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Emergency Treatment for Life-Threatening Asthma
In the case of
92-33 CHEST
<92% [blank_start]Oxygen[blank_end] [blank_start]Saturation[blank_end]
<33% Predicted [blank_start]FEV1[blank_end]
C[blank_start]yanosis[blank_end]
H[blank_start]yperventilation[blank_end] and Hypotension
E[blank_start]xhaustion[blank_end]
S[blank_start]ilent[blank_end] [blank_start]Chest[blank_end]
T[blank_start]achycardia[blank_end]/B[blank_start]radycardia[blank_end]
then do O SHITME:
[blank_start]Oxygen[blank_end] (nebulized)
[blank_start]Salbutamol[blank_end] ([blank_start]nebulized[blank_end])
[blank_start]Hydrocortisone[blank_end] ([blank_start]intravenous[blank_end])
I[blank_start]pratropium[blank_end]
T[blank_start]heophylline[blank_end]
M[blank_start]agnesium[blank_end] [blank_start]Sulphate[blank_end]
Escalate ([blank_start]Intubation[blank_end] and ventilation)
Antworten
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Oxygen
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Saturation
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FEV1
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yanosis
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achycardia
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radycardia
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ilent
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Chest
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xhaustion
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yperventilation
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Oxygen
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Salbutamol
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nebulized
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Hydrocortisone
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intravenous
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pratropium
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heophylline
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Sulphate
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agnesium
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Intubation
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Which of these treatments can help you stop smoking?
Antworten
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nicotine replacement therapy
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Varenicline
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Varenicline and nicotine replacement therapy
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Bupropion
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Bupropion and Varenicline
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Clonidine
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Nortriptyline
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Digoxin
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Prednisolone
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Propanalol
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Which of these have potential to help stop people from smoking?
Antworten
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Cytisine
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Naltrexone
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Anti-smoking vaccines
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Lisinopril
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Simvastatin
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Metaformin
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Plavix
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Varenicline works by reducing the amount of [blank_start]pleasure[blank_end] a person receives from smoking and by reducing [blank_start]withdrawal[blank_end] [blank_start]symptoms[blank_end] as well. Starting from the day you quit, you take for about [blank_start]12[blank_end] weeks (and longer if needed. )
Antworten
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pleasure
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withdrawal
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symptoms
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12
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Generally, anti-smoking drugs have side effects of mood change (irritability/agitation), difficulty sleeping, and blood pressure changes.
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Bupropion is an [blank_start]antidepressant[blank_end]. It reduces the brain's nicotine [blank_start]craving[blank_end]. Doses should be started [blank_start]1[blank_end]-[blank_start]2[blank_end] weeks [blank_start]before[blank_end] you quit smoking.
Antworten
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antidepressant
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craving
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1
-
2
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before
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Nicotine is a central nervous stimulant
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Nicotine stimulates the [blank_start]cardiovascular[blank_end] system.
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On average, a smoker will inhale [blank_start]1[blank_end] to [blank_start]2[blank_end] milligrams of nicotine per breath per cigarrette.
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Within [blank_start]10[blank_end] seconds of taking a puff, nicotine will reach the brain. Nicotine is best absorbed by [blank_start]mucosal[blank_end] membranes, as seen in the [blank_start]mouth[blank_end] and nose.
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Nicotine leads to decreased monoamineoxidase (MAO) levels
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Monoamineoxidase (MAO) is the enzyme responsible for breaking down [blank_start]dopamine[blank_end]. Smoking leads to [blank_start]lower[blank_end] levels of MAO, hance more [blank_start]dopamine[blank_end].
Frage 13
Antworten
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is a relaxant
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is a stimulant
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activates the adrenal glands to release catecholamines
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leads to increased blood sugar
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suppresses pancreatic secretion of insulin
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leads to dopamine release
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decreases levels of arousal
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slowly metabolized
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quickly metabolized
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Nicotine mimics acetylcholine and disrupts acetylcholine and acetylcholine receptor interactions.
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Anaphylaxis is a type of hypersensitivity reaction.
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Top 3 cause for anaphylaxis:
1. [blank_start]Stings[blank_end]
2. [blank_start]Anesthetic[blank_end] [blank_start]Drugs[blank_end]
3. [blank_start]Nuts[blank_end]
Antworten
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Stings
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Anesthetic
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Drugs
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Nuts
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Ingestion of the drug (regardless of the manner) will be the quickest to lead to a [blank_start]myocardial[blank_end] [blank_start]infarction[blank_end] (within [blank_start]1[blank_end]-[blank_start]2[blank_end] minutes.)
Antworten
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2
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1
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myocardial
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infarction
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What to check for during anaphylaxis?
Antworten
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Airways difficulties
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Breathing complications
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Circulation problems
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Temperature
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Skin Changes
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Mucosal Changes
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Dehydration
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Which of these count as airway difficulties?
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Which of these count as breathing problems during anaphylaxis?
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Which of these are circulation complications during anaphylaxis?
Antworten
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tachycardia
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bradycardia
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hypertension
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hypotension
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Angina
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Myocardial Ischemia
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Myocardial Infarction
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Cardiac Arrest
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Shock like symptoms
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You should stand the patient up if they're undergoing anaphylaxis
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Anaphylaxis can affect the patient's conscious level.
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Which of these are anaphylactic skin changes during anaphylaxis?
Antworten
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erythema
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urticaria
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angioedema
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very white pallor
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hyperhidrosis
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Septic shock has a similar presentation to anaphylaxis
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Which of these non-threatening conditions present similarly to anaphylaxis?
Antworten
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vasovagal episode
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panic attack
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non-allergic urticaria
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non-allergic angioedema
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child breath-holding
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food poisoning
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[blank_start]Intramuscular[blank_end] [blank_start]epinephrine[blank_end] is how to immediately treat anaphylaxis.
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Intramuscular
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epinephrine
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1) IV established
2) [blank_start]Intravenous[blank_end] [blank_start]Bolus[blank_end]
3) Monitor
4) Give more [blank_start]Bolus[blank_end] if needed
5) Escalate if needed: [blank_start]Colloid[blank_end]/ crystalloid (but check
whether it caused the anaphylaxis in the first place)
Example treatments: [blank_start]Sodium[blank_end] [blank_start]Chloride[blank_end] or Hartmann's
Antworten
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Intravenous
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Bolus
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Bolus
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Sodium
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Chloride
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Colloid
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[blank_start]Steroids[blank_end] (such as hydrocortisone) and [blank_start]anti[blank_end]-[blank_start]histamines[blank_end] (such as chlor[blank_start]phenamine[blank_end]) can be given for anaphylaxis--but only after patient stabalized.
Antworten
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Steroids
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phenamine
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anti
-
histamines
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Mast cell Tryptase is a way to investigate and confirm anaphyalaxis in a patient.