Hospital A/P, Adults, HOSPITAL MEDICINE
Common Tube Feeding Orders I have Used. The following two orders were for a patient with a stroke with PMH of HTN (no CHF or renal failure) who had a new PEG tube placed. There weren’t meant to run at the same time. When she couldn’t tolerate bolus...
Clinic A/P, adults, Hospital A/P, Adults
Diagnosis H&P: -GerdQ Questionnaire: Total score = ___ points = ___ percent likelihood of GERD. -Assess for red flags or alarming symptoms. -Assess for indications for EGD. -H. Pylori testing is not routinely recommended in patients with GERD. -DDx / Etiology:...
Clinic A/P, adults, Hospital A/P, Adults
Here is a real scenario that happened to a hospitalist. Pt with posterior epistaxis is bleeding severely. Coughing. O2 sats start going down. Is tachycardia and tachypnea. Patient has cirrhosis and INR is elevated. You call ENT, and ENT says he is in a surgery...
Clinic A/P, adults, Clinic A/P, Peds, Hospital A/P, Adults, Hospital A/P, Peds
Diagnosis -H&P that is consistent with latent TB. -Prior BCG Vaccination: No -Patient screened positive. -Test interpretation explained to the patient. -Risk factors for acquiring TB reviewed w/ patient. -Risk factors for developing TB also reviewed / patient....
Clinic A/P, adults, Hospital A/P, Adults
-Rule of thumb in patients with normal renal function: every 10 mEq KCL given will raise the serum potassium level by 0.1 mmol/dL. -PO is the best way to replace potassium if the patient can take PO. -10mEq/hr is the recommended rate for giving KCL peripherally. -If...
