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19 y.o male in ER with drug overdose, 100 ativan, oxycodone and valium lethargy and
mental status changes, what treatment will you implement first? - CORRECT ANSWER:
Narcan-or Naxolalone
treat the opioid first then the benzodiazepines.
5 causes of hypoxemia - CORRECT ANSWER: VQ mismatch
shunt
PNA, interstitial lung dz
hypoventilation
high altitude
A-a gradiant varies with age, calculation - CORRECT ANSWER: 2.5 + 0.21 x age in
years
A-a gradiatian calculation is a calculation of what? - CORRECT ANSWER: level of
hypoxia
PA02-Pa02
AC control vent settings how do you determine tidal volume? - CORRECT ANSWER: is
based on ideal body weight. careful with obese patients.
acute otitis media treatment - CORRECT ANSWER: Amoxicillin or Augmentin
antiboitics that require serum monitoring - CORRECT ANSWER: vancomycin, amikacin,
gentamicin
, antibotic for strep - CORRECT ANSWER: amoxicillin
ARDS pt who have high peak pressures with rising levels of static pressures have this
complication... - CORRECT ANSWER: compliance decreases
BiPAP use - CORRECT ANSWER: patients who require positive pressure with
inspiration AND expiration.
carbapenem serious side effect - CORRECT ANSWER: seizures
cardiac surgery patients do not use this for sedation during surgery - CORRECT
ANSWER: benzodiazepines
cellutlitis treatmen - CORRECT ANSWER: cephalexin
clinical symptoms and treatment of patient with hyperkalemia - CORRECT ANSWER:
>6 mEq/L. tall T waves on EKG, prolonged P waves, PR interval, P waves are flattened.
wide QRS.
slowed AV conduction, arrhythmias.
bradycardia, idioventricular rhythms, v-tach, v-fib, asystole.
clinical symptoms of hyponatremia - CORRECT ANSWER: Na+ <115
seizures, coma
treatment is to restrict all fluid intake, 1000 ml/24 hours.
bolus with 3% hypertonic saline. 100 ml/ over 10 minutes.
clinical symptoms that require intubation - CORRECT ANSWER: neuromuscular
depression or failure.
spinal cord injuries
guillain barre syndrome