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Surviving Sepsis 1-Hour Bundle - Initial Resuscitation for Sepsis and Septic Shock 

#SurvivingSepsis #1Hour #OneHour #Bundle
Surviving Sepsis 1-Hour ... SurvivingSepsis #1Hour
Quick Guide: Methadone Starts in the Hospital
Day 1: max daily dose 40 mg methadone
First dose
• Check
Recheck Ramsay in 1 hour ... Recheck Ramsay in 1 hour ... Recheck Ramsay in 1 hour ... Hospital Opioid Use Treatment ... Initiation #Algorithm #Treatment
Normal urine output 
- 0.5 to 1.5 cc/kg/hour 
- A patient should be urinating at least
0.5 to 1.5 cc/kg/hour ... - < 0.5 cc/kg/hour ... - < 1.0 cc/kg/hour
Intraosseous (EZ-IO) Access in the Humeral Head of an adult

Rule of 45s:
- 45mm needle
- 45° angle
sec - Flow of 5L/hour ... (vs 1L/hour) -
Pharmacologic Treatments of Chronic Hypertension in Pregnancy
Central alpha-agonists
 - Methyldopa
 - Clonidine
Combined alpha- and beta-blocker
 -
Pharmacologic Treatments ... Pregnancy #Management #Treatment
Antenatal Visits - Testing and Schedule
At Every Visit:	
 • Gestational Age	
 • BP
 • Maternal Weight
- BW 1 hour ... - BW 2 hour ... ≥5.3 mmol/L, 1 hour
Hypothermic Cardiac Arrest Management
"Not dead until 32° and dead"
1) Start ACLS + Rewarming
2) Should this code
rewarms at 10+°/hour ... rewarming #management #treatment
Rhabdomyolysis - Differential Diagnosis and Management Summary

Trauma:
 • Immobilization, Crush iniury, Compartment syndrome, Electrical injury
Exertional:
 •
oxidative iniury Treatment ... Iinitial rate: 1-2 L/hour ... Summary #causes #treatment
Initial treatment of renal bone disease and cinacalcet for secondary hyperparathyroidism
Phosphate binders reduce hyperphosphataemia and hyperparathyroidism.
Initial treatment ... the first-line treatments
Algorithm for the Treatment of Uremic Pruritus
Nonpharmacologic Treatments:
 • Daily topical emollient
 • Avoidance of extremes
Algorithm for the Treatment ... Nonpharmacologic Treatments ... Pharmacologic Treatments ... max 75 mg daily Treatments ... itching #Algorithm #Treatment