Hospital Medicine — Flashcards

Flashcard 11: Which crystalloid solution is iso-osmolar (osmolarity 294mosm/L) with plasma and is a suitable diluent for RBC Transfusion?_____

Answer: Plasmalyte

Flashcard 12: Electrolytes must be checked once _____ in a patient undergoing total parenteral nutrition

Answer: every 3 days

Flashcard 13: Patient should receive COVID-19 vaccination at least _____ months after hematopoietic cell transplantation

Answer: 3

Flashcard 14: Improving _____ by treating hypotension, limiting vasoconstrictive agents, improving cardiac contractility, or revascularization can be used to prevent bedsores

Answer: skin perfusion

Flashcard 15: Most appropriate position for performing a gastric lavage is?

Answer: Left lateral position

Flashcard 16: BUN, LFT must be checked once _____ in a patient undergoing total parenteral nutrition

Answer: weekly

Flashcard 17: What is the most common category of complications associated with enteral nutrition?

Answer: Mechanical (tube-related) complications

Extra: Major categories of enteral nutrition complications: 1. **Mechanical (Most common):** Tube displacement, clogging, or kink. 2. **Gastrointestinal:** Diarrhea (the most common clinical symptom), nausea, and vomiting. 3. **Metabolic:** Electrolyte disturbances, hyperglycemia, and refeeding syndrome. 4. **Infectious:** Aspiration pneumonia.

Flashcard 18: The hallmark of refeeding syndrome is the development of severe _____ in the first week

Answer: hypophosphatemia

Flashcard 19: _____ ml of transient loss/insensible loss per day would have to be accounted for in the calculation for giving daily IV fluids to a patient.

Answer: 500-600

Flashcard 20: Color sequence for phlebotomy order of draw: Yellow/Pink/Blue (Cultures) → Light Blue → _____ → Green → Lavender → _____

Answer: Red; Grey

Extra: The order of draw is designed to prevent cross-contamination of tube additives between samples: 1. Blood Cultures (Yellow, Pink, or Blue bottles) 2. Sodium Citrate (Light Blue) 3. Serum tubes with/without clot activator or gel (Red, Gold) 4. Heparin (Green) 5. EDTA (Lavender, Pink) 6. Sodium fluoride/Potassium oxalate (Grey)