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Practice Guidelines for Preoperative Fasting

Infographic by Dr. Jesse Burk-Rafel
@jbrafel

> 8 hours - Heavy foods (fried/fatty) and
pulp, nutritional drinks ... hunger - LOWER risk ... to Reduce the Risk ... Of pulmonary Aspiration
Caffeine Content (mg) for Popular Drinks

JOLT 
Energy Drink 
280 mg 

5 Hour 
Energy 
200 mg
mg) for Popular Drinks ... JOLT Energy Drink ... Rockstar Energy Drink ... Monster Energy Drink ... Bull Energy Drink
Health risks of obesity

Greatly increased risk (RR >3):
 - Mortality (BMI >30) 
 - Type 2
Health risks of ... Greatly increased risk ... confers a 92x ^ risk ... Diagnosis #Obesity #Risks
The Alcohol Use Disorders Identification Test Consumption screening tool (AUDIT-C)

1. How often do you have a
do you have a drink ... How many drinks ... have six or more drinks
Statins for primary prevention of cardiovascular diseases (in patients at higher risk) - Patient Visual Decision
patients at higher risk ... patients with higher risks ... These risks were
Rewarming Methods in Hypothermia
 • Passive rewarming - Requires adequate patient physiologic mechanisms. Inadequate for more
Low benefit, low risk ... Gastric lavage - Risks ... Peritoneal lavage - Risks ... Thoracic lavage - Risks
#Scoliosis- an #S-shaped curve in the #spine, as noted in the image above, there are several
herniated or #slipped disks
Chest Pain Diagnosis and Management Algorithm
STEMI:
 - Hx: Pressure like CP, Radiation to arm/jaw, CAD risk
to arm/jaw, CAD risk ... severe, tearing CP, Risks ... Limb ischemia Pulmonary ... CP, Dyspnea, PE risk
Comparison of anti-diabetic or anti-hyperglycemic agents

There are numerous anti-hyperglycemic agents available to manage Type 2 diabetes.
own benefits and risks ... the hypoglycemia risk
Systolic Murmurs - Differential Diagnosis Algorithm
Benign / Flow / Hyperdynamic:
 • Pregnancy
 • Fever
 • Anemia
Supravalvular
Aortic Stenosis (rings ... Aortic Stenosis (rings ... Heart Disease Pulmonary ... cardiomyopathy • Pulmonary