Neurologic

Question 1

Treatment of Sickle Cell pt with

Stroke?

Answer 1

emergent exchange transfusion

Question 2

Hyponatremia sz treatment

Answer 2

3% hypertonic saline.
Infuse 100–150 mL over 15–20 minutes

Central pontine myelinolysis if corrected too fast in non sz pts

Question 3

Escalating Medical Strategy in Status Epilepticus

Answer 3

1st- Lorazepam/ Ativan, 2- 4 mg

**Benzo may be repeated before moving on to the next line

2nd- Levetiracetam/ Keppra, 2-3 g

3rd- Phenobarbital, 15-20 mg/kg

Question 4

Benzo Options for seizures

Answer 4

• Lorazepam/ ativan 2 mg IV/IM
• Midazolam 10 mg IV/IM/intranasal
• Diazepam 5 mg IV

Question 5

Concerning Phenytoin Toxicity Reaction

Answer 5

Cardiovascular collapse due to rapid infusion of phenytoin

hypotension, bradycardia, cardiac toxicity (due to propylene glycol diluent)

Question 6

What is the normal opening pressure in adults on LP?

Answer 6

5–20 cm H20