EM IV Flashcards
Be sure to get a full […] on all Psych pts.
Be sure to get a full med hx on all Psych pts.
Be wary of Psych pts who are:
- […]
- young
- sudden onset w/o hx
Be wary of Psych pts who are:
- old
- young
- sudden onset w/o hx
be more thoughtful about possible medical causes
Be wary of Psych pts who are:
- old
- […]
- sudden onset w/o hx
Be weary of Psych pts who are:
- old
- young
- sudden onset w/o hx
be more thoughtful about possible medical causes
Be wary of Psych pts who are:
- old
- young
- […]
Be weary of Psych pts who are:
- old
- young
- sudden onset w/o hx
be more thoughtful about possible medical cause
Bell’s Palsy pts MUST have […] with neuro deficit.
Bell’s Palsy pts MUST have forehead involvement with neuro deficit.
Forehead sparing = BAD
Bell’s Palsy tx:
- […]
- lubricating eye drops
- +/- acyclovir 400mg PO #5 Q24 x 10d // valcyclovir 500mg Q12 x 5d
Bell’s Palsy tx:
- prednisone 60mg PO x7d (consider taper)
- lubricating eye drops
- +/- acyclovir 400mg PO #5 Q24 x 10d // valcyclovir 500mg Q12 x 5d
Bell’s Palsy tx:
- prednisone 60mg PO x7d (consider taper)
- […]
- +/- acyclovir 400mg PO #5 Q24 x 10d // valcyclovir 500mg Q12 x 5d
Bell’s Palsy tx:
- prednisone 60mg PO x7d (consider taper)
- lubricating eye drops
- +/- acyclovir 400mg PO #5 Q24 x 10d // valcyclovir 500mg Q12 x 5d
Bell’s Palsy tx:
- prednisone 60mg PO x7d (consider taper)
- lubricating eye drops
- +/- […] // valcyclovir 500mg Q12 x 5d
Bell’s Palsy tx:
- prednisone 60mg PO x7d (consider taper)
- lubricating eye drops
- +/- acyclovir 400mg PO #5 Q24 x 10d // valcyclovir 500mg Q12 x 5d
Bell’s Palsy tx:
- prednisone 60mg PO x7d (consider taper)
- lubricating eye drops
- +/- acyclovir 400mg PO #5 Q24 x 10d // […]
Bell’s Palsy tx:
- prednisone 60mg PO x7d (consider taper)
- lubricating eye drops
- +/- acyclovir 400mg PO #5 Q24 x 10d // valcyclovir 500mg Q12 x 5d
Benzo AMS tx:
- […]
- supportive care
Benzo AMS tx:
- ABC’s
- supportive care
Benzo AMS tx:
- ABC’s
- […]
Benzo AMS tx:
- ABC’s
- supportive care
BiPAP target settings are […] and can go up to 20/10.
BiPAP target settings are 10/5 and can go up to 20/10.
Insp/Exp
BiPAP target settings are 10/5 and can go up to […].
BiPAP target settings are 10/5 and can go up to 20/10.
Insp/Exp
BNP levels interpretation:
- not CHF: […]
- CHF: >400
BNP levels interpretation:
- not CHF: <100
- CHF: >400
100-400 indeterminate
BNP levels interpretation:
- not CHF: <100
- CHF: […]
BNP levels interpretation:
- not CHF: <100
- CHF: >400
100-400 indeterminate
Both Type1 and Type2 Diabetics can get […] or HHS.
Both Type1 and Type2 Diabetics can get DKA or HHS.
Both Type1 and Type2 Diabetics can get DKA or […].
Both Type1 and Type2 Diabetics can get DKA or HHS.
Bowel Perforation can be dx’d with […].
Bowel Perforation can be dx’d with upright CXR.
free air or rigid abdomen = emergent surgery
Bowel Perforations is usually due to […].
Bowel Perforations is usually due to ulcer or procedure.
BP Med Hydralazine
- dose: […]
- moa: peripheral vasodilator (preferential arterio > venodilation)
- cons: tachycardia, decreased SV + CO
- notes: decrease in DBP > SBP
BP Med Hydralazine
- dose: 10mg slow IV Q6 (up to max 40mg)
- moa: peripheral vasodilator (preferential arterio > venodilation)
- cons: tachycardia, decreased SV + CO
- notes: decrease in DBP > SBP
rarely used
BP Med Hydralazine
- dose: 10mg slow IV Q6 (up to max 40mg)
- moa: […]
- cons: tachycardia, decreased SV + CO
- notes: decrease in DBP > SBP
BP Med Hydralazine
- dose: 10mg slow IV Q6 (up to max 40mg)
- moa: peripheral vasodilator (preferential arterio > venodilation)
- cons: tachycardia, decreased SV + CO
- notes: decrease in DBP > SBP
rarely used
BP Med Hydralazine
- dose: 10mg slow IV Q6 (up to max 40mg)
- moa: peripheral vasodilator (preferential arterio > venodilation)
- cons: […]
- notes: decrease in DBP > SBP
BP Med Hydralazine
- dose: 10mg slow IV Q6 (up to max 40mg)
- moa: peripheral vasodilator (preferential arterio > venodilation)
- cons: tachycardia, decreased SV + CO
- notes: decrease in DBP > SBP
rarely used
BP Med Hydralazine
- dose: 10mg slow IV Q6 (up to max 40mg)
- moa: peripheral vasodilator (preferential arterio > venodilation)
- cons: tachycardia, decreased SV + CO
- notes: […]
BP Med Hydralazine
- dose: 10mg slow IV Q6 (up to max 40mg)
- moa: peripheral vasodilator (preferential arterio > venodilation)
- cons: tachycardia, decreased SV + CO
- notes: decrease in DBP > SBP
rarely used
BP Med Labetalol
- dose: […]
- moa: beta > αlpha blocker
- pros: no HR change, no cerebral flow change, rapid onset
- avoid: COPD, CHF, heart block, bradycardia
- use: ACS, ischemic CVA
BP Med Labetalol
- dose: 10mg IV q10min => 0.5-2 mg/min IV
- moa: beta > αlpha blocker
- pros: no HR change, no cerebral flow change, rapid onset
- avoid: COPD, CHF, heart block, bradycardia
- use: ACS, ischemic CVA
BP Med Labetalol
- dose: 10mg IV q10min => 0.5-2 mg/min IV
- moa: […]
- pros: no HR change, no cerebral flow change, rapid onset
- avoid: COPD, CHF, heart block, bradycardia
- use: ACS, ischemic CVA
BP Med Labetalol
- dose: 10mg IV q10min => 0.5-2 mg/min IV
- moa: beta > αlpha blocker
- pros: no HR change, no cerebral flow change, rapid onset
- avoid: COPD, CHF, heart block, bradycardia
- use: ACS, ischemic CVA
BP Med Labetalol
- dose: 10mg IV q10min => 0.5-2 mg/min IV
- moa: beta > αlpha blocker
- pros: […]
- avoid: COPD, CHF, heart block, bradycardia
- use: ACS, ischemic CVA
BP Med Labetalol
- dose: 10mg IV q10min => 0.5-2 mg/min IV
- moa: beta > αlpha blocker
- pros: no HR change, no cerebral flow change, rapid onset
- avoid: COPD, CHF, heart block, bradycardia
- use: ACS, ischemic CVA
BP Med Labetalol
- dose: 10mg IV q10min => 0.5-2 mg/min IV
- moa: beta > αlpha blocker
- pros: no HR change, no cerebral flow change, rapid onset
- avoid: […]
- use: ACS, ischemic CVA
BP Med Labetalol
- dose: 10mg IV q10min => 0.5-2 mg/min IV
- moa: beta > αlpha blocker
- pros: no HR change, no cerebral flow change, rapid onset
- avoid: COPD, CHF, heart block, bradycardia
- use: ACS, ischemic CVA
BP Med Labetalol
- dose: 10mg IV q10min => 0.5-2 mg/min IV
- moa: beta > αlpha blocker
- pros: no HR change, no cerebral flow change, rapid onset
- avoid: COPD, CHF, heart block, bradycardia
- use: […]
BP Med Labetalol
- dose: 10mg IV q10min => 0.5-2 mg/min IV
- moa: beta > αlpha blocker
- pros: no HR change, no cerebral flow change, rapid onset
- avoid: COPD, CHF, heart block, bradycardia
- use: ACS, ischemic CVA
BP Med Nicardipine
- dose: […]
- moa: CCB decrease PVR
- cons: long half life
- avoid: ACS, CHF, cirrhosis
- use: CVA, renal
BP Med Nicardipine
- dose: 5mg/h => +2.5mg/hr (max15mg/hr)
- moa: CCB decrease PVR
- cons: long half life
- avoid: ACS, CHF, cirrhosis
- use: CVA, renal
BP Med Nicardipine
- dose: 5mg/h => +2.5mg/hr (max15mg/hr)
- moa: […]
- cons: long half life
- avoid: ACS, CHF, cirrhosis
- use: CVA, renal
BP Med Nicardipine
- dose: 5mg/h => +2.5mg/hr (max15mg/hr)
- moa: CCB decrease PVR
- cons: long half life
- avoid: ACS, CHF, cirrhosis
- use: CVA, renal
BP Med Nicardipine
- dose: 5mg/h => +2.5mg/hr (max15mg/hr)
- moa: CCB decrease PVR
- cons: […]
- avoid: ACS, CHF, cirrhosis
- use: CVA, renal
BP Med Nicardipine
- dose: 5mg/h => +2.5mg/hr (max15mg/hr)
- moa: CCB decrease PVR
- cons: long half life
- avoid: ACS, CHF, cirrhosis
- use: CVA, renal
BP Med Nicardipine
- dose: 5mg/h => +2.5mg/hr (max15mg/hr)
- moa: CCB decrease PVR
- cons: long half life
- avoid: ACS, CHF, cirrhosis
- use: […], renal
BP Med Nicardipine
- dose: 5mg/h => +2.5mg/hr (max15mg/hr)
- moa: CCB decrease PVR
- cons: long half life
- avoid: ACS, CHF, cirrhosis
- use: CVA, renal
BP Med Nicardipine
- dose: 5mg/h => +2.5mg/hr (max15mg/hr)
- moa: CCB decrease PVR
- cons: long half life
- avoid: ACS, CHF, cirrhosis
- use: CVA, […]
BP Med Nicardipine
- dose: 5mg/h => +2.5mg/hr (max15mg/hr)
- moa: CCB decrease PVR
- cons: long half life
- avoid: ACS, CHF, cirrhosis
- use: CVA, renal
BP Med Nicardipine
- dose: 5mg/h => +2.5mg/hr (max15mg/hr)
- moa: CCB decrease PVR
- cons: long half life
- avoid: […], CHF, cirrhosis
- use: CVA, renal
BP Med Nicardipine
- dose: 5mg/h => +2.5mg/hr (max15mg/hr)
- moa: CCB decrease PVR
- cons: long half life
- avoid: ACS, CHF, cirrhosis
- use: CVA, renal
BP Med Nicardipine
- dose: 5mg/h => +2.5mg/hr (max15mg/hr)
- moa: CCB decrease PVR
- cons: long half life
- avoid: ACS, […], cirrhosis
- use: CVA, renal
BP Med Nicardipine
- dose: 5mg/h => +2.5mg/hr (max15mg/hr)
- moa: CCB decrease PVR
- cons: long half life
- avoid: ACS, CHF, cirrhosis
- use: CVA, renal
BP Med Nicardipine
- dose: 5mg/h => +2.5mg/hr (max15mg/hr)
- moa: CCB decrease PVR
- cons: long half life
- avoid: ACS, CHF, […]
- use: CVA, renal
BP Med Nicardipine
- dose: 5mg/h => +2.5mg/hr (max15mg/hr)
- moa: CCB decrease PVR
- cons: long half life
- avoid: ACS, CHF, cirrhosis
- use: CVA, renal
BP Med Nitroglycerin:
• dose: […]
- moa: veno > arteriodilator
- pros: rapid on/off, increase coronary flow
- cons: tachycardia
- use: ACS, CHF
BP Med Nitroglycerin:
• dose: 5-20mcg/min IV
- moa: veno > arteriodilator
- pros: rapid on/off, increase coronary flow
- cons: tachycardia
- use: ACS, CHF
LV dysf + pulmonary edema = CHF
BP Med Nitroglycerin:
• dose: 5-20mcg/min IV
- moa: […]
- pros: rapid on/off, increase coronary flow
- cons: tachycardia
- use: ACS, CHF
BP Med Nitroglycerin:
• dose: 5-20mcg/min IV
- moa: veno > arteriodilator
- pros: rapid on/off, increase coronary flow
- cons: tachycardia
- use: ACS, CHF
LV dysf + pulmonary edema = CHF
BP Med Nitroglycerin:
• dose: 5-20mcg/min IV
- moa: veno > arteriodilator
- pros: […]
- cons: tachycardia
- use: ACS, CHF
BP Med Nitroglycerin:
• dose: 5-20mcg/min IV
- moa: veno > arteriodilator
- pros: rapid on/off, increase coronary flow
- cons: tachycardia
- use: ACS, CHF
LV dysf + pulmonary edema = CHF
BP Med Nitroglycerin:
• dose: 5-20mcg/min IV
- moa: veno > arteriodilator
- pros: rapid on/off, increase coronary flow
- cons: […]
- use: ACS, CHF
BP Med Nitroglycerin:
• dose: 5-20mcg/min IV
- moa: veno > arteriodilator
- pros: rapid on/off, increase coronary flow
- cons: tachycardia
- use: ACS, CHF
LV dysf + pulmonary edema = CHF
BP Med Nitroglycerin:
• dose: 5-20mcg/min IV
- moa: veno > arteriodilator
- pros: rapid on/off, increase coronary flow
- cons: tachycardia
- use: […], CHF
BP Med Nitroglycerin:
• dose: 5-20mcg/min IV
- moa: veno > arteriodilator
- pros: rapid on/off, increase coronary flow
- cons: tachycardia
- use: ACS, CHF
LV dysf + pulmonary edema = CHF
BP Med Nitroglycerin:
• dose: 5-20mcg/min IV
- moa: veno > arteriodilator
- pros: rapid on/off, increase coronary flow
- cons: tachycardia
- use: ACS, […]
BP Med Nitroglycerin:
• dose: 5-20mcg/min IV
- moa: veno > arteriodilator
- pros: rapid on/off, increase coronary flow
- cons: tachycardia
- use: ACS, CHF
LV dysf + pulmonary edema = CHF
BP Med Nitroprusside
- dose: […]
- moa: arterial > venodilator
- pros: effective, quick on/off
- cons: tachycardia, coronary steal, cyanide tox
- avoid: liver failure, increased ICP, pregnancy
BP Med Nitroprusside
- dose: 0.5mcg/kg/min => titrate by 0.5mcg/kg/min
- moa: arterial > venodilator
- pros: effective, quick on/off
- cons: tachycardia, coronary steal, cyanide tox
- avoid: liver failure, increased ICP, pregnancy
RARELY USED
BP Med Nitroprusside
- dose: 0.5mcg/kg/min => titrate by 0.5mcg/kg/min
- moa: […]
- pros: effective, quick on/off
- cons: tachycardia, coronary steal, cyanide tox
- avoid: liver failure, increased ICP, pregnancy
BP Med Nitroprusside
- dose: 0.5mcg/kg/min => titrate by 0.5mcg/kg/min
- moa: arterial > venodilator
- pros: effective, quick on/off
- cons: tachycardia, coronary steal, cyanide tox
- avoid: liver failure, increased ICP, pregnancy
RARELY USED
BP Med Nitroprusside
- dose: 0.5mcg/kg/min => titrate by 0.5mcg/kg/min
- moa: arterial > venodilator
- pros: […]
- cons: tachycardia, coronary steal, cyanide tox
- avoid: liver failure, increased ICP, pregnancy
BP Med Nitroprusside
- dose: 0.5mcg/kg/min => titrate by 0.5mcg/kg/min
- moa: arterial > venodilator
- pros: effective, quick on/off
- cons: tachycardia, coronary steal, cyanide tox
- avoid: liver failure, increased ICP, pregnancy
RARELY USED
BP Med Nitroprusside
- dose: 0.5mcg/kg/min => titrate by 0.5mcg/kg/min
- moa: arterial > venodilator
- pros: effective, quick on/off
- cons: […], coronary steal, cyanide tox
- avoid: liver failure, increased ICP, pregnancy
BP Med Nitroprusside
- dose: 0.5mcg/kg/min => titrate by 0.5mcg/kg/min
- moa: arterial > venodilator
- pros: effective, quick on/off
- cons: tachycardia, coronary steal, cyanide tox
- avoid: liver failure, increased ICP, pregnancy
RARELY USED
BP Med Nitroprusside
- dose: 0.5mcg/kg/min => titrate by 0.5mcg/kg/min
- moa: arterial > venodilator
- pros: effective, quick on/off
- cons: tachycardia, […], cyanide tox
- avoid: liver failure, increased ICP, pregnancy
BP Med Nitroprusside
- dose: 0.5mcg/kg/min => titrate by 0.5mcg/kg/min
- moa: arterial > venodilator
- pros: effective, quick on/off
- cons: tachycardia, coronary steal, cyanide tox
- avoid: liver failure, increased ICP, pregnancy
RARELY USED
BP Med Nitroprusside
- dose: 0.5mcg/kg/min => titrate by 0.5mcg/kg/min
- moa: arterial > venodilator
- pros: effective, quick on/off
- cons: tachycardia, coronary steal, […]
- avoid: liver failure, increased ICP, pregnancy
BP Med Nitroprusside
- dose: 0.5mcg/kg/min => titrate by 0.5mcg/kg/min
- moa: arterial > venodilator
- pros: effective, quick on/off
- cons: tachycardia, coronary steal, cyanide tox
- avoid: liver failure, increased ICP, pregnancy
RARELY USED
BP Med Nitroprusside
- dose: 0.5mcg/kg/min => titrate by 0.5mcg/kg/min
- moa: arterial > venodilator
- pros: effective, quick on/off
- cons: tachycardia, coronary steal, cyanide tox
- avoid: […], increased ICP, pregnancy
BP Med Nitroprusside
- dose: 0.5mcg/kg/min => titrate by 0.5mcg/kg/min
- moa: arterial > venodilator
- pros: effective, quick on/off
- cons: tachycardia, coronary steal, cyanide tox
- avoid: liver failure, increased ICP, pregnancy
RARELY USED
BP Med Nitroprusside
- dose: 0.5mcg/kg/min => titrate by 0.5mcg/kg/min
- moa: arterial > venodilator
- pros: effective, quick on/off
- cons: tachycardia, coronary steal, cyanide tox
- avoid: liver failure, […], pregnancy
BP Med Nitroprusside
- dose: 0.5mcg/kg/min => titrate by 0.5mcg/kg/min
- moa: arterial > venodilator
- pros: effective, quick on/off
- cons: tachycardia, coronary steal, cyanide tox
- avoid: liver failure, increased ICP, pregnancy
RARELY USED
BP Med Nitroprusside
- dose: 0.5mcg/kg/min => titrate by 0.5mcg/kg/min
- moa: arterial > venodilator
- pros: effective, quick on/off
- cons: tachycardia, coronary steal, cyanide tox
- avoid: liver failure, increased ICP, […]
BP Med Nitroprusside
- dose: 0.5mcg/kg/min => titrate by 0.5mcg/kg/min
- moa: arterial > venodilator
- pros: effective, quick on/off
- cons: tachycardia, coronary steal, cyanide tox
- avoid: liver failure, increased ICP, pregnancy
RARELY USED
BP meds in Stroke/TIA setting:
- […]
- labetalol
- esmolol
BP meds in Stroke/TIA setting:
- nicardipine
- labetalol
- esmolol
BP meds in Stroke/TIA setting:
- nicardipine
- […]
- esmolol
BP meds in Stroke/TIA setting:
- nicardipine
- labetalol
- esmolol
BP meds in Stroke/TIA setting:
- nicardipine
- labetalol
- […]
BP meds in Stroke/TIA setting:
- nicardipine
- labetalol
- esmolol
BP meds scenarios:
- neuro sx: […] // IV labetalol
- hemorrhagic stroke: IV nicardipine
- ischemic stroke: +/- permissive htn (<220/120)
- aortic dissection: IV esmolol // labetalol, +/- IV nicardipine, +/- IV nitroprusside
- MI: IV nitroglycerin, +/- IV metoprolol
- pulmonary edema: IV nitroglycerin, +/- IV lasix
- renal insufficiency: IV nicardipine // IV labetalol
BP meds scenarios:
- neuro sx: IV nicardipine // IV labetalol
- hemorrhagic stroke: IV nicardipine
- ischemic stroke: +/- permissive htn (<220/120)
- aortic dissection: IV esmolol // labetalol, +/- IV nicardipine, +/- IV nitroprusside
- MI: IV nitroglycerin, +/- IV metoprolol
- pulmonary edema: IV nitroglycerin, +/- IV lasix
- renal insufficiency: IV nicardipine // IV labetalol
BP meds scenarios:
- neuro sx: IV nicardipine // […]
- hemorrhagic stroke: IV nicardipine
- ischemic stroke: +/- permissive htn (<220/120)
- aortic dissection: IV esmolol // labetalol, +/- IV nicardipine, +/- IV nitroprusside
- MI: IV nitroglycerin, +/- IV metoprolol
- pulmonary edema: IV nitroglycerin, +/- IV lasix
- renal insufficiency: IV nicardipine // IV labetalol
BP meds scenarios:
- neuro sx: IV nicardipine // IV labetalol
- hemorrhagic stroke: IV nicardipine
- ischemic stroke: +/- permissive htn (<220/120)
- aortic dissection: IV esmolol // labetalol, +/- IV nicardipine, +/- IV nitroprusside
- MI: IV nitroglycerin, +/- IV metoprolol
- pulmonary edema: IV nitroglycerin, +/- IV lasix
- renal insufficiency: IV nicardipine // IV labetalol
BP meds scenarios:
- neuro sx: IV nicardipine // IV labetalol
- hemorrhagic stroke: […]
- ischemic stroke: +/- permissive htn (<220/120)
- aortic dissection: IV esmolol // labetalol, +/- IV nicardipine, +/- IV nitroprusside
- MI: IV nitroglycerin, +/- IV metoprolol
- pulmonary edema: IV nitroglycerin, +/- IV lasix
- renal insufficiency: IV nicardipine // IV labetalol
BP meds scenarios:
- neuro sx: IV nicardipine // IV labetalol
- hemorrhagic stroke: IV nicardipine
- ischemic stroke: +/- permissive htn (<220/120)
- aortic dissection: IV esmolol // labetalol, +/- IV nicardipine, +/- IV nitroprusside
- MI: IV nitroglycerin, +/- IV metoprolol
- pulmonary edema: IV nitroglycerin, +/- IV lasix
- renal insufficiency: IV nicardipine // IV labetalol
BP meds scenarios:
- neuro sx: IV nicardipine // IV labetalol
- hemorrhagic stroke: IV nicardipine
- ischemic stroke: +/- […]
- aortic dissection: IV esmolol // labetalol, +/- IV nicardipine, +/- IV nitroprusside
- MI: IV nitroglycerin, +/- IV metoprolol
- pulmonary edema: IV nitroglycerin, +/- IV lasix
- renal insufficiency: IV nicardipine // IV labetalol
BP meds scenarios:
- neuro sx: IV nicardipine // IV labetalol
- hemorrhagic stroke: IV nicardipine
- ischemic stroke: +/- permissive htn (<220/120)
- aortic dissection: IV esmolol // labetalol, +/- IV nicardipine, +/- IV nitroprusside
- MI: IV nitroglycerin, +/- IV metoprolol
- pulmonary edema: IV nitroglycerin, +/- IV lasix
- renal insufficiency: IV nicardipine // IV labetalol
BP meds scenarios:
- neuro sx: IV nicardipine // IV labetalol
- hemorrhagic stroke: IV nicardipine
- ischemic stroke: +/- permissive htn (<220/120)
- aortic dissection: […], +/- IV nicardipine, +/- IV nitroprusside
- MI: IV nitroglycerin, +/- IV metoprolol
- pulmonary edema: IV nitroglycerin, +/- IV lasix
- renal insufficiency: IV nicardipine // IV labetalol
BP meds scenarios:
- neuro sx: IV nicardipine // IV labetalol
- hemorrhagic stroke: IV nicardipine
- ischemic stroke: +/- permissive htn (<220/120)
- aortic dissection: IV esmolol // labetalol, +/- IV nicardipine, +/- IV nitroprusside
- MI: IV nitroglycerin, +/- IV metoprolol
- pulmonary edema: IV nitroglycerin, +/- IV lasix
- renal insufficiency: IV nicardipine // IV labetalol
BP meds scenarios:
- neuro sx: IV nicardipine // IV labetalol
- hemorrhagic stroke: IV nicardipine
- ischemic stroke: +/- permissive htn (<220/120)
- aortic dissection: IV esmolol // labetalol, +/- […], +/- IV nitroprusside
- MI: IV nitroglycerin, +/- IV metoprolol
- pulmonary edema: IV nitroglycerin, +/- IV lasix
- renal insufficiency: IV nicardipine // IV labetalol
BP meds scenarios:
- neuro sx: IV nicardipine // IV labetalol
- hemorrhagic stroke: IV nicardipine
- ischemic stroke: +/- permissive htn (<220/120)
- aortic dissection: IV esmolol // labetalol, +/- IV nicardipine, +/- IV nitroprusside
- MI: IV nitroglycerin, +/- IV metoprolol
- pulmonary edema: IV nitroglycerin, +/- IV lasix
- renal insufficiency: IV nicardipine // IV labetalol
BP meds scenarios:
- neuro sx: IV nicardipine // IV labetalol
- hemorrhagic stroke: IV nicardipine
- ischemic stroke: +/- permissive htn (<220/120)
- aortic dissection: IV esmolol // labetalol, +/- IV nicardipine, +/- […]
- MI: IV nitroglycerin, +/- IV metoprolol
- pulmonary edema: IV nitroglycerin, +/- IV lasix
- renal insufficiency: IV nicardipine // IV labetalol
BP meds scenarios:
- neuro sx: IV nicardipine // IV labetalol
- hemorrhagic stroke: IV nicardipine
- ischemic stroke: +/- permissive htn (<220/120)
- aortic dissection: IV esmolol // labetalol, +/- IV nicardipine, +/- IV nitroprusside
- MI: IV nitroglycerin, +/- IV metoprolol
- pulmonary edema: IV nitroglycerin, +/- IV lasix
- renal insufficiency: IV nicardipine // IV labetalol
BP meds scenarios:
- neuro sx: IV nicardipine // IV labetalol
- hemorrhagic stroke: IV nicardipine
- ischemic stroke: +/- permissive htn (<220/120)
- aortic dissection: IV esmolol // labetalol, +/- IV nicardipine, +/- IV nitroprusside
- MI: […], +/- IV metoprolol
- pulmonary edema: IV nitroglycerin, +/- IV lasix
- renal insufficiency: IV nicardipine // IV labetalol
BP meds scenarios:
- neuro sx: IV nicardipine // IV labetalol
- hemorrhagic stroke: IV nicardipine
- ischemic stroke: +/- permissive htn (<220/120)
- aortic dissection: IV esmolol // labetalol, +/- IV nicardipine, +/- IV nitroprusside
- MI: IV nitroglycerin, +/- IV metoprolol
- pulmonary edema: IV nitroglycerin, +/- IV lasix
- renal insufficiency: IV nicardipine // IV labetalol
BP meds scenarios:
- neuro sx: IV nicardipine // IV labetalol
- hemorrhagic stroke: IV nicardipine
- ischemic stroke: +/- permissive htn (<220/120)
- aortic dissection: IV esmolol // labetalol, +/- IV nicardipine, +/- IV nitroprusside
- MI: IV nitroglycerin, +/- […]
- pulmonary edema: IV nitroglycerin, +/- IV lasix
- renal insufficiency: IV nicardipine // IV labetalol
BP meds scenarios:
- neuro sx: IV nicardipine // IV labetalol
- hemorrhagic stroke: IV nicardipine
- ischemic stroke: +/- permissive htn (<220/120)
- aortic dissection: IV esmolol // labetalol, +/- IV nicardipine, +/- IV nitroprusside
- MI: IV nitroglycerin, +/- IV metoprolol
- pulmonary edema: IV nitroglycerin, +/- IV lasix
- renal insufficiency: IV nicardipine // IV labetalol
BP meds scenarios:
- neuro sx: IV nicardipine // IV labetalol
- hemorrhagic stroke: IV nicardipine
- ischemic stroke: +/- permissive htn (<220/120)
- aortic dissection: IV esmolol // labetalol, +/- IV nicardipine, +/- IV nitroprusside
- MI: IV nitroglycerin, +/- IV metoprolol
- pulmonary edema: […], +/- IV lasix
- renal insufficiency: IV nicardipine // IV labetalol
BP meds scenarios:
- neuro sx: IV nicardipine // IV labetalol
- hemorrhagic stroke: IV nicardipine
- ischemic stroke: +/- permissive htn (<220/120)
- aortic dissection: IV esmolol // labetalol, +/- IV nicardipine, +/- IV nitroprusside
- MI: IV nitroglycerin, +/- IV metoprolol
- pulmonary edema: IV nitroglycerin, +/- IV lasix
- renal insufficiency: IV nicardipine // IV labetalol
BP meds scenarios:
- neuro sx: IV nicardipine // IV labetalol
- hemorrhagic stroke: IV nicardipine
- ischemic stroke: +/- permissive htn (<220/120)
- aortic dissection: IV esmolol // labetalol, +/- IV nicardipine, +/- IV nitroprusside
- MI: IV nitroglycerin, +/- IV metoprolol
- pulmonary edema: IV nitroglycerin, +/- […]
- renal insufficiency: IV nicardipine // IV labetalol
BP meds scenarios:
- neuro sx: IV nicardipine // IV labetalol
- hemorrhagic stroke: IV nicardipine
- ischemic stroke: +/- permissive htn (<220/120)
- aortic dissection: IV esmolol // labetalol, +/- IV nicardipine, +/- IV nitroprusside
- MI: IV nitroglycerin, +/- IV metoprolol
- pulmonary edema: IV nitroglycerin, +/- IV lasix
- renal insufficiency: IV nicardipine // IV labetalol
BP meds scenarios:
- neuro sx: IV nicardipine // IV labetalol
- hemorrhagic stroke: IV nicardipine
- ischemic stroke: +/- permissive htn (<220/120)
- aortic dissection: IV esmolol // labetalol, +/- IV nicardipine, +/- IV nitroprusside
- MI: IV nitroglycerin, +/- IV metoprolol
- pulmonary edema: IV nitroglycerin, +/- IV lasix
- renal insufficiency: […] // IV labetalol
BP meds scenarios:
- neuro sx: IV nicardipine // IV labetalol
- hemorrhagic stroke: IV nicardipine
- ischemic stroke: +/- permissive htn (<220/120)
- aortic dissection: IV esmolol // labetalol, +/- IV nicardipine, +/- IV nitroprusside
- MI: IV nitroglycerin, +/- IV metoprolol
- pulmonary edema: IV nitroglycerin, +/- IV lasix
- renal insufficiency: IV nicardipine // IV labetalol
BP meds scenarios:
- neuro sx: IV nicardipine // IV labetalol
- hemorrhagic stroke: IV nicardipine
- ischemic stroke: +/- permissive htn (<220/120)
- aortic dissection: IV esmolol // labetalol, +/- IV nicardipine, +/- IV nitroprusside
- MI: IV nitroglycerin, +/- IV metoprolol
- pulmonary edema: IV nitroglycerin, +/- IV lasix
- renal insufficiency: IV nicardipine // […]
BP meds scenarios:
- neuro sx: IV nicardipine // IV labetalol
- hemorrhagic stroke: IV nicardipine
- ischemic stroke: +/- permissive htn (<220/120)
- aortic dissection: IV esmolol // labetalol, +/- IV nicardipine, +/- IV nitroprusside
- MI: IV nitroglycerin, +/- IV metoprolol
- pulmonary edema: IV nitroglycerin, +/- IV lasix
- renal insufficiency: IV nicardipine // IV labetalol
Bradycardic categories:
SA node dysfunction:
- […]
- sinus arrest
- tachy-brady (sick sinus)
AV node dysfunction:
- 1st degree AV block
- 2nd degree AV block- type I
- 2nd degree AV block- type II
- 3rd degree AV block (complete)
Bradycardic categories:
SA node dysfunction:
- sinus brady
- sinus arrest
- tachy-brady (sick sinus)
AV node dysfunction:
- 1st degree AV block
- 2nd degree AV block- type I
- 2nd degree AV block- type II
- 3rd degree AV block (complete)
Bradycardic categories:
SA node dysfunction:
- sinus brady
- […]
- tachy-brady (sick sinus)
AV node dysfunction:
- 1st degree AV block
- 2nd degree AV block- type I
- 2nd degree AV block- type II
- 3rd degree AV block (complete)
Bradycardic categories:
SA node dysfunction:
- sinus brady
- sinus arrest
- tachy-brady (sick sinus)
AV node dysfunction:
- 1st degree AV block
- 2nd degree AV block- type I
- 2nd degree AV block- type II
- 3rd degree AV block (complete)
Bradycardic categories:
SA node dysfunction:
- sinus brady
- sinus arrest
- […]
AV node dysfunction:
- 1st degree AV block
- 2nd degree AV block- type I
- 2nd degree AV block- type II
- 3rd degree AV block (complete)
Bradycardic categories:
SA node dysfunction:
- sinus brady
- sinus arrest
- tachy-brady (sick sinus)
AV node dysfunction:
- 1st degree AV block
- 2nd degree AV block- type I
- 2nd degree AV block- type II
- 3rd degree AV block (complete)
Bradycardic categories:
SA node dysfunction:
- sinus brady
- sinus arrest
- tachy-brady (sick sinus)
AV node dysfunction:
- […]
- 2nd degree AV block- type I
- 2nd degree AV block- type II
- 3rd degree AV block (complete)
Bradycardic categories:
SA node dysfunction:
- sinus brady
- sinus arrest
- tachy-brady (sick sinus)
AV node dysfunction:
- 1st degree AV block
- 2nd degree AV block- type I
- 2nd degree AV block- type II
- 3rd degree AV block (complete)
Bradycardic categories:
SA node dysfunction:
- sinus brady
- sinus arrest
- tachy-brady (sick sinus)
AV node dysfunction:
- 1st degree AV block
- […]
- 2nd degree AV block- type II
- 3rd degree AV block (complete)
Bradycardic categories:
SA node dysfunction:
- sinus brady
- sinus arrest
- tachy-brady (sick sinus)
AV node dysfunction:
- 1st degree AV block
- 2nd degree AV block- type I
- 2nd degree AV block- type II
- 3rd degree AV block (complete)
Bradycardic categories:
SA node dysfunction:
- sinus brady
- sinus arrest
- tachy-brady (sick sinus)
AV node dysfunction:
- 1st degree AV block
- 2nd degree AV block- type I
- […]
- 3rd degree AV block (complete)
Bradycardic categories:
SA node dysfunction:
- sinus brady
- sinus arrest
- tachy-brady (sick sinus)
AV node dysfunction:
- 1st degree AV block
- 2nd degree AV block- type I
- 2nd degree AV block- type II
- 3rd degree AV block (complete)
Bradycardic categories:
SA node dysfunction:
- sinus brady
- sinus arrest
- tachy-brady (sick sinus)
AV node dysfunction:
- 1st degree AV block
- 2nd degree AV block- type I
- 2nd degree AV block- type II
- […]
Bradycardic categories:
SA node dysfunction:
- sinus brady
- sinus arrest
- tachy-brady (sick sinus)
AV node dysfunction:
- 1st degree AV block
- 2nd degree AV block- type I
- 2nd degree AV block- type II
- 3rd degree AV block (complete)
Bradycardic intervention is only necessary if […].
Bradycardic intervention is only necessary if the pt is symptomatic!
Breathing can take […]% of critically ill patient’s metabolism => intubating early will improve hemodynamics and therapy response.
Breathing can take 30% of critically ill patient’s metabolism => intubating early will improve hemodynamics and therapy response.
Bronchiolitis high risk pts:
- […]
- premature
- immunodeficient
- cardiac anomaly
Bronchiolitis high risk pts:
- <12 weeks
- premature
- immunodeficient
- cardiac anomaly
12 Bed ICU mnemonic
Bronchiolitis high risk pts:
- <12 weeks
- […]
- immunodeficient
- cardiac anomaly
Bronchiolitis high risk pts:
- <12 weeks
- premature
- immunodeficient
- cardiac anomaly
12 Bed ICU mnemonic
Bronchiolitis high risk pts:
- <12 weeks
- premature
- […]
- cardiac anomaly
Bronchiolitis high risk pts:
- <12 weeks
- premature
- immunodeficient
- cardiac anomaly
12 Bed ICU mnemonic
Bronchiolitis high risk pts:
- <12 weeks
- premature
- immunodeficient
- […]
Bronchiolitis high risk pts:
- <12 weeks
- premature
- immunodeficient
- cardiac anomaly
12 Bed ICU mnemonic
Bronchiolitis tx […].
Bronchiolitis tx nasal suctioning + O2 prn.
not indicated: duonebs, racemic epi, steroids
Brugada dispo:
• […]
Brugada dispo:
• admit for defibrillator placement
high risk for sudden death
Brugada EKG:
- […]
- saddleback ST V1-V
Brugada EKG:

- coved ST V1-V3
- saddleback ST V1-V
Brugada EKG:
- coved ST V1-V3
- […]
Brugada EKG:
- coved ST V1-V3
- saddleback ST V1-V3

Brugada Syndrome occurs due to […].
Brugada Syndrome occurs due to Na channel disorder.
Brugada young healthy pt prx:
- […]
- frequent syncope
Brugada young healthy pt prx:
- EKG changes/RBBB
- frequent syncope
Brugada young healthy pt prx:
- EKG changes/RBBB
- […]
Brugada young healthy pt prx:
- EKG changes/RBBB
- frequent syncope
saddle back ST
Canadian Head CT rule:
- […]
- blood thinners
- seizure s/p injury
- GCS <15
- skull fracture
- vomiting
- age >65
- retrograde amnesia
- dangerous mechanism
- ANY above criteria = CT
Canadian Head CT rule:
- age <16
- blood thinners
- seizure s/p injury
- GCS <15
- skull fracture
- vomiting
- age >65
- retrograde amnesia
- dangerous mechanism
- ANY above criteria = CT
Canadian Head CT rule:
- age <16
- […]
- seizure s/p injury
- GCS <15
- skull fracture
- vomiting
- age >65
- retrograde amnesia
- dangerous mechanism
- ANY above criteria = CT
Canadian Head CT rule:
- age <16
- blood thinners
- seizure s/p injury
- GCS <15
- skull fracture
- vomiting
- age >65
- retrograde amnesia
- dangerous mechanism
- ANY above criteria = CT
Canadian Head CT rule:
- age <16
- blood thinners
- […]
- GCS <15
- skull fracture
- vomiting
- age >65
- retrograde amnesia
- dangerous mechanism
- ANY above criteria = CT
Canadian Head CT rule:
- age <16
- blood thinners
- seizure s/p injury
- GCS <15
- skull fracture
- vomiting
- age >65
- retrograde amnesia
- dangerous mechanism
- ANY above criteria = CT
Canadian Head CT rule:
- age <16
- blood thinners
- seizure s/p injury
- […]
- skull fracture
- vomiting
- age >65
- retrograde amnesia
- dangerous mechanism
- ANY above criteria = CT
Canadian Head CT rule:
- age <16
- blood thinners
- seizure s/p injury
- GCS <15
- skull fracture
- vomiting
- age >65
- retrograde amnesia
- dangerous mechanism
- ANY above criteria = CT
Canadian Head CT rule:
- age <16
- blood thinners
- seizure s/p injury
- GCS <15
- […]
- vomiting
- age >65
- retrograde amnesia
- dangerous mechanism
- ANY above criteria = CT
Canadian Head CT rule:
- age <16
- blood thinners
- seizure s/p injury
- GCS <15
- skull fracture
- vomiting
- age >65
- retrograde amnesia
- dangerous mechanism
- ANY above criteria = CT
Canadian Head CT rule:
- age <16
- blood thinners
- seizure s/p injury
- GCS <15
- skull fracture
- […]
- age >65
- retrograde amnesia
- dangerous mechanism
- ANY above criteria = CT
Canadian Head CT rule:
- age <16
- blood thinners
- seizure s/p injury
- GCS <15
- skull fracture
- vomiting
- age >65
- retrograde amnesia
- dangerous mechanism
- ANY above criteria = CT
Canadian Head CT rule:
- age <16
- blood thinners
- seizure s/p injury
- GCS <15
- skull fracture
- vomiting
- […]
- retrograde amnesia
- dangerous mechanism
- ANY above criteria = CT
Canadian Head CT rule:
- age <16
- blood thinners
- seizure s/p injury
- GCS <15
- skull fracture
- vomiting
- age >65
- retrograde amnesia
- dangerous mechanism
- ANY above criteria = CT
Canadian Head CT rule:
- age <16
- blood thinners
- seizure s/p injury
- GCS <15
- skull fracture
- vomiting
- age >65
- […]
- dangerous mechanism
- ANY above criteria = CT
Canadian Head CT rule:
- age <16
- blood thinners
- seizure s/p injury
- GCS <15
- skull fracture
- vomiting
- age >65
- retrograde amnesia
- dangerous mechanism
- ANY above criteria = CT
Canadian Head CT rule:
- age <16
- blood thinners
- seizure s/p injury
- GCS <15
- skull fracture
- vomiting
- age >65
- retrograde amnesia
- […]
- ANY above criteria = CT
Canadian Head CT rule:
- age <16
- blood thinners
- seizure s/p injury
- GCS <15
- skull fracture
- vomiting
- age >65
- retrograde amnesia
- dangerous mechanism
- ANY above criteria = CT
Candidiasis tx: (+ doses)
• […]
Candidiasis tx: (+ doses)
• fluconazole 150mg PO x1
CAP tx: (+doses)
- low risk: […] // doxy // azithro
- high risk: augmentin // ceftriaxone AND doxy // azithro
CAP tx: (+doses)
- low risk: amox // doxy // azithro
- high risk: augmentin // ceftriaxone AND doxy // azithro
low risk= mono therapy
high risk= dual therapy
CAP tx: (+doses)
- low risk: amox // […] // azithro
- high risk: augmentin // ceftriaxone AND doxy // azithro
CAP tx: (+doses)
- low risk: amox // doxy // azithro
- high risk: augmentin // ceftriaxone AND doxy // azithro
low risk= mono therapy
high risk= dual therapy
CAP tx: (+doses)
- low risk: amox // doxy // […]
- high risk: augmentin // ceftriaxone AND doxy // azithro
CAP tx: (+doses)
- low risk: amox // doxy // azithro
- high risk: augmentin // ceftriaxone AND doxy // azithro
low risk= mono therapy
high risk= dual therapy
CAP tx: (+doses)
- low risk: amox // doxy // azithro
- high risk: […] AND doxy // azithro
CAP tx: (+doses)
- low risk: amox // doxy // azithro
- high risk: augmentin // ceftriaxone AND doxy // azithro
low risk= mono therapy
high risk= dual therapy
CAP tx: (+doses)
- low risk: amox // doxy // azithro
- high risk: augmentin // ceftriaxone AND […]
CAP tx: (+doses)
- low risk: amox // doxy // azithro
- high risk: augmentin // ceftriaxone AND doxy // azithro
low risk= mono therapy
high risk= dual therapy
Cardiac CP INITIAL tx: (+ doses)
- […]
- nitroglycern 0.4mg sublingual Q5min x3
- O2 (for O2% <90)
Cardiac CP INITIAL tx: (+ doses)
- aspirin 325mg PO
- nitroglycern 0.4mg sublingual Q5min x3
- O2 (for O2% <90)
Cardiac CP INITIAL tx: (+ doses)
- aspirin 325mg PO
- […]
- O2 (for O2% <90)
Cardiac CP INITIAL tx: (+ doses)
- aspirin 325mg PO
- nitroglycern 0.4mg sublingual Q5min x3
- O2 (for O2% <90)
Cardiac CP INITIAL tx: (+ doses)
- aspirin 325mg PO
- nitroglycern 0.4mg sublingual Q5min x3
- […]
Cardiac CP INITIAL tx: (+ doses)
- aspirin 325mg PO
- nitroglycern 0.4mg sublingual Q5min x3
- O2 (for O2% <90)
Cardiac labs:
- […]
- coags
- troponin
- +/- BNP
- +/- d-dimer
Cardiac labs:
- CBC/CMP
- coags
- troponin
- +/- BNP
- +/- d-dimer
Cardiac labs:
- CBC/CMP
- […]
- troponin
- +/- BNP
- +/- d-dimer
Cardiac labs:
- CBC/CMP
- coags
- troponin
- +/- BNP
- +/- d-dimer
Cardiac labs:
- CBC/CMP
- coags
- […]
- +/- BNP
- +/- d-dimer
Cardiac labs:
- CBC/CMP
- coags
- troponin
- +/- BNP
- +/- d-dimer
Cardiac labs:
- CBC/CMP
- coags
- troponin
- +/- […]
- +/- d-dimer
Cardiac labs:
- CBC/CMP
- coags
- troponin
- +/- BNP
- +/- d-dimer
Cardiac labs:
- CBC/CMP
- coags
- troponin
- +/- BNP
- +/- […]
Cardiac labs:
- CBC/CMP
- coags
- troponin
- +/- BNP
- +/- d-dimer
Centor Criteria:
- […]
- exudate= 1
- ant cervical nodes= 1
- temp >38C (100.4)= 1
- cough absent= 1
- 2+ = consider rapid strep test
Centor Criteria:
- age (3-14)= 1
- exudate= 1
- ant cervical nodes= 1
- temp >38C (100.4)= 1
- cough absent= 1
- 2+ = consider rapid strep test
Centor Criteria:
- age (3-14)= 1
- […]
- ant cervical nodes= 1
- temp >38C (100.4)= 1
- cough absent= 1
- 2+ = consider rapid strep test
Centor Criteria:
- age (3-14)= 1
- exudate= 1
- ant cervical nodes= 1
- temp >38C (100.4)= 1
- cough absent= 1
- 2+ = consider rapid strep test
Centor Criteria:
- age (3-14)= 1
- exudate= 1
- […]
- temp >38C (100.4)= 1
- cough absent= 1
- 2+ = consider rapid strep test
Centor Criteria:
- age (3-14)= 1
- exudate= 1
- ant cervical nodes= 1
- temp >38C (100.4)= 1
- cough absent= 1
- 2+ = consider rapid strep test
Centor Criteria:
- age (3-14)= 1
- exudate= 1
- ant cervical nodes= 1
- […]
- cough absent= 1
- 2+ = consider rapid strep test
Centor Criteria:
- age (3-14)= 1
- exudate= 1
- ant cervical nodes= 1
- temp >38C (100.4)= 1
- cough absent= 1
- 2+ = consider rapid strep test
Centor Criteria:
- age (3-14)= 1
- exudate= 1
- ant cervical nodes= 1
- temp >38C (100.4)= 1
- […]
- 2+ = consider rapid strep test
Centor Criteria:
- age (3-14)= 1
- exudate= 1
- ant cervical nodes= 1
- temp >38C (100.4)= 1
- cough absent= 1
- 2+ = consider rapid strep test
Centor Criteria:
- age (3-14)= 1
- exudate= 1
- ant cervical nodes= 1
- temp >38C (100.4)= 1
- cough absent= 1
- 2+ = […]
Centor Criteria:
- age (3-14)= 1
- exudate= 1
- ant cervical nodes= 1
- temp >38C (100.4)= 1
- cough absent= 1
- 2+ = consider rapid strep test
Central Retinal Artery Occlusion prx:
- […]
- cherry red spot on macula
- whitening of retina
- hx of risk factors (afib)
Central Retinal Artery Occlusion prx:

- painless unilateral loss of vision
- cherry red spot on macula
- whitening of retina
- hx of risk factors (afib)
Central Retinal Artery Occlusion prx:
- painless unilateral loss of vision
- […]
- whitening of retina
Central Retinal Artery Occlusion prx:

- painless unilateral loss of vision
- cherry red spot on macula
- whitening of retina
- hx of risk factors (afib)
Central Retinal Artery Occlusion prx:
- painless unilateral loss of vision
- cherry red spot on macula
- […]
- hx of risk factors (afib)
Central Retinal Artery Occlusion prx:
- painless unilateral loss of vision
- cherry red spot on macula
- whitening of retina
- hx of risk factors (afib)

Central Retinal Artery Occlusion prx:
- painless unilateral loss of vision
- cherry red spot on macula
- whitening of retina
- […]
Central Retinal Artery Occlusion prx:

- painless unilateral loss of vision
- cherry red spot on macula
- whitening of retina
- hx of risk factors (afib)