System management Flashcards
Altitude sickness
Myers
-extra b12
-extra mag
-toradol
-zofran
-Benadryl (25mg at a time)
*if nausea is not resolved after the initial cocktail, leave an ODT zofran too (if your state allows).
Anxiety
NAD+
B12, b-complex, taurine is helpful for anxiety and it will increase energy and boost their mood.
Autoimmune diseases
•Myers cocktail with extra glutathione. It’s a natural anti-inflammatory, and then Toradol if there’s current pain. Fatigue is also another major symptom so extra b12 can help tremendously and
NAD
Lupus can be sensitive to NAD so start low
Lyme may be sensitive to glutathione so start low or leave out completely
Cyclic Vomiting Syndrome/Cannabis Hyperemesis
Myers
Zofran, Pepcid and Benadryl. If Zofran does not work you can try Reglan
Toradol for pain
Stop smoking for at least 4 days (Good recommendation)
NS or LR – start gtt slow
Pepcid – Slow push pepcid, Reglan is great for the CHS patients because the cannibus causes gastroparesis.
Then hot shower
Heat exposure/ dehydration
Myers or at least LR with B12 and B complex
Zofran if nauseated.
Toradol if they have a headache.
Extra magnesium if they have muscle cramping
COVID
Ultimate Myers, Immune IV
Vitamin D
Zofran if nauseated.
If they have migraine, extra magnesium and add Benadryl.
If they have the rash give Benadryl and Pepcid. It will give relief to skin irritation.
COVID Tips
How to Spot Post COVID Pneumonia
Look for the signs and symptoms below, patient with any of the below should raise red flags to investigate further in assessment.
Pt makes statements of
“I’ve been sick with COVID for 12 days”
“I hate drinking water and refuse to do so”
“I’m just so tired I haven’t been able to get out of bed”
“Dr prescribed antibiotics”7⁷
Low SPO2 of 90% at rest
Significant drop in SPO2 with any exertion
Increased respiratory effort
Harsh Dry or Wet cough
Rhonchi or Wheezes
Decreased breath sounds
Sedentary Life Style/Obese patients Elderly Patients
Hypertensive patients
Any respiratory medical history
If any of the above are present have patient ambulate to the kitchen and back, if able, and monitor oxygen levels, if levels significantly decrease and do not quickly recover, or respiratory effort increases patient is a no go for treatment.
Crohns diverticulitis
Myers or Ultimate
Added Mag to relax the cramping
Pepcid for painful flares (decreasing the acid works better for relief)
ketorolac is contraindicated in
patients with an active diagnosis or history of Gastric Bypass, peptic ulcer disease, GI bleeding, perforation and or any inflammatory bowel disease such as but not limited to Crohn’s Disease.
Gout
Myers Cocktail with Max Dose Glutathione and as much Vitamin C as you can do. Depending on your history, it’s a good idea to remove the b vitamins in our Myers (B complex and B12) and substitute that for Max dose Glutathione.
NAD is beneficial as well
Lyme Disease
Myers cocktail. It 100% helps with hydration, lethargy, and overall wellness throughout the day which will battle those symptoms you deal with on a daily basis with Lyme disease. The glutathione in our Myers will help with any skin concerns or rash (some get extra glutathione just bc of how much it helps) and Toradol will help manage for any pain with body aches or joint pain. Pepcid can help with any skin irritation issues as well.
NAD is very beneficial for toxin release, although start very slow as the toxin release can cause a rebound of symptoms.
Lyme Disease
Myers cocktail. It 100% helps with hydration, lethargy, and overall wellness throughout the day which will battle those symptoms you deal with on a daily basis with Lyme disease. The glutathione in our Myers will help with any skin concerns or rash (some get extra glutathione just bc of how much it helps) and Toradol will help manage for any pain with body aches or joint pain. Pepcid can help with any skin irritation issues as well.
NAD is very beneficial for toxin release, although start very slow as the toxin release can cause a rebound of symptoms.
Gastric Sleeve/Bypass
LR preferably due to probable dehydration
Myers or Ultimate
B vitamins are very helpful due to lack of nutrition intake post procedure
Toradol for pain if allowed- they typically cannot have PO nsaid but they can have IV toradol
Zofran for nausea
Pepcid for upset stomach
NAD
Kidney stones
Myers WITHOUT vitamin C
Max magnesium
Toradol
Migraines
Myers with extra dose of magnesium.
Toradol, and Benadryl. Give 2nd dose of Benadryl If they tolerated the first dose and they still have a headache.
Reglan
Talk with pt with migraines and see if any of the PO meds would be a good fit.
NAD
MS
Myers with max dose of glutathione.
Pancreatitis
Myers cocktail with extra glutathione. It works as a natural anti-inflammatory. Toradol for the medication route if pain is high and Pepcid is specific for stomach/gut pain. Zofran or Reglan for nausea
