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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
Quick Guide: Methadone Starts in the Hospital
Day 1: max daily dose 40 mg methadone
First dose
• Check
After 4 hours • ... After 4 hours • ... After 4 hours • ... Hospital Opioid Use Treatment ... Initiation #Algorithm #Treatment
CENTRAL VENOUS CATHETER INSERTION - Materials/Supplies Checklist

Also Consider:
 - Ultrasound + Probe Cover
 - Patient Drapes
Venous #Catheter #Preprocedure
Pelvic Inflammatory Disease (PID) - CDC 2021 Treatment Guidelines
Recommended Regimen:
 • Parenteral treatment: ceftriaxone 1 gm
PID) - CDC 2021 Treatment ... • Parenteral treatment ... by IV every 24 hours ... by IV every 12 hours ... by IV every 12 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
Scabies (Sarcoptes scabiei) - CDC 2021 Treatment Guidelines
Recommended Regimen:
 • permethrin 5% cream applied to all
scabiei) - CDC 2021 Treatment ... wash after 8–14 hours ... wash after 8–14 hours ... ; repeat treatment ... #CDC #CDC2021 #Treatment
Hypertonic Saline for Treatment of Hyponatremic Encephalopathy
1) 100 ml bolus of 3% NaCl over 10 min.
Hypertonic Saline for Treatment ... the first 1-2 hours ... third bolus or Q 2 hours ... in the first 5 hours ... Hypertonic #Saline #Treatment
CAP, HCAP, HAP and VAP - Diagnosis and Treatment

HCAP & CAP – those presenting to the
Diagnosis and Treatment ... pneumonia >48 hours ... Diagnosis #Management #Treatment
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