Misc

Question 1

Herbal medications uses and risks
Ginkgo
Ginseng
Saw palmetto
Black cohosh
St. John’s wort
Kava
Licorice
Echinacea
ephedra

Answer 1

Ginkgo - memory, bleeding
Ginseng - cog, bleeding
Saw palmetto - bph, abd pain and bleeding
Black cohosh - menopause, hepatic injury
St. John’s wort - dep and insomnia, ddi and htn
Kava - anxiety and insomnia, liver damage
Licorice - stomach ulcers and resp, htn and hypok
Echinacea - cold and flu, allergy and dyspepsia
ephedra - cold and flu and weight loss and athletics, htn, arrhythmia, mi, stroke, seizure

Question 2

Rotator cuff tendinopathy vs tear

Answer 2

Tendinop pain
Tear also has weakness

Question 3

Unresponsive pt in ED - what to do?

Answer 3

• first, check, blood sugar, vitals, EKG, head CT, ABG, CK if found down, all the toxicities
• Administer oxygen if it is low by pulse ox, Intubate and ventilate if necessary, Give fluids with dextrose if hypoglycemic, give B1 prior to fluids if worried about alcohol, give naloxone, place NG tube to prevent aspiration, consider charcoal within two hours of ingestion and airway secure, administer sodium bicarbonate if cardiac toxicity in TCA overdose