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

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