05-12-2009, 12:18 PM
TURNERS SYNDROME...........KUSHTE GOD
FOREIGN BODY ASPIRATION......SAB(IN ORDER)
DONT FORGETS...
GI CASE.............NPO,NG TUBE WITH SUCTION,
ANTIBIOTIC....AMP,GENT,MET
PT,PTT,LFT
RESP CASE............PEFR
YOUNG WOMEN....PREG TEST
,
KIDS.......IIV FLIDS OF CHOICE IS 1/2 NS
CARDIO CASE.......IN EMERGENCY ORDER PUR ASP AND NITRATE SUBLIN EXCEPT IN HYPOTENSION
CARDIAC REHAB
DAILY WEIGHTS..................NEPHRO SYN,CCF CASES.
FOBT ANY ELDERLY
BLEEDING CASE.....PT.PTT,LFT,,,PACKED RED CELL TRANSFUSE
PROLACTIN,PREG TEST AND TSH DO TOGTHER.
ANY POISONING CASE ......FINGER STICK GLUCOSE,COMA COCKTAIL...,PREG TEST(FEMALE)
ANY ANEMIA DO IRON STUDIES...if needed prbc
ADMIT ORDERS.....ADMITCO
CENTRAL LINE MONITERING..........IV NITROPRUSSIDE,,,,,
CENTAL LINE PLACEMENT...............IE(1MONTH) AND SEPTIC ARTHRITIS(2 WKS)
D/C OHA REPLACE WTH REGULAR INSULIN IN INPATIENT,DURING DSCHARGE D/CC NSULIN AND RESTART OHA
ESR IN INFECTION
GENETIC COUNCEL.....APKD,SCA,CYSTIC FIBROSIS,TURNERS,
MORETHAN 50............MEN.......LIIPID FOBT COLONOSCOPY VACCIINE(INF) MORETHAN 65 (PNEU)....PSA
MORE THAN 40 FEMALE......MAMMO,FOBT,LIPID,PAPSMEAR,
DEXA............OSTEOPOROSIS AND MORE THAN 65 FEMALE
PAPSMEAR....ANY REPRODUCTIVE AND ABOVE...
PT BECOME SYMPTOM FREE
FOLLOW UP LABS
D/C MED
CHANGE FROM IV TO ORAL.
PAIN.......NSAID...CODEINE....MORPHINE(PAIN LADDER)
NAISEA....NPO..
VOMIT ...PHENERGAN.
FEVER......TYLENOL
ABX........PSEUDOMONAS....ANTIPSE PENCIPLUS AMINOGLY/ 4 TH GEN CEF
GRAM + COCCI.........NAF
GRAM - ....3 RD GEN CEF
E COL.....3RD GEN CEF
ADULT .....CEF+VAN
IMM COM,PED LESS THAN 1 ADD AMPICILL
MRSA./PENC ALLERGY..........VANCO
JOINT INF ....TREAT LONGER.............SEPTIC ARTHRITIS (2WKS)
If you give furosemide (Lasix), also give KCl
BEFORE STEROIDS FOR LONG TERM..PPD TEST,OMEPRA,NYSTATIN SWISH AND SWALLOW
If lipid profile is abnormal, order a TSH
PT WITH 1 STD CHECK FOR OTHER STDS TOOO
PIDCHECK STD S
All suspected child abuse patients should be admitted and you should order THREE consults: consult œchild protection services, consult œophthalmology (to look for retinal hemorrhages), consult œpsychiatrist (to examine the family dynamics
Remember to give œphototherapy to a newborn with pathologic unconjugated bilirubinemia (it is not helpful if it is predominantly conjugated). Also, with phototherapy, keep the neonate on IV fluids (the heat can dehydrate them), and give erythromycin ointment in their eyes
POSTURAL VITALS..ORTHO HYPOTENSION
CANCER PTCOUNCEL REGARD CANCER DIAGNOSIS.
ALCOHOL,,RF GET SERUM MG AND PHOS SEPERATELY
DIABETES.ACCUCHECK 4 TIMES,HBA1C,HOME GLUCOSE MON,OPTHA EYE EXAM
ANY RENAL FAILURE..FOLEY FIRST AND EVRYTHING NEXT
NO ASPIRIN
AVOID CONTACT SPORTS
IN EFFUSION DO DECUBITUS XRAY.
PULMONARY TOILET/POSTURAL DRAINAGE.ANY PT WITH LOT OF RESP SECRETIONS..
FOREIGN BODY ASPIRATION......SAB(IN ORDER)
DONT FORGETS...
GI CASE.............NPO,NG TUBE WITH SUCTION,
ANTIBIOTIC....AMP,GENT,MET
PT,PTT,LFT
RESP CASE............PEFR
YOUNG WOMEN....PREG TEST
,
KIDS.......IIV FLIDS OF CHOICE IS 1/2 NS
CARDIO CASE.......IN EMERGENCY ORDER PUR ASP AND NITRATE SUBLIN EXCEPT IN HYPOTENSION
CARDIAC REHAB
DAILY WEIGHTS..................NEPHRO SYN,CCF CASES.
FOBT ANY ELDERLY
BLEEDING CASE.....PT.PTT,LFT,,,PACKED RED CELL TRANSFUSE
PROLACTIN,PREG TEST AND TSH DO TOGTHER.
ANY POISONING CASE ......FINGER STICK GLUCOSE,COMA COCKTAIL...,PREG TEST(FEMALE)
ANY ANEMIA DO IRON STUDIES...if needed prbc
ADMIT ORDERS.....ADMITCO
CENTRAL LINE MONITERING..........IV NITROPRUSSIDE,,,,,
CENTAL LINE PLACEMENT...............IE(1MONTH) AND SEPTIC ARTHRITIS(2 WKS)
D/C OHA REPLACE WTH REGULAR INSULIN IN INPATIENT,DURING DSCHARGE D/CC NSULIN AND RESTART OHA
ESR IN INFECTION
GENETIC COUNCEL.....APKD,SCA,CYSTIC FIBROSIS,TURNERS,
MORETHAN 50............MEN.......LIIPID FOBT COLONOSCOPY VACCIINE(INF) MORETHAN 65 (PNEU)....PSA
MORE THAN 40 FEMALE......MAMMO,FOBT,LIPID,PAPSMEAR,
DEXA............OSTEOPOROSIS AND MORE THAN 65 FEMALE
PAPSMEAR....ANY REPRODUCTIVE AND ABOVE...
PT BECOME SYMPTOM FREE
FOLLOW UP LABS
D/C MED
CHANGE FROM IV TO ORAL.
PAIN.......NSAID...CODEINE....MORPHINE(PAIN LADDER)
NAISEA....NPO..
VOMIT ...PHENERGAN.
FEVER......TYLENOL
ABX........PSEUDOMONAS....ANTIPSE PENCIPLUS AMINOGLY/ 4 TH GEN CEF
GRAM + COCCI.........NAF
GRAM - ....3 RD GEN CEF
E COL.....3RD GEN CEF
ADULT .....CEF+VAN
IMM COM,PED LESS THAN 1 ADD AMPICILL
MRSA./PENC ALLERGY..........VANCO
JOINT INF ....TREAT LONGER.............SEPTIC ARTHRITIS (2WKS)
If you give furosemide (Lasix), also give KCl
BEFORE STEROIDS FOR LONG TERM..PPD TEST,OMEPRA,NYSTATIN SWISH AND SWALLOW
If lipid profile is abnormal, order a TSH
PT WITH 1 STD CHECK FOR OTHER STDS TOOO
PIDCHECK STD S
All suspected child abuse patients should be admitted and you should order THREE consults: consult œchild protection services, consult œophthalmology (to look for retinal hemorrhages), consult œpsychiatrist (to examine the family dynamics
Remember to give œphototherapy to a newborn with pathologic unconjugated bilirubinemia (it is not helpful if it is predominantly conjugated). Also, with phototherapy, keep the neonate on IV fluids (the heat can dehydrate them), and give erythromycin ointment in their eyes
POSTURAL VITALS..ORTHO HYPOTENSION
CANCER PTCOUNCEL REGARD CANCER DIAGNOSIS.
ALCOHOL,,RF GET SERUM MG AND PHOS SEPERATELY
DIABETES.ACCUCHECK 4 TIMES,HBA1C,HOME GLUCOSE MON,OPTHA EYE EXAM
ANY RENAL FAILURE..FOLEY FIRST AND EVRYTHING NEXT
NO ASPIRIN
AVOID CONTACT SPORTS
IN EFFUSION DO DECUBITUS XRAY.
PULMONARY TOILET/POSTURAL DRAINAGE.ANY PT WITH LOT OF RESP SECRETIONS..