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[CK] Recurrent pancreatitis management

General


LVAD(significant other condition): low threshold to do image
but prefer CT with contrast!
however do CT without contrast! if it's urgent/worsening quick.



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# Recurrent acute on chronic pancreatitis:
- pain control with fentanyl 100 mcg q2hrs prn
- cont home buprenorphine patch
- clear liquids if tolerated, o/w stay NPO
- NS at 75 cc/hr
- defer CT scan until renal function is better and able to do the study with IV contrust. However, if worsening of symptoms, obtain CT scan w/o contrast expediciously
- additional labs ordered and reviewed: UA (no UTI), GGT (normal), urine ethyl glucuronide (pending)

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[CK] STEMI_EKG learning.

892 × 548 저작권 보호를 받는 이미지일 수 있습니다.    자세히 알아보기 ECG - Common STEMI Mimics | Grays Integrative Physiology Grays Integrative Physiology Mimics will not produce reciprocal changes. If RCs in related leads, should consider it a STEMI. 방문 추가 컬렉션 공유

[CK] LVAD parameter review. [ ] tree !!

Vital(BP): hypo, hyper. PEx(JVP): volume status -------------------------------- 1st. PI(3-7)= contractility and volume status(high volume only cause high PI) overload = high PI. low volume = low PI. (=low volume = low preload = RV failure, arrhythmia same thing) HTN = low PI low BP = low PI. (only overload cause high PI = with high preload, but otherwise, BP, volume => cause low PI) 2nd. Flow(4-6) overload, 3rd. Power(surge = only thrombus, 4-6) hypotension route (BP) => high VADFL = vasodilator, sepsis = R/O => low VADFL(most common)  with high JVP => RV failure, PE/tamponade, pneumothorax                                                                               , then adjust LVAD(higher)                ...