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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 ... VisualAbstract #Times #Preprocedural
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
CENTRAL VENOUS CATHETER INSERTION - Materials/Supplies Checklist

Also Consider:
 - Ultrasound + Probe Cover
 - Patient Drapes
Venous #Catheter #Preprocedure
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
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
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
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
5MinuteAirway AIRWAY CHECKLIST
Everyone needs a checklist.. here’s ours.  Print it out, laminate it, don’t laminate
checklist.. here’s ours ... laminate it, it’s yours
Dynamic Air Bronchograms on Lung Point of Care Ultrasound (POCUS)

If you're looking for something to stare
Care Ultrasound (POCUS ... stare at for a few hours ... Lung #Ultrasound #POCUS
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