BUMC Basics.pdf - Anesthesia Home

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2 TABLE OF CONTENTS Welcome and General Information 5 Authors: Jenny Duewall, MD and Sara Lindsey, MD • <strong>BUMC</strong> <strong>Basics</strong> • Intern Cross Cover Cheat Sheet • Contact List • Obtaining a Consult at Baylor • Dictation Guide for Discharge/Death Summaries • Sample Orders/Order Sets • Prn’s/Prophylaxis Meds • Social Work vs. Care Coordinators • DISPO CLINICAL SECTIONS Cardiology 29 Authors: Adam Falcone, MD and Alexi Mantas, MD • CCU in General • Acute Coronary Syndrome • Atrial fibrillation • Calcium Channel Blockers • Chest Pain • EKG • Heart Failure • Hypertensive Crisis • Pulmonary Edema • Syncope • Tachycardia Gastroenterology/Hepatology 47 Authors: Tom Van Dinter, MD and Alexi Mantas, MD • GI Consults and Groups • General GI/Liver Topics • General Gastroenterology • General Hepatology • GI Studies Infectious Diseases 58 Author: Jenny Duewall, MD • Bugs and Drugs • Fever in the ICU • Fever of Unknown Origin • Pneumonia • Sepsis • Tests to Consider Ordering Neurology 66 Author: Jenny Duewall, MD • Altered Mental Status • Brain death exam • Neuromuscular Emergencies • Seizures
• Status Epilepticus • Stroke management Oncology 73 Author: Troy Neal, MD • The Acute Leukemic Palliative Care and Clinical Ethics 77 Author: Troy Neal, MD Pressor Chart 82 Author: Natalie Norman, MD Pulmonary 83 Authors: Jenny Duewall, MD and Alexi Mantas, MD • ARDS • Asthma/COPD • Mechanical Ventilation • Pleural effusion • Pulmonary embolus Radiology 97 Author: Sara Lindsey, MD • Radiology Hints Renal 101 Author: Jenny Duewall, MD • Acid/Base Disturbances • Acute Kidney Injury • Basic Electrolyte Repletion • Chronic Kidney Disease • Hyponatremia • Oliguia • Renal Replacement Therapy OUTPATIENT CLINIC GUIDE 112 Authors: Sophie Esmail, MD and Ryan Jones, MD • $4 Walmart Rx list OTHER INFORMATION 120 • Top Ten Intern Tips • Duewall’s Mnemonics (Author: Jenny Duewall, MD) • Sustenance/Comfort Food (Author: Sara Lindsey, MD) • Map 3
Page 1: BUMC BASICS
Page 5 and 6: 5 Welcome to Baylor University Medi
Page 7 and 8: 7 Rounding on your patients: • Se
Page 9 and 10: 9 2. gloves only. During codes, if
Page 11 and 12: 11 • There is one resident and 3
Page 13 and 14: Chest pain 13 DDx to consider • M
Page 15 and 16: SOB DDx • Pneumonia • PE • An
Page 17 and 18: 17 • Heparin • Lidocaine • Ni
Page 19 and 20: 19 TPC (cont’d) Pager Cell Phone
Page 21 and 22: 21 Gen Surgery Neurologists Urgent
Page 23 and 24: 23 OBTAINING A CONSULT AT BAYLOR Ob
Page 25 and 26: 25 • Enter 2 initial zeros and th
Page 27 and 28: 27 • Albuterol/Atrovent nebulizer
Page 29 and 30: 29 CARDIOLOGY CCU IN GENERAL You ar
Page 31 and 32: 31 Unstable Angina/NSTEMI • Can u
Page 33 and 34: 33 Post PCI Complications — In yo
Page 35 and 36: 35 function, elevated troponin T is
Page 37 and 38: 37 **0-1 point non-cardiogenic, 2 p
Page 39 and 40: 39 • Erythromycin • Phenothiazi
Page 41 and 42: 41 Therapy — Therapy is guided by
Page 43 and 44: 43 Nitroglycerine (Onset in 2-5 min
Page 45 and 46: 45 Treatment: • Vasovagal: Recogn
Page 47 and 48: 47 GI/HEPATOLOGY GI CONSULTS AND GR
Page 49 and 50: 49 hepatitis, obesity), then they p
Page 51 and 52: 51 timing and necessity of ERCP for
Page 53 and 54:
53 the liver transplant ICU) where
Page 55 and 56:
55 GI bleeding (**See above under G
Page 57 and 58:
57 • Barium Enema (clear liquids
Page 59 and 60:
59 Pseudomonas: • Piperacillin/Ta
Page 61 and 62:
61 • Neoplasm: Lymphoma, leukemia
Page 63 and 64:
63 mortality. It lowers mortality i
Page 65 and 66:
Pneumonia (immunocompromised) (cont
Page 67 and 68:
67 BRAIN DEATH EXAM • Can order b
Page 69 and 70:
69 SEIZURES Can use BZD ativan IV o
Page 71 and 72:
71 3. Stop anticoagulants and rever
Page 73 and 74:
73 ONCOLOGY THE ACUTE LEUKEMIC “T
Page 75 and 76:
Timeline*: 75 Day 0 (admit) — Bon
Page 77 and 78:
77 PALLIATIVE CARE AND CLINICAL ETH
Page 79 and 80:
79 release oxycodone, and hydromorp
Page 81 and 82:
81 • Institutional Ethics and Pal
Page 83 and 84:
83 PULMONARY ARDS Definition: Need
Page 85 and 86:
85 MECHANICAL VENITALTION Oxygen su
Page 87 and 88:
87 • Ineffective respiratory effo
Page 89 and 90:
89 - Daily sedation vacations at 07
Page 91 and 92:
91 • After 1 wk of intubation det
Page 93 and 94:
93 - Sustained changes in the heart
Page 95 and 96:
95 PULMONARY EMBOLUS (PE) Evaluatin
Page 97 and 98:
97 RADIOLOGY RADIOLOGY HINTS IF YOU
Page 99 and 100:
Superficial Abscess/Mass Abscess/Ma
Page 101 and 102:
101 RENAL ACID/BASE DISTURBANCES Qu
Page 103 and 104:
103 ACUTE KIDNEY INJURY Acute Kidne
Page 105 and 106:
105 Mg
Page 107 and 108:
107 CHRONIC KIDNEY DISEASE Stage GF
Page 109 and 110:
Hypovolemic Hyponatremia EABV low R
Page 111 and 112:
111 fluid pulled off and into the p
Page 113 and 114:
113 Colorectal Surgery, and Plastic
Page 115 and 116:
115 • Social work: Circle Social
Page 117 and 118:
Ear Health Antipyrine/Benzocaine ot
Page 119 and 120:
Magnesium Oxide 400mg tab Prenatal
Page 121 and 122:
121 DUEWALL’S FAVORITE MNEMONICS
Page 123:
123
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