BUMC Basics.pdf - Anesthesia Home

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26 5. Diagnosis: 6. Condition: Stable/fair/critical 7. Vitals: per floor/ICU protocol 8. Allergy: 9. Diet: regular/ADA/Heart Healthy/clear liquids/full liquids/NPO 10. Ins/Outs: 11. Meds: 12. IVF: 13. Labs for AM: 14. Labs for now: 15. Activity: 16. Code Status: Full, DNR/DNI 17. Call HO (house officer) for T>100.4, SBP >170 or 120 or
27 • Albuterol/Atrovent nebulizer Q6 hours prn • Benadryl 25 mg PO Q4 hours prn pruritus • Potassium Protocol (cannot use protocol if Cr>1.5, wt80) • Oxygen Protocol PROPHYLAXIS MEDS • Pepcid 20 mg po BID OR Protonix 40 mg po qday • Lovenox 40 mg SC qday (if renal function okay) OR Heparin 5000 units SC TID SOCIAL WORK VS CARE COORDINATORS Social Work: • SNF, LTAC, extended care outside of Baylor, hospice (in or outpatient) • Ambulance transport • Protective Services • Family Locating • Transportation • Crisis Intervention • Physical Needs (places to stay, vouchers, parking, etc) • PCP referrals Care Coordinators: • <strong>Home</strong> Health Care Referrals • Dallas Medical Examiner • BIR Referrals • VA/Parkland Referrals • Liason to payer/utilization management DISPO (ie, where the pt goes when they get off your service) • <strong>Home</strong> Can arrange home health care, home PT/OT if needed • SNF (skilled nursing facility, pronounced “sniff”) Must require the skills of a qualified technician or professional (RN, PT, OT, ST, etc) • LTAC (long term acute care, pronounced “L-tach”) Must have 2+ complex needs to qualify • Acute Rehab Must be medically stable & able to participate in 3 hours of therapy/day; must require 24 hr nursing supervision and physician care which demonstrates
Page 1 and 2: BUMC BASICS
Page 3 and 4: • Status Epilepticus • Stroke m
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: 25 • Enter 2 initial zeros and th
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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