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REBEL Review #91: Management of Peripheral Pressor Extravasation #peripheralpressors #vasopressors #extravasation
REBEL Review #91 ... Peripheral Pressor Extravasation ... #vasopressors #extravasation
Immediate management of a chemotherapy extravasation 

#extravasation #injury #management #chemotherapy #extravasation #oncology
a chemotherapy extravasation ... #extravasation ... #chemotherapy #extravasation
Important Biostatistics and Epidemiology Equations

Sensitivity = TP / (TP + FN) = true positives / disease
TP + FN) = true positives ... disease absent Positive ... TP + FP) = true positives ... / all positives ... all negatives Positive
Medications that Can Cause False Positives on Drug Tests

Urine drug screens (UDSs) are simple to use,
Can Cause False Positives ... yielding false-positive ... can cause false positives ... Amphetamine false positives ... may cause false-positive
Vascular Skin Lesions - Differential Diagnosis Algorithm
 - Petechiae < 0.2 cm diameter
 - Purpura 0.2
of skin due to extravasation
Vancomycin and Dalbavancin (lipoglycopeptide antibiotics) - Antibiotics Class Overview

Mechanism: Glycopeptide -  inhibits cell wall synthesis
synthesis in Gram positives ... Spectrum: gram positive ... or proven gram positive ... choice for gram positive
Summary of Agents Potentially Contributing to False Positives on Urine Drug Screens (UDS)
Marijuana Metabolites
 • dronabinol,
Contributing to False Positives ... Rate of False Positives ... resulting in false-positive ... result in false positives ... enough to prevent positive
Jugular Venous Pressure Measurement
Examiner places the patient in a reclined position and puts the base of
in a reclined position ... Positive: JVP >
Cephalosporins 
Cephalosporins are bactericidal beta-lactam antibiotics derived from the fungus Acremonlum— they disrupt peptidoglycan formation in
active against gram-positives ... with reduced gram-positive
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
worsen with head position ... Positive Hallpike ... vestibular neuritis); positive ... Positive head impulse