Pimp Questions

[VFlutter]

How long has it lasted and how rapid was it's onset?

Has progressed over the past few hours since waking up.

PMH of HTN, CHF, and peanut allergy. HTN has been adequately controlled since changing medications 4 months ago.

 

[mycrofft]

Chipmunk Syndrome...saving peanuts for later.

Acute nut allergy? Could be exposed to it topically like in a cosmetic or other peanut oil -containing substance or object.

 

[mycrofft]

PS: My question's answer was "tertiary syphillis".

 

[VFlutter]

Chipmunk Syndrome...saving peanuts for later.

Acute nut allergy? Could be exposed to it topically like in a cosmetic or other peanut oil -containing substance or object.

Claims to have not come into contact with any peanuts

 

[mycrofft]

Kissed new secretary after she ate PBJ.

 

[mycrofft]

I give up. Next batter!

 

[JPINFV]

Are we talking about the dude with the big lips who might have being taking an -pril drug, which prevents the breakdown of bradykinin. Bradykinin build up can also cause a cough (one of the major side effects of -prils, which normally requires switching to a -sartan).

 

[VFlutter]

Are we talking about the dude with the big lips who might have being taking an -pril drug, which prevents the breakdown of bradykinin. Bradykinin build up can also cause a cough (one of the major side effects of -prils, which normally requires switching to a -sartan).

that was too easy for you. I am sure you have a few pimp questions

 

[Aprz]

Edit: Never mind.

 

[VFlutter]

 

[JPINFV]

[keep calm and get pimped]

I honestly can't stand the "Keep Calm and X" meme.

 

[VFlutter]

I honestly can't stand the "Keep Calm and X" meme.

How could you hate any meme? Have you actually been to TheChive website? Best website to cure boredom

 

[VFlutter]

What is the difference between calcium chloride and calcium gluconate?

How can you assess for Hypocalcemia preshospitally?

Why can rapid infusion of blood products cause Hypocalcemia?

How much wood would a wood chuck chuck if a wood chuck could chuck wood?

 

[abckidsmom]

What is the difference between calcium chloride and calcium gluconate?

How can you assess for Hypocalcemia preshospitally?

Why can rapid infusion of blood products cause Hypocalcemia?

How much wood would a wood chuck chuck if a wood chuck could chuck wood?

This is a really great thread, but for simplicity's sake...one question at a time.

 

[NYMedic828]

What is the difference between calcium chloride and calcium gluconate?

How can you assess for Hypocalcemia preshospitally?

Why can rapid infusion of blood products cause Hypocalcemia?

How much wood would a wood chuck chuck if a wood chuck could chuck wood?

Guess i'll just attempt to take a guess. I honestly have no idea.

1. I think chloride has a higher concentration of pure calcium hence why it causes more severe infiltration. Gluconate is safer without a central line.
2. Assess deep tendon reflexes?
3. Pulls intracellular calcium into the new fluid volume causing a generalized hypocalcemic state?

4. The answer is 6. Thats an easy one.

 

[medichopeful]

How can you assess for Hypocalcemia preshospitally?

Stroke their face if I remember correctly! Taking a BP can also do it if they have muscle spasms.

 

[abckidsmom]

Stroke their face if I remember correctly! Taking a BP can also do it if they have muscle spasms.

Chvostek's sign.

 

[medichopeful]

Chvostek's sign.

Yes.

I also looked it up right after I said it to see if I was right, and "touch" would have been a better and more accurate word than "stroke!" :glare:

 

[Brandon O]

Why can rapid infusion of blood products cause Hypocalcemia?

PRBCs are often stored with citrate as a preservative, which binds calcium (a necessary cofactor in the clotting cascade). Transfusing the product means infusing the still-present citrate. This is also why Ringer's is thought to be an incompatible solution for reconstituting red cells -- adding back that calcium means it'll clot in the line. (Turns out, not so much.)

 

[Fish]

Pt c/o hemorrhoids. You flip him over, confirm then order a liver panel and ask if he has ever coughed up, spit up or vomitted blood.
Why?
(PS: BP elevated)

A concerne for Varices and Portal Hypertension causing liver cirrohsis?