ABC's
"MUDPILES" is a helpful mnemonic for remembering potential causes of this disease state.
Metabolic acidosis
This OG superbug comes in two varieties (sensitive & resistant) and can be found everywhere from pneumonia to skin infections.
MSSA/MRSA
This medication is anything but normal, as large amounts of it are known to cause a 'nagging' hyperchloremic acidosis.
Normal saline (sodium chloride)
Did your patient ingest something within the past two hours? Give them some of this gritty concoction that will not only brighten their prognosis, but maybe their teeth as well!
Activated charcoal
Albeit a weak recommendation, _____ is the guideline-recommend amount of fluids for the resuscitation of most septic patients.
30 mL/kg
A PEN-FAST assessment is a handy tool to have when trying to assess a patient's allergy to this drug.
Penicillin
While your bagel with capers and lox is probably fine, eating raw or undercooked meat, poultry, and eggs may put you at risk of contracting this GI bug.
Salmonella spp.
This antidote is used to restore the bodies glutathione stores, allowing for glucuronidation to continue producing a non-toxic metabolite.
N-acetylcysteine (NAC)
High-quality CPR, early defibrillation, and epinephrine every _____ are the core components ACLS.
3-5 minutes
Did your dog, Spot, run off the hiking trail? You better have some doxycycline handy if you plan to go looking after them.
Rickettsia rickettsii (Rocky Mountain spotted fever)
If your patient comes in smokin' hot, you should give them this antidote to prevent potential cyanide poisoning. This shade of red is guaranteed to look great on anyone!
Hydroxocobalamin (Cyanokit)
A MAP less than _____ is a clear indication for starting vasopressors in patients with septic shock.
65 mm Hg
"ABC" (Airway, Breathing, Circulation) is the standard mnemonic for cardiac arrest. "DEFG" will help you remember this reversible cause of cardiac arrest.
Hypoglycemia (Don't Ever Forget Glucose)
Was your trauma patient ejected from their care and cannonball into a drainage ditch? Maybe you should consider covering this bug.
Pseudomonas aeruginosa
Be careful with this antidote, as it is known to precipitate withdrawal seizures that can now no longer be treated with their drug of choice.
Flumazenil (Romazicon)
Need to bust a clot? No problem! As long as you are in this time frame...
3-4.5 hours
No IV? No Problem! Give your patient a fuzzy "NAVEL" cocktail of these ACLS medications via their ETT.
N - naloxone
A - atropine
V - vasopressin
E - epinephrine
L - lidocaine
Thinking about taking a swim in some brackish water after eating a dozen on the half-shell? You better be wary of this bug.
Vibrio vulnificus
Flash pulmonary edema is a rare, but serious side effect associated with rapid, high-dose administrations of this drug.
Naloxone
This antidote is ideal for suspected methanol and ethylene glycol ingestions, as it prevents ADH from converting them into toxic metabolites.
Fomepizole
If your patient is having a stroke, you'd better BE-FAST to meet the recommend door-to-needle time of ______.
60 minutes