Adult Immunization

Simultaneous Immunizations in Adults Are recommended by CDC with only two exceptions. 1. PCV13 and PPSV23 “In patients recommended to receive both PCV13 and PPSV23, the 2 vaccines should not be administered simultaneously. PCV13 should be administered first. If...

Secondary hypertension: Definition

“Secondary hypertension is a type of hypertension with an underlying, potentially correctable cause. A secondary etiology may be suggested by symptoms (e.g., flushing and sweating suggestive of pheochromocytoma), examination findings (e.g., a renal bruit...

Sepsis Bundles from the Surviving Sepsis Campaign

To be measured within 3 hours 1. Draw Lactate: Measure lactate level 2. Draw Blood Cx: Obtain blood cultures prior to administration of antibiotics 3. Antibiotics: Administer broad-spectrum antibiotics 4. Fluids: Administer 30ml/Kg crystalloid for hypotension or...

Things that affect hemoglobin A1c levels

-Any condition that shortens erythrocyte survival or decreases mean erythrocyte age, such as recent acute blood loss or hemolytic anemia, will falsely lower HbA1c levels. -Hemoglobin variants and iron deficiency, kidney failure, and liver disease can also affect HbA1c...