Fisdap Medical Emergencies Unit Exam S.G. 2022/2023 with correct answers

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Pyrogenic Reactions Two definitions from different sets: - Fever caused by endotoxins and bacteria. The endotoxins may cross over membranes during hemodialysis complications. - "Reaction charac... terized by an abrupt temperature elevation with severe chills, backache, headache, weakness, nausea, vomiting; a potential complication of IV/IO therapy, complication of hemodialysis." S/G: If the pt is having a blood transfusion and they start to experience the following symptoms: Erythema, urticaria, hypotension (70/40), Tachycardia (P 120), tachypnea (RR 24). The solution is to discontinue the transfusion due to an incompatibility with the donor. Start fluids, benadryl, maybe lasix and possibly epinephrine. Endocrine disease (Such as, but not limited to, thyrotoxicosis) Thyrotoxicosis aka "thyroid storm" : "Toxic condition caused by excessive levels of circulating thyroid hormone. Generally caused by Grave's disease, severe under-treated hyperthyroidism, or infection. S&S: Flush, red skin, agitated, angioedema" Graves disease: An autoimmune disease that results in elevated thyroid hormone. Graves disease aka Hyperthyroidism is the main cause of "thyroid storm". Grave's can form a goiter on the neck. S/S: Fever, irritability, delerium, coma, tachycardia, hypotension. Care is mainly supportive. Hashimoto disease: More mild form of hyperthyroidism Addison's disease : Not enough cortisol is produced (hypoadrenalism) Cushing's disease: Too much cortisol (Hyperadrenalism) Moon face Thyrotoxicosis aka "Thyroid storm" Visual Aide Pancreatitis Inflammation of the pancreas typically seen by EMS due to alcoholic pts. Caused by bile duct obstruction from gall stones S/S: "Pain that radiates to the back x 5 days" - NVD - RUQ pain - Mid-abdominal tenderness - CULLENS SIGN due to intrabdominal bleeding Airway infections: laryngotracheobronchitis aka "Croup" laryngotracheobronchitis aka "Croup" Viral Infection of Upper Airway Inflammation of the larynx, trachea, bronchi strongest S&S at night--> severe respiratory distress Stridor, Hoarseness, Barking Cough, dyspnea/respiratory distress, low grade fever, hypoxia, nose inhalations Airway Mangement BVM, High Flow o2 Tube size might be 2 times smaller than normal size Racemic Epinephrine 0.5 mL mixed with 3ms of normal saline [Show More]

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