Term
|
Definition
1) Calcium gluconate Inj. (2g IV once)
2) Regular Insulin 10 units + 25g IV soln 50% Dextrose IV
3) STAT EKG
4) BMP, K, Mg
5) +/- ABG |
|
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Term
|
Definition
1) Regular Insulin Bolus dose (Glucose level / 100)
2) Regular Insulin IV drip (Glucose level / 100 per hr)
3) 25% Dextrose solution ready
4) NPO |
|
|
Term
|
Definition
1) d/c all other Heparin products
2) STAT Labs
3) Heparin bolus ( 80 units/kg)
4) Drip ( 18 units/kg/hr
4) Sliding scale boluses dependent upon Anti Xa Level
Anti Xa < 0.3 = rebolus
Anti Xa > 0.7 = decrease rate |
|
|
Term
|
Definition
- Hct
- Platelet count
- PTT
- Clottable Fibrinogen |
|
|
Term
| Alteplace Cath Flush for occluded lumen |
|
Definition
- 2g in 2.2mL sterile water
- Check for blood return after 30 min |
|
|
Term
|
Definition
- Blood Culture for Aerobic set
- Blood Culture for Anaerobic set
- Separate culture from deep central lines
- Urinalysis w/ microreflex
- Protected Alveolar Lavage
- CXR
- Serum Lactate (initial, then q4h for 24hrs)
- Broad Spectrum ABX:
- Vancomycin (gram pos, MRSA)
- Zosyn (gram negative, anaerobic coverage)
- Labs:
- ABG, BMP, Magnesium (cardiac optimization),
Phosphorus (correlation w/ inverse to pro-inflammatory) |
|
|
Term
| Atrial Fibrillation w/ Rapid Ventricular Response |
|
Definition
1) 12-lead EKG
2) STAT BMP, Mg, Phosphorus, TSH
3) IV Metoprolol bolus (2.5-5mg) over 2 min
4) repeat x2 for max of 15mg
5) Amiodarone |
|
|
Term
| Amiodarone dose (for A-fib) |
|
Definition
- 150mg IV over 10 min
- 1mg/min for 6 hours
- Oral maintenance dosing: (100-200mg once daily) |
|
|
Term
| Suspected Opioid Poisoning |
|
Definition
1) ABC's: maintain airway
2) IV Naloxone (Narcan)
0.1-0.2mg IV, repeat every 2-3min
Repeat dose in 1-2hr may be needed |
|
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Term
|
Definition
| Sensation in 1st web space - Deep peroneal nerve |
|
|
Term
|
Definition
| Sensation of dorsum of foot - Superficial peroneal nerve |
|
|
Term
| Deep Posterior Leg compartment |
|
Definition
| Sensation of plantar surface - Tibial nerve |
|
|
Term
| Superficial Posterior Leg compartment |
|
Definition
| Dorsiflexion & Plantar-flexion - Sural nerve |
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