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BCPS Quickies (Stuff To Memorize For BCPS Exam) – Complete Study Guide
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BCPS Quickies (Stuff To Memorize For BCPS Exam) –Complete Study Guide
how to calculate ANC ✔️Ans - ANC = WBC x (segs + bands)
or
ANC = WBC x Neutrophils
to give chemo ✔️Ans - need:
ANC > 1500
WBC > 3000
and PLT > 100000
neutropenia ✔️Ans - ANC < 500
TCP ✔️Ans - PLT < 100000
MAP ✔️Ans - normal = 80-100
ADHF = 60-80
sepsis = 60-80
HR ✔️Ans - normal = 60-80
ADHF = 70-90
sepsis = 90-100
Cardiac output ✔️Ans - normal = 4-7
ADHF = 2-4
sepsis = 5-8
PCWP ✔️Ans - normal = 8-12
ADHF = 18-30
sepsis = 5-8
warm and dry (subset 1) ✔️Ans - PCWP = 15-18
optimize oral meds
warm and wet ✔️Ans - pulmonary and peripheral congestion
PCWP > 180
IV loop
, IV venous vasodilators
cold and dry ✔️Ans - hypoperfusion
PCWP < 15 = IVF
PCWP >= 15 and MAP < 50 = dopamine
PCWP >= 15 and MAP > 50 = inotrope or vasodilator
cold and wet ✔️Ans - MAP < 50 = dopamine
MAP > 50 = inotrope
add vasodilator if no response to inotrope
loop in CHF ✔️Ans - fluid overload
first line
inotropes ✔️Ans - dopamine
B1 agonist
+ ino/chrono
cold and wet
cold and dry
5 mcg/kg/min
inotropes ✔️Ans - milrinone
neg chrono
+ ino
PDE inh
increase CO, decrease SVR
cold and wet
cold and dry
use if pt on BB (no dopamine, duh)
add on in CHF ✔️Ans - thiazide if no resp to loop
vasodilators
class I a ✔️Ans - na channel blocker - increase QRS and QT
a fib and VT
quinidine - TDP, warf/dig
procainamide - lupus, TDP, has active metab
disopyramide - antichol, TDP, increase QT
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