marilynpac Posted August 4, 2010 Share Posted August 4, 2010 Can you defib with asystole? I hear no b/c nothing to defib....I hear rhythm may not be visible and do it anyway, in case it goes to court...my inquiring mind wants to know... Quote Link to comment Share on other sites More sharing options...
MCHAD Posted August 4, 2010 Share Posted August 4, 2010 Nope, from my understanding this is one of hollywoods biggest inaccuracies. Quote Link to comment Share on other sites More sharing options...
andersenpa Posted August 4, 2010 Share Posted August 4, 2010 Can you defib with asystole? I hear no b/c nothing to defib....I hear rhythm may not be visible and do it anyway, in case it goes to court...my inquiring mind wants to know... Technically it could be very fine VF but if you could document the rhythm strips showing what a reasonable clinician would interpet as asystole, you should (but not always!) be legally protected. Quote Link to comment Share on other sites More sharing options...
deborah212 Posted August 16, 2010 Share Posted August 16, 2010 What does ESBL stand for/mean, and which bacteria is it typically in reference to? Quote Link to comment Share on other sites More sharing options...
vaston Posted August 17, 2010 Share Posted August 17, 2010 What does ESBL stand for/mean, and which bacteria is it typically in reference to? ESBL: Extended Spectrum Beta-Lactamase Typically associated with E. coli or Klebsiella species A form of bacterial drug resistance. Beta-lactamases break down the beta lactam ring associated with penicillin based drugs (penicillinase) and cephalosporins (cephalosporinase). Basically it makes a nasty bug nastier. Quote Link to comment Share on other sites More sharing options...
deborah212 Posted August 17, 2010 Share Posted August 17, 2010 ESBL: Extended Spectrum Beta-LactamaseTypically associated with E. coli or Klebsiella species A form of bacterial drug resistance. Beta-lactamases break down the beta lactam ring associated with penicillin based drugs (penicillinase) and cephalosporins (cephalosporinase). Excellent. Basically it makes a nasty bug nastier. Agreed! Not many abx options left except for carbapenems and cephamycins. MRSA and VRE aren't the only ones to worry about anymore unfortunately. Quote Link to comment Share on other sites More sharing options...
Joelseff Posted August 20, 2010 Share Posted August 20, 2010 ok, here's one what do you worry about when you replete NA too quickly in a hyponatremic pt? and why? I actually got pimped on this and "learned" it the hard way...:=-0: Oh and what common drug taken chronically can cause a false positive THC on a UTOX? Quote Link to comment Share on other sites More sharing options...
chiaroscuro27 Posted August 20, 2010 Share Posted August 20, 2010 Oooohhh, good ones Joelseff. Unfortunately, I haven't a clue, and I refuse to google them. Quote Link to comment Share on other sites More sharing options...
Joelseff Posted August 20, 2010 Share Posted August 20, 2010 let's see if anyone else chimes in... Quote Link to comment Share on other sites More sharing options...
cinntsp Posted August 20, 2010 Share Posted August 20, 2010 Oh and what common drug taken chronically can cause a false positive THC on a UTOX? Protonix? NSAIDs? Quote Link to comment Share on other sites More sharing options...
Joelseff Posted August 21, 2010 Share Posted August 21, 2010 correct on the protonix!!! what about the question re: sodium repletion? Quote Link to comment Share on other sites More sharing options...
Madison1979 Posted August 22, 2010 Share Posted August 22, 2010 Pontine demyelinolysis can occur if you replete Na too quickly. I have seen this happen - its sad and unfortunately irreversible. Quote Link to comment Share on other sites More sharing options...
Joelseff Posted August 23, 2010 Share Posted August 23, 2010 ding ding ding... :) Quote Link to comment Share on other sites More sharing options...
MikeyBoy Posted August 29, 2010 Share Posted August 29, 2010 Nice question Joel, thus why I was taught never to give hypertonic solution without a nephrologist consult :) Next up: You have an elderly patient who is on theophylline and presents with N/V and tremors. She had a UTI last week but can't remember what she was given. - What likely happened? Quote Link to comment Share on other sites More sharing options...
Joelseff Posted September 9, 2010 Share Posted September 9, 2010 She took some Cipro for the UTI which potentiated the AE of theo i.e. tremors, N/V and confusion... Sorry I didnt see this post till now :=-0: had a final and a practicum to study for. Quote Link to comment Share on other sites More sharing options...
chiaroscuro27 Posted September 9, 2010 Share Posted September 9, 2010 Joelseff, does AE refer to therapeutic index? Great pimp questions. Keep 'em coming. Quote Link to comment Share on other sites More sharing options...
Joelseff Posted September 9, 2010 Share Posted September 9, 2010 Adverse Effects...sorry Quote Link to comment Share on other sites More sharing options...
chiaroscuro27 Posted September 11, 2010 Share Posted September 11, 2010 Yeah, I kicked myself ten minutes later, when the meaning came to me! Thanks, Joelseff!!! Quote Link to comment Share on other sites More sharing options...
ohiovolffemtp Posted September 11, 2010 Share Posted September 11, 2010 For acute pulmonary edema: 1) CPAP - push the fluid back into the vascular space. 2) Nitro - make the vascular space bigger to hold it 3) Lasix - drain it out of the vascular space. Quote Link to comment Share on other sites More sharing options...
chiaroscuro27 Posted September 11, 2010 Share Posted September 11, 2010 Ha Ha!! We just learned yesterday afternoon about Cipro being first line therapy for UTI's. Had this question been asked today, I would have been able to provide an answer! Darn it! I'll get one one of these days! Quote Link to comment Share on other sites More sharing options...
Joelseff Posted September 12, 2010 Share Posted September 12, 2010 What are the methods used to treat hyperkalemia (C BIG K Drop)? What are the AEIOU's for the use of hemodialysis? Quote Link to comment Share on other sites More sharing options...
MikeyBoy Posted September 12, 2010 Share Posted September 12, 2010 What are the methods used to treat hyperkalemia (C BIG K Drop)? Calcium gluconate, b2 agonists, Insulin/Glucose, Kayexalate, Dialysis What are the AEIOU's for the use of hemodialysis? Acidosis/alkalosis, electrolyte abnormalities, intoxication, (refractive ([volume]) overload , and uremia Quote Link to comment Share on other sites More sharing options...
andersenpa Posted September 16, 2010 Share Posted September 16, 2010 Alright- if anyone can answer this one without looking it up I will be mightily impressed: You all are or will be ordering electrolyte replacement at some point; What is the difference between a millimole and a milliequivalent? Quote Link to comment Share on other sites More sharing options...
Joelseff Posted September 19, 2010 Share Posted September 19, 2010 cant do it without looking up andersen! LOL Quote Link to comment Share on other sites More sharing options...
Madison1979 Posted September 19, 2010 Share Posted September 19, 2010 I'll take a stab at it: A Millimole is 1/1000 of a mole, which is a specific amount of atoms or atomic compounds (Avagadro's number - don't remember the exact value, maybe 6.14x10^23?) of an element. A Milliequivalent refers to the millimole equivalent of an electrolyte that disassociates when dissolved. For example. NaCl and KCl will completely disassociate in solution to Na/K cations and Cl anions floating around, no longer ionically bound to each other. So, the millimole amount of NaCl would refer to the number of atoms of Na and Cl, whereas the milliequivalent amount of NaCl would refer to either just the number of Na ions or Cl ions (which are the same). Am I close? Quote Link to comment Share on other sites More sharing options...
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