ICU-Pain, agitation, delirium
PAD = Pain, agitation, delirium Pain Multimodal analgesia likely to reduce opiod use Acetaminophen: oral and rectal Low dose Ketamine: 0.5 mg/kg iv then 1-2 mcg mcg/kg/min infusion may cause hallucination & delirium Neuropathic pain: Gabapentin 15/mg/kg/d in divided dose Pregabalin 150 mg/d NSAID, iv lidocaine not recommended Agitation/Sedation...
MHS – how to wear mask, n95
Training video Methodist Health System on Youtube View all Videos...
Meralgia paresthetica
Painful mononeuropathy of anterior lateral thigh Entrapment of lateral femoral cutaneous nerve symptomatic treatment: consider Gabapentin Avoid tight belt E medicine review...
Seasonal Influenza
Antiviral therapy Oseltamivir (Tamiflu) 75 mg bid x 5 days (about $30) available in 30, 45, 75 mg generic may cause headache, vomiting reduce symptom duration by about 3 days Greatest benefit if given in first 48 hr of illness. May still effective after 48 hr Baloxavir (Xofluza) Dose...
CIDP
Chronic inflammatory demyelinating polyneuropathy Classic form: symmetric, motor predominant polyneuropathy both proximal and distal weakness Atypical variant asymmetric sensory predominant distal and sensory predominant Proximal polyradiculopathy pure motor Neurofascin Ab mediated: younger, have sensory ataxia Contactin 1 Ab mediated Differentiate from AIDP (Guillain Barre) AIDP: reaches nadir within 3-4...
Acute stroke for RN
This page contains a series of videos for nurses to learn about acute stroke. Click on the expand icon on the right lower corner to view full screen. Part 1: Is it a stroke? BE-FAST review Part 2: TPA Mechanical Thrmobectomy Part 3: General Stroke care Final Exam: Click...
Low back pain
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Cervical myelopathy, radiculopathy
Cervical spondylosis = degenerative changes osteophyte, foraminal stenosis: may cause radiculopathy changes at margin of vertebral bodies and post longitudinal ligament : may cause cervical stenosis and myelopathy Herniated disc lateral herniation: may cause radiculopathy large midline disc: may cause myelopathy Nondegenerative causes: infection, nerve root infarct, infiltrate by...
MRI – reading review
MRI – the commonly used sequence MRI – review of the basic anatomy Stroke – imaging study MRI – cervical spine Neurology Residents Very well written notes on CT and MRI with plenty of images...
Cauda Equina syn
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