Teslas
The diagnostic criteria for neutropenic fever
Diagnostic criteria for an AKI
What is 1) Increase in Creatinine > 0.3 from baseline within 48 hours, 2) Increase in serum creatinine to ≥1.5 times baseline, which is known or presumed to have occurred within the prior seven days, or 3) Urine volume <0.5 mL/kg/hour for six hours?
Diagnostic criteria for DKA
What are BG >250, pH <7.30, HCO3 <18, AG >10, ketonuria/ketonemia?
This infection can develop in patient's who have had one too many and should be acted on quickly in regards to work up and treatment
What is SBP?
Diagnosed with PMN of 250 or greater. Generally caused by GNR and treated with CTX or Ce
20% mortality, 25% of time asymptomatic
HE, Abdominal pain, fever
Name of horse that Gandalf rides
Who is Shadowfax?
This is the least amount of workup that should be obtained in patients presenting with NF
What is a CBC, BMP, HFP, Urinalysis, Blood and urine cultures, and CXR?
Rest per presenting symptoms
These two management options are usually appropriate for 70-90% of AKIs
What are fluid resuscitation and catheter placement?
These are the three areas that guide the treatment
What are IV fluids (dehydration), potassium, and insulin?
These are the sensitivities of a TTE and TEE for detecting vegetations, abscess, fistula
What are 65% and 90%, respectively?
Name of my cat
Who is Huskie?
This anitbiotic should be added for patients with NF who have hypotension, PNA, catheter-related or soft tissue infection, MRSA colonization, gram + Blood cx
What is Vancomycin?
AME says that vancomycin should be started in patients with presumed Genitourinary infections
This cause of ATN will have a purine dipstick be positive for blood but the microscopy will be negative.
What is rhabdomyolysis?
Reason for these findings is due to heme containing myoglobin
Level of glucose at which D5 1/2 NS at 150-250 mL/h should be initiated to maintain serum glucose 150-200
What is 250?
Don't be afraid to ask ED to grab a most recent BMP prior to sending up or obtaining one STAT upon arrival to the floor
Treatment for initial episode of C.diff (medication, dose, frequency, duration)
What is vancomycin 125mg PO 4 times daily for 10 days?
This group is responsible for most of the songs that I listen to in the morning prior to leaving for work as well as chart reviewing. The album Hysteria released in 1987 and contains songs such as Animal, Rocket, Gods of War, and Armageddon It, to name a few.
Who is Def Leppard?
This therapy should be initiated if fever in patient's with NF is > 5 days
What is an antifungal?
Four most common types of kidney stones
Size of stone when Urology should be consulted
What are calcium oxalate/phosphate (70-90%), uric acid, MAP, Cystine?
What is >5mm
Electrolyte that needs to be checked and repleted prior to insulin infusion
What is potassium?
Don't forget, patient's are whole body potassium depleted despite levels. Can obtain potassium every 2 hours based on your concern rather than the Chem 4 and Mg and P q4 in the order set.
What is the presence of empyema or lung abscess?
Arguably my favorite series (books/movies). Automatic win if you name my favorite book and my favorite movie.
What is Harry Potter?
What is the Half-Blood Prince?
This antibiotic is one of the most common prescribed for patient's presenting with NF
What is Cefepime?
No superior drug regimen when combining 1 to 2 drug regimens
Usually can sub with Zosyn if needed
These studies can be obtained in the evaluation of an AKI; however, don't always need to be as most causes are pre and post and can be fixed with fluids and catheter
What are FeNa or FeUrea?
Length of time that insulin drip should be discontinued after administering long-acting subcutaneous insulin
What is 2 hours?
This is done after the AG has closed
These teams should be considered and/or consulted in the management of infective endocarditis
Who are ID, Cardiology, CTS, Neurology?
This is the exact Tesla model that Dr. Robelia cruises in
Everyone look at Dr. Robelia