BCPS Quickies (Stuff To Memorize For BCPS Exam) – Complete Study Guide

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