05 Wards

Vindicate

• Vascular

• Iatrogenic/idiopathic

• Neoplastic

• Drugs

• Infection/Inflammatory

• Congenital

• Autoimmune

• Trauma

• Endocrine

Pain Meds

1. Figure out opioid hx and what is used in the past

2. opioid naive: start morphine IV 2mg q4, then go up to 4, 6

3. total dose in a day 1st then convert to others. Divide long and short into 1/2

Dose	Meds
1	PO morphine
1.5	Oxy
3	IV morphine
4	PO dilaudid
20	IV dilaudid

• A: Oxycodone, oxycontin, percocet, oxymorphone, opana

• B: morphine

• C: hydrocodone, loratab, norco, vicodine, morphine, ms-contin, demerol

• D: dilaudid

• E: dilaudid, methadone

Iron Overload

PeFecida

• P: pregnant

• e: extreme age

• Fe: iron overload

• c: ckd

• i: immune

• d: DM2

• a; alcohol

Rule of 20

• bacterial meningitis:

  • opening pressure > 20

  • protein > 200

  • cell count > 2000

  • glucose < 20

Bleeding