Practice Patterns Flashcards

1
Q

Preload practice patterns

A

Labs/Rads & make ordersets

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2
Q

GLF - no thinners
>65

A
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3
Q

GLF - + thinners
>65

A
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4
Q

Syncope

A

SF Syncope Rule

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5
Q

Dizzy

A
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6
Q

Weakness

A
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7
Q

CP

A
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8
Q

Palpitations

A
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9
Q

SOB

A
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10
Q
A
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11
Q

——Practice Patterns ——-
Chest Pain
+/- D Dimer

SOB

SOB – Asthma/COPD/CHF
CXR
EKG
CBC
CMP
Mag
Trop
Coags
Dimer??
UA
Blood cx
Lactate
ABV/VBG

Duo NEb
Albuterol Continous
Decadron vs SOlumedrol
NTG
Abx – GOLD
HFNC
CTX - Azithro

PCT
Covid/Flu/RSV
Lasix
Mag
Solumedrol
Prednisone 60mg

CXR
CTA PE
POC ECHO

Cough

GLF (>65, no thinners)

GLF (>65, + thinners)

Palpitations
EKG
CXR
Covid/Flu/RSV

CBC
CMP
Mag

Trop
Lactate
Blood cultures
UA
IVF

CTA PE
POC ECHO/IVC/Aorta

Afib RVR
digoxin
dilt
amio

SVT
adenosine

WPW
Procainamide

A

Weakness vs Dizzy
Weak/Dizzy
POC Gluc
EKG
CXR
IVF
CBC
CMP
Mag
Phos
Trop
BNP
Dimer?
UA
UDS
Blood Cx
Lactate
HCG
CT head
CTA H/N

Syncope/Near syncope

FND

Fever

AMS
EKG
POC Gluc
NPO
Lactate
Blood Cx
CBC
CMP
Mag
Phos
Lipase
Ammonia
Trop
Coags
Type & screen
VBG/ABG
UA

CXR
CT head
CTA Head/Neck

Narcan
Thiamine
Glucose

F ABD Pain (+ CT)
EKG
UA
HCG
CBC, CMP, Lipase
Trop
CXR
Coags?
Cultures?
Lactate
IVF
Zofran
Dilaudid

CT Abd/Pelvis
RUQ US
KUB
CTA Aorta
CT stones

Pelvic US
Pelvic Setup
GC/C
Wet Prep
HCG Quant

F ABD Pain (no CT)

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12
Q

M ABD Pain (+ CT)
EKG
Trop
CXR
UA
CBC
CMP
Lipase
Coags?
Blood Cultures
IVF
Zofran
Dilaudid

CT Abd/Pelvis
RUQ US
KUB
CTA Aorta
CT stones

Testicular US

M ABD Pain (no CT)
Vaginal Bleeding

Vaginal Bleeding – pregnant, 1st Trimester

Headache

Flank Pain/Back Pain
EKG

CBC
CMP
Lipase
Trop
Dimer?
Coags

CT stone
CTA aorta
CT non-con
XR spine
MRI spine
RUQ US
POCUS Renal/Aorta/RUQ

ESR/CRP
Lactate
Blood Cx
UA

PVR

MSK pain - localized

Trauma – localized

Trauma – Major

Burn

Rash

Cellulitis/Abscess

Allergic RXN/Anaphylaxis
EKG
CXR

Epi Pen
Famotidine
Benadryl
Solumerol vs decadron
Epi GGT
Glucagon - if refractory on BB

CBC
CMP
UA
HCG
Tryptase?

Angioedem Complement total
C3
C4
complement complex

FFP
TXAa

A

MVC/MCC – minor

MVC/MCC – major

Urinary complaints – STI/URI

Eye Pain

Red Eye

Ear Pain

ST

ETOH intoxication

ETOH Withdrawl

Drug intoxication

Leg pain/redness/swelling

HTN

Tachycardia

Bradycardia
EKG
CXR
Covid/Flu/RSV

CBC
CMP
Mag

Trop
Lactate
Blood cultures
UA
IVF

POC ECHO/IVC/Aorta

BRady:
Atropine
Epi
***
Pacer

Hyperglycemia

Medical Screening Exam/Jail Clearance

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13
Q

——PEDS Practice Patterns ——-
Fever

SOB

Asthma

F ABD pain

M abd pain <11yo
POC Gluc
CBC
CMP
Lipase
UA - straight cath
Caogs?

ESR?
CRP?
Blood Culture x1 Peds
Lactate
IVF

Zofran

CXR
US Appendix
US Intuss
US RUQ
KUB
Testicular US

Fussiness

N/V

D

Constipation

Sz

TBI – PECARN low

TBI PECARN High

ST

Ear pain

Rash

Allergic RXN (Adult & PEds)
EKG
CXR

Epi Pen
Famotidine
Benadryl
Solumerol vs decadron
Epi GGT
Glucagon - if refractory on BB

A

CBC
CMP
UA
HCG
Tryptase?

URI

Limp/not walking

Blood Cultures & sepsis pre-eval
ESR/CRP
XR vs CT’s
Lactate
LP
Tetanus

Procedural sedation:
Dislocation
Fracture/Reduction
Intubation

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14
Q

Dicyclomine
Donnatal - atropine, hyoscyamine, scopalamie, phenobarb
GI cocktail - simethicone, Aluminum hydroxide, mag hydroxide
Zofran
phenergan
compazine
reglan
Haldol
Droperidol
famotidine
Pantoprazole
octreotide

BNP
CK
HCG quant (blood)
ABO Rh
Heparin - ACS - 60 units/kg (4000 max)
Heparin - PE - 80 units/kg (10,000 max)
Lovenox - 1mg/kg
DVT US R/L/BL
KCl PO & IV repletion

Pain
APAP
Motrin
Toradol
Morphine
Dilaudid
Droperidol
Lidoderm
Gabapentin
Ativan
Compazie/Benadryl

UDS

Cellulitis
POC US
I&D
Abx
CK
Arthrocentesis Labs
DVT US
Wound Culture
XR of extremities

A

ABIs -

ASA 324mg
Plavix 300
Afrin

TXA
Rhino rocket
proparacaine
Fluorescein
BHB/Ketones
10 cc/kg IVF
20 cc/kg IVF

Throat culture
Mono screen
Strep PCR
Stool PCR
Stool O&P
Fecal calprotectin?
Lactoferrin, stool WBC
Cdiff

Solucortef
Vanc
Zosyn
Clinda
Levofloxacin
Flagyl
CTX 1 & 2G, weight based
Unasyn
Cefepeme
Gentamycin
Azithro
Doxy

CSF Labs
Thora Labs
Para Labs
Arthro Labs

GGT
Peds APAP
Peds Motrin
Ancef
Straight cath
PVR
insert foley
MTP
Transfuse 1RBC
Sumariptan - C/I CAD, TIA/CVA and PVD

APAP levels
ASA levels
ETOH
Digoxin
Phenytoin
Lithium level
Valproic ACid level
Carbamaepine level

TSH
T3/T4
B12
Folate
Osm - Blood
Osm - Urine
Ketofol
Ketamine ggt for pain/sedation

Pyridoxine
Ativan
Fosphenytoin
Keppra 25 mg/kg or 1500
Metoprolol 5mg IV (x3 PRN Q 5 min)
Labetalol 5mg x3 (Q5min)?????
Esmolol ggt
DIlt ggt
Dilt 5-10mg
Dilt 0.25mg/kg

Rh factor

US Pelvic
US OB <14w EGA
US OB >14w EGA
Fibrinogen
Fibrin Split Products

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15
Q

Narcan wake up note template/work up

A

Narcan x1 wake-up

Narcan ggt multiple doses

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16
Q

First time seizure