User contributions
3 October 2022
COPD
no edit summary
+6
COPD
no edit summary
-4
COPD
no edit summary
+124
COPD
Created page with "==Exacerbation== * increase in sputum volume, purulence, and dyspnea * severe: all 3 present * moderate: 2/3 * mild: 1 of the above, plus another finding such as URI, fever, c..."
14 September 2022
Anesthetics and Uterine Tone
no edit summary
-1
Anesthetics and Uterine Tone
no edit summary
+66
Anesthetics and Uterine Tone
Created page with "* All volatile anesthetics cause a dose-dependent decrease in uterine tone. ** Act on GABA1 receptors, and voltage sensitive Ca2+, and Na+ channels. ** Doses higher than 0.75..."
13 September 2022
NIBP
Precision and Accuracy
+57
NIBP
Created page with "==Precision and Accuracy== * MAP is the only measured value and is the most accurate * SBP and DBP are calculated based on the Rs and Rd values, which vary from manufacturer t..."
12 September 2022
9 September 2022
C diff
no edit summary
+9
C diff
Created page with "Diagnosis and Treatment or C.ostradaul der Natasha Bagdasarian et al. Published in JAMA 2019. Systematic review of 116 included studies between 1978 and 2014. DIAGNOSIS Labora..."
Refeeding Syndrome
Created page with "Refeeding REFEEDING SYNDROME (source: Management of Refeeding Syndrome in Medical Inpatients) Epidemiology 14.6% of 967 malnourished patients Pathophysiology (hypothetical) 1...."
HIV DCM
Created page with "Cardiomyopathy in HIV patients -=ETIOLOGY== The pathophysiology of HIV cardiomyopathy is unclear but is probably multifactorial. Some patients with asymptomatic or overt LV dy..."
Diet and CKD
Created page with "Diet and CKD 1.) Fluid intake -Coaching to drink more water may not slow decline in eGFR in adults with stage 3 CKD. [0] -P: 631 Canadian adult patients with CKD3 and baseline..."
29 August 2022
Opioids
no edit summary
+133
Gabapentin
no edit summary
+33
Gabapentin
Created page with "* Can have suicide risk. Otherwise most common side effects include somnolence, dizziness, nausea. * Less consistent absorption than pregabalin. * Can decrease post-op opioi..."
Anticoagulation
Created page with "* Better to use unfractionated heparin in patients with impaired renal function. * LMWH has lower risk of HIT"
Transfusion Reactions
Created page with "* Most common reaction is febrile non-hemolytic transfusion reaction. Approximately 1:200. Platelet transfusion is mcc. * TRALI is the most serious reaction, with a 5-25% mort..."
22 August 2022
Limb Ischemia
Created page with "* Differentiate between vascular cold and blanket cold. * Rutherford Classification. * Vascular patients have high pre-test probability of ACS."
Post-Op Chest Pain
Created page with "* Concern for ACS? Call 47000 to activate code STEMI."
Perioperative Management of Diabetes Mellitus
Created page with "* Insulin does not lower blood glucose, it just prevents it from going up. * Sliding scale = BAD because it is reactive and can lead to insulin stacking, and possibly hypogly..."
2 August 2022
Sepsis
Created page with "==Diagnosis== * SIRS, severe sepsis, and septic shock are outdated concepts from the 1990s. * Most recent guidelines from 2016 Surviving Sepsis ** Life threatening organ dysfu..."
NGT
no edit summary
+15
Intrathecal Pumps
no edit summary
+33
Opioids
no edit summary
+8
Tylenol
no edit summary
+50
NSAIDs
no edit summary
+48
Post-Op Fever
no edit summary
+4
1 August 2022
Gastric Tube
Created page with "==Troubleshooting== * If the tube has been pulled out, but it was in place for at least six weeks, you can safely just pop it back in."
NGT
Created page with "==Practical Tips== * Warm up the tube * Lots of lube * Have them tilt their head up until you hit the nasopharynx * Once in the nasopharynx, patient should bend their head for..."
20 July 2022
Intrathecal Pumps
no edit summary
+41
Intrathecal Pumps
no edit summary
-2
Intrathecal Pumps
Created page with "* Currently there are only three medications approved by the US Food and Drug Administration (FDA) for use via the intrathecal route, ie, morphine, ziconotide (best for neurop..."
18 July 2022
Opioids
no edit summary
+11
Opioids
Created page with "* Don’t combine benzodiazepines and opioids. If you need to reverse, use flumazenil. =Short-Acting= * Oxycodone, Hydromorphone, Morphine =Long-Acting= * Oxycodone ER = OxyC..."
Tylenol
Created page with "* 1 g IV is $50 * Rectal bioavailability is 80%, oral is 100%. * Max daily dose typically 4 g."
NSAIDs
no edit summary
+107
NSAIDs
Created page with "* Renal excretion. Acts on COX 1/2. Inhibits renal production of prostaglandins. * Safe for short term use in patients with stage 1-2 CKD. Risk of causing AKI is same as in g..."
13 July 2022
11 July 2022
Post-Op Fever
no edit summary
m+6
Post-Op Fever
Created page with "0-48 hrs = non-infectious (not atelectasis!) 48-96 hrs = anything 96+ hrs = infectious"
19 March 2022
Ski Oregon
no edit summary
+81
Ski Oregon
no edit summary
Ski Oregon
Created page with "Mt. Hood area *Timberline: open year round; difficulty skews towards beginners/intermediate; 9 lifts, 41 runs; Biggest vertical drop in the US. *Mt. Hood Meadows: biggest..."