A pulmonary shunt often occurs when the alveoli fill with fluid, causing parts of the lung to be unventilated although they are still perfused.[2] Intrapulmonary shunting is the main cause of hypoxemia (inadequate blood oxygen) in pulmonary edema and conditions such as pneumonia in which the lungs become consolidated

drug, especially one used in treating mental disorders

excess fluid that accumulates in the pleura, the fluid-filled space that surrounds the lungs. Excessive amounts of such fluid can impair breathing by limiting the expansion of the lungs during inspiration

elevation in blood pressure caused by an increased blood volume, as by transfusion. The condition can lead to heart failure or pulmonary edema.

advil motrin nurofen

Gi bleed, heart attack stroke

biggest nare, curve toward mouth

inserted through the side of the chest into the pleural space. It is used to remove air (pneumothorax) or fluid (pleural effusion, blood, chyle), or pus (empyema) from the intrathoracic space

tremulous vibration of the chest wall during speaking that is palpable on physical examination. Tactile fremitus may be decreased or absent when vibrations from the larynx to the chest surface are impeded by chronic obstructive pulmonary disease, obstruction, pleural effusion, or pneumothorax. It is increased in pneumonia

gun shot wound

surgical specialty dealing with the care of women and their children during pregnancy (prenatal period), childbirth and the postnatal period

a connective tissue that surrounds muscles, groups of muscles, blood vessels, and nerves, binding those structures together like plastic sandwich wraps

abnormal build up of fluid in the air sacs of the lungs, which leads to shortness of breath

the branch of medicine dealing with the eye, including its anatomy, physiology, and pathology

occurs when the pancreas does not produce enough insulin to properly control blood sugar levels. Insulin-dependent diabetes

body does not respond correctly to insulin. marked by high levels of sugar (glucose) in the blood. Type 2 diabetes is the most common form of diabetes.

condition in which the body does not have enough healthy red blood cells. Red blood cells provide oxygen to body tissues

70 to 140 mg/dl

• endocrine: a cells secrete glucagon, beta cells secrete insulin
• exocrine: secrete pancreatic juices - enzymes that help digest food in small intestines

stores bile which is secreted by liver - bile emulsifies( suspends globules of fat in water) fats and neutralizes acids in partly digested food

a swelling, similar to hives, but the swelling is beneath the skin rather than on the surface. The hives are called welts. It is also possible to have angioedema without hives.

semifluid mass of partly digested food expelled by the stomach into the duodenum. In other words, chyme is partially digested food

is the difference between systolic and diastolic blood pressures

• checking for ICP from trauma or hemmoragic stroke. 3 things
• HTN, bradycardia, irregular respirations, sometimes widened pulse pressure

• checking for cardiac tamponade, 3 things
• JVD, distant/muffled heart sounds, narrowing pulse pressure

• mcg/kg x kg (weight) x drip set
• __________________________ = gts/m

concentration on hand x time

• test that may be used to determine the cause of painful swallowing, difficulty with swallowing, abdominal pain, bloodstained vomit, or unexplained weight loss.
• metallic compound that shows up on x-ray and is used to help see abnormalities in the esophagus and stomach. When taking the test, you drink a preparation containing this solution. The x-rays track its path through your digestive system.

procedure involving a large incision through the abdominal wall to gain access into the abdominal cavity.

aka gutter wound. through skin and may graze a structure and exits at another point in skin

• Diagnostic peritoneal lavage
• vertical skin incision is made one third of the distance from the umbilicus to the pubic symphysis. The linea alba is divided and the peritoneum entered after it has been picked up to prevent bowel perforation. A catheter is inserted towards the pelvis and aspiration of material attempted using a syringe. If no blood is aspirated, 1 litre of warm 0.9% saline is infused and after a few (usually 5) minutes this is drained and sent for analysis.
• performed when intra-abdominal bleeding (hemoperitoneum) usually secondary to trauma is suspected.[1] In a hemodynamically unstable patient with high-risk mechanism of injury, peritoneal lavage is the quickest, most reliable modality to determine whether there is a concomitant intra-abdominal injury requiring laparotomy.

collection of disorders that occurs when nerves of the peripheral nervous system (the part of the nervous system outside of the brain and spinal cord) are damaged. The condition is generally referred to as peripheral neuropathy, and it is most commonly due to damage to nerve axons. Neuropathy usually causes pain and numbness in the hands and feet. It can result from traumatic injuries, infections, metabolic disorders, and exposure to toxins. One of the most common causes of neuropathy is diabetes.

• 200 /2 = 100
• 100 x 10% = 10
• 100 - 10 = 90 kg

• ordered dose = volume on hand x orderd dose / concentration(mg)
• x = 2mg x 5ml / 10 mg
• = 1 ml

• 4ml/kg x %BSA
• 8400 or 4200ml 1st 8 hours
• 4200x15gtts/8hr x 60 -480
• 131gtts

showing no evidence of disease

not typical, irregular

• cullens - umbillical bruise
• grey turners - flank bruise
• mc bur - right umbi appendit

• mxedema-hypothyroidism-puffy face
• addisons -hypoadrenalism- orthos hypoten
• cushings- high levels cortisone in blood
• graves- hyperthtyroidism