BUMC Basics.pdf - Anesthesia Home

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34 Post MI and Discharge Medications: 1. Post MI ECHO 2. Meds: ASA, Plavix, Beta Blockers, statins, ACEI/ARB’s, NTG (PRN), aldosterone (if LVF
35 function, elevated troponin T is still a predictor of cardiac events across all creatinine clearance levels) ATRIAL FIBRILLATION Classification — Paroxysmal (self terminating < 7 days, usually 7 days), and permanent (typically greater than a year or cardioversion failed/not attempted) Causes: • “I SMART CHAP” • Infection/Sepsis • Surgery (post CABG, post valve surgery) • Medication (theophylline, caffeine, etc) • Atherosclerotic Heart Disease • Rheumatic Heart Disease (MS, MR) • Thyrotoxicosis • Congenital Heart Disease (ASD) • Hypertension • Alcohol (dilated cardiomyopathy, holiday heart syndrome) • Pulmonary (PE, PNA, Hypoxia, COPD) Evaluation — H&P, EKG, CBC, CMP, TSH, Drug screen (if indicated), chest X-ray, TTE, cardiac enzymes. Treatment — Treatment revolves around rate control, rhythm control, and deciding on needed anticoagulation. **IF PT IS UNSTABLE, THEY NEED EMERGENT CARDIOVERSION** Rate Control: Goal HR 60-80’s • B blockers (metoprolol, coreg) • Digoxin (good for people with borderline BP's as does not lower BP; watch dig levels) • CaCh Blockers (diltiazem drip vs PO verapamil). If maintained on a diltiazem drip, can add up total mg in 24 hour period, and then give them this amount in Diltiazem ER P.O. Give first oral dose then overlap with drip for 3 hours. Anticoagulation: CHADS2 Score: C (CHF), H (HTN), A (age ≥75), D (DM), S (stroke, TIA, and most add systemic embolic event).
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 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: 33 Post PCI Complications — In yo
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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