Pour Some Sugar on Me
Volume, Fluids, Electrolytes, Oh My!
Don't Go Breaking My Heart
Things that Go Beep in the Night
Potpourri
100

When treating DKA, this electrolyte is most important to check before starting IV insulin. 

What is K+? 

100

The ionic concentration of sodium in lactated ringers solution. 

What is 130 mEq?

100

The non-pharmacological management of this arrhythmia.

What is the Valsalva maneuver?

pinch nose + forced exhalation against closed glottis

medication: adenosine 6 mg over 1-2 s followed by NS flush --> if arrhythmia not terminated --> 12 mg

100

When verifying NG placement, it is most important to confirm it terminates below this structure.

What is the diaphragm?

100

This is the amion password at UMC.

What is qualitycare?

CHNOLA: chnola

LSU peds residency: lsupeds

200

Metformin can cause this complication in patients with renal impairment.

What is lactic acidosis?

avoid in patients with lactate-producing conditions (sepsis, decompensated HF)

For SGLT2 inhibitors; consider stopping in patients who are volume down or with poor PO intake

GLP-1s; avoid if admitted for pancreatitis... or having N/V

200

When creating a maintenance fluid, this electrolyte is important to consider adding to standard isotonic fluid formulas.

What is K+?

200

This class IV anti-arrhythmic is used in IV form to break this rhythm. 


What is diltiazem/cardizem?

200

The nurse calls that your 80-year-old patient is yelling, pulling out his lines, and trying to get out of bed. This class of sedating drugs should be avoided in elderly patients with dementia.

What are benzodiazepines?

200

This type of Epic order can be useful in prescribing benzodiazepine or steroid tapers and alternative routes of sedatives for agitation. 

What is a linked order?

300

The type of long-acting insulin available at LCMC hospitals.

What is levemir (detemir)?

300

The highest single dose of K+ per hour that can be given through a peripheral line.

What is 10 mEq?

300

This CHA2DS2-VASc score in men with Afib is considered "high-risk" and anti-coagulation for stroke prevention should be strongly considered.

What is 2?

300

The nurse calls that your patient who was previously spontaneously voiding has not made any UOP tonight. Your next step is to ask for this. 

What is a bladder scan?

Not accurate in patients with ________.

300

To dial out of the hospital at Touro, press these 2 digits before entering the phone number. 

What is 91?

This will work for both non-504 area codes and 504 area codes (still enter "504").

At UMC, for 504 area codes, simply dial 9 followed by the 7-digit number.

At CHNOLA, you will be required to enter a code to dial an outside area code. (I use "2010").

400

When dividing insulin doses between basal and bolus, this percentage of insulin should be given as a basal dose.

What is 50%?

400

The formula to correct calcium for albumin concentration.

What is (0.8 * (Normal Albumin - Pt's Albumin)) + Serum Ca?

400

In a pinch, this medication can be given as a single dose, in addition to ASA, to treat for NSTEMI in a patient with atypical chest pain and an indeterminate troponin.

What is lovenox?

400

The nurse calls you with a critical potassium of 6.2. In addition to calcium gluconate and insulin + D50, you give this dose of nebulized albuterol. 

What is 10 mg?

400

This is the LA Links website login, used to view vaccine records.

What is username: chnola-lsu, password: peds?

500

This is the target blood glucose range in non-critically ill hospitalized patients. 

What is 140-180 mg/dL?

500

This is the amount of urine output expected from a patient with a normal creatinine after an adequate dose of Lasix

What is 1L?

500

This criteria helps diagnose STEMI in patients with LBBB or ventricularly paced rhythms.

What is Sgarbossa criteria?

500

This antimuscarinic can be used to treat nausea and does not prolong the Qtc.

What is scopolamine?

Others: ativan, decadron, Benadryl/hydroxyzine 

500

This is the LSU pediatrics residency NBS login. 

What is username: jsansone, password: lsupeds24?