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diagnosis management clinical treatment pharmacology differential algorithm pocus comparison table nephrology pathophysiology ultrasound neurology cardiology pediatrics pulmonary timeline toxicology peds
Practice Guidelines for Preoperative Fasting Infographic by Dr. Jesse Burk-Rafel @jbrafel > 8 hours - Heavy foods (fried/fatty) and
@jbrafel > 8 hours ... and meats > 6 hours ... formula > 4 hours ... coffee) 0-2 hours ... Liquids up to 2 hours
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 ... least every 6 hours ... < 300cc/m2/24 hours ... - < 0.5 cc/kg/hour ... - < 1.0 cc/kg/hour
Quick Guide: Methadone Starts in the Hospital Day 1: max daily dose 40 mg methadone First dose • Check
Recheck Ramsay in 1 hour ... After 4 hours • ... After 4 hours • ... After 4 hours • ... After 4 hours •
Blood Pressure Targets in Hypertensive Crisis Timeline: 1 hour: ↓ MAP by 25%, Maintain DBP ≥ 100 mmHg 2-6
Timeline: 1 hour ... 100 mmHg 2-6 hours ... DBP 100 mmHg 24 hours
3 Hour Time Lapse - Button Battery Ingestion Simulation - mp4 video version here: https://www.grepmed.com/images/14833 Swallowed button
3 Hour Time Lapse ... that occurs in 3 hours
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 Types of hypersensitivity reactions Type I - lgE-Mediated, Within I Hour (Anaphylaxis) Type II - IgG or IgM
lgE-Mediated, Within I Hour ... IgM Cytotoxic, Hours
Important Blood Pressure Targets in the ED Subarachnoid Hemorrhage: SBP < 140 -
110: For 24 hours ... by 15% over 24 hours ... by 20% in first hour
Opioid Withdrawal Symptom Timeline Stage l: Up to 8 hours Stage II: 8—24 hours Stage Ill: Up
Stage l: Up to 8 hours ... Stage II: 8—24 hours
Alcohol Withdrawal Timeline Minor withdrawal (6 to 36 hours) - Tremulousness, mild anxiety, headache, diaphoresis, palpitations, gastrointestinal
withdrawal (6 to 36 hours ... Seizures (6 to 48 hours ... hallucinosis (12 to 48 hours ... tremens (48 to 96 hours
Therapeutic Drug Level Monitoring Carbamazepine - Sample immediately before next dose (trough) Clozapine - Sample immediately
) or exactly 2 hours ... - Sample 8-24 hours ... trough level 2-4 hours ... Lithium - Sample 12 hours ... sample after 18 hours
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