# 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 |

![](https://f001.backblazeb2.com/file/wikiFiles/painmeds.jpg)

* 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

![](https://f001.backblazeb2.com/file/wikiFiles/anticoagulant.jpg)

![](https://f001.backblazeb2.com/file/wikiFiles/anticoagulant1.jpg)