IVF CDC Guidelines:

ISOTONIC: DONNING:
- NS 0.9%, LR, D5W, D5 NS 1. Gown
- Stays in the vascular space 2. Mask
HYPOTONIC: 3. Goggles/faceshield
- D2.5W, 0.5% NS, 0.33% NS 4. Gloves
- Goes out of the vascular space REMOVING:
HYPERTONIC: 1. Gloves
- 3% NS, 5% NS, D5LR, D5 NS, D5NS, TPN, 2. Goggles
Albumin 3. Gown
- Stays and adds more in the vascular 4. Mask
space

AIRBORNE
CANCER SIGNS (MTV)
(CAUTION) Measles
C-hange in bowel/bladder habit TB
A- Sore that doesnt heal Varicella
U nusual bleeding
T hickening of lump LIVE VACCINES:
I ndigestion (VIMRY)
O bserved change in wart or mole Varicella
N aging cough Influenza (nasal spray)
MMR
Rotavirus
SCREENINGS Yellow Fever
Yearly at 50 yo:
- Stool exam VACCINE for Infants and Toddlers
- Digital rectal exam (PHirD 2,4,6 mos)
- Prostate exam PHD (capitalized) are not just for 2, 4, 6 mos
Breast Exam: while i and r will be for 2, 4, 6 mos
- 7 days after menstruation (if regular) PCV 2, 4, 6 and 12
- Monthly like every 17th or 8th (if irregular Hib 2, 4, 6 and 12
or menopause) IPV 2, 4, 6
- Before starting birth control pills RV 2, 4, 6
Colonoscopy: Dtap 2, 4, 6 and 15
- Every 10 years starting at 50 yo Hep B birth, 1 and 6
Mammogram: MMR, VZV, Hep A 12
- Every year starting at 40 yo
PAP Smear:
- Every 3 years starting at 21 yo FOLIC ACID
- No longer needed if 65 yo and above if PRLC B (I pronounce it as prolic B)
previous results showed negative Peanut butter
Rice
Leafy Vegetable
Cereals
Beans
CUSHINGS TRIAD (high ICP) THIAZIDE ADVERSE EFFECT
WIB 4H
Widening pulse pressure Hypokalemia
Irregular respiration Hyponatremia
Bradycardia Hyperuricemia
Hyperglycemia
BECKS TRIAD (Cardiac Tamponade)
MDH FAT EMBOLISM SYNDROME
Muffled heart sound PFRN (I pronounce it as phern)
Distended Neck Veins Petechial rash
Hypertension (Narrowed pulse pressure) Fever
Neurologic changes
BEERs CRITERIA (Bad for geria) Respiratory problem
4ABDOI
Antipsychotics SUICIDE RISK
Anticholinergic SAD PERSONS
Antihistamine Sex
Antihypertensive Age
Benzodiazepines Depression
Diuretics Prior history
Opioids Ethanol/drug abuse
Insulin Rational thinking loss
Support system loss
INTRAPARTUM FHR Organized plan
(VEAL CHOP) No significant other
Variable Cord compression/ prolapsed cord Sickness
Early Head compression
Acceleration OK (normal) Ventilator Associated Pneumonia Bundle
Late Placental Insufficiency POSED
PUD Prophylaxis
SKIN CANCER Oral Care
ABCDE Sedation Vacation
Asymmetry Elevate HOB
Border irregularity DVT Prophylaxis
Color Changes
Diameter of 6mm or larger FIRE SAFETY
Evolving RACE
Rescue
SPINAL IMMOBILIZATION Alarm
NSAIDS Confine
Neurological Exam Extinguish
Significant traumatic mechanism of injury
Alertness PASS
Intoxication Pull the pin
Distracting Injury Aim the nozzle
Spinal exam Squeeze the handle
Sweep nozzle
MAJOR DEPRESSION TB DRUGS
SIGE CAPS HIP RH EO (hip rheo)
Sleep disturbance Isoniazid hepatotoxic and peripheral neuritis
Interest deficit Rifampin hepatotoxic
Guilt Ethambutol ocular toxicity
Energy deficit
Concentration deficit
Appetite STOOL CHARACTERISTICS
Psychomotor retardation or agitation Small, dry, rocky, hard mass constipation
Suicidality Light gray clay colored biliary obstruction
Mucus/pus ulcerative or infectious colitis
NSAIDs Greasy, foamy, foul, fatty chronic pancreatitis
NGBH Black tarry upper GI bleeding
Nephrotoxic Bright red bloody lower GI bleeding
Gastrointestinal disturbance Blood on surface hemorrhoids
Bleeding
HTN/HF
CELIAC DSE
SULFA DRUGS No BROW Yes RCP
CPFADS Barley Rice
Crystalluria Rye Corn
Photosensitivity Oats Potato
Folic Acid deficiency Wheats
Agranulocytosis
Diarrhea
Steven Johnsons syndrome INSULIN

CYSTITIS Rapid Regular NPH Long Acting

F BUSH Peak 1-3 2-4 4-12 none
Frequency Onset Rapid 30 mins 1-1 2-4
Burning on urination Duration 3-5 6-8 16-24 24
Urgency
Suprapubic discomfort
Hematuria BELIEF IN DEATH
0-2 yo none
PYLONEPRITIS 3-5 7o death is reversible
NF2C 6-9 yo concrete finality of death
nausea and vomiting 10-12 yo death is final and affects everyone
Fever and chills 12 above adult level
Flank pain
Costovertebral tenderness

ORTHOSTATIC HTN
DAVAN
Diuretics
Antihypertensive
Vasodilators
Antipsychotics
Narcotics
EQUATIONS: OTHERS:

HEART RATE CAL-DIPINE calcium channel blocker

60/ (0.2 x no. of big boxes in ECG) BETA-lol betablockers
ACE-pril Ace Inhibitor
BMI ARB-sartan Angiotensin II receptor blocker
(lbs/in2) x 703
METHOTREXATE: immunosuppressant,
DROP FACTOR rheumatoid arthritis
volume x drop factor
Minutes LEVODOPA: Parkinsons. Bradykinesia

PARKLAND FORMULA (BURNS) METRONIDAZOLE: vaginal infection, CDiff,

Needed for 24 hours HPylori
4 x TBSA x kg
Divided by two to get the volume needed for CDIFF: X broad spectrum antibiotics
the first 8 hours (Ceftriaxone) and protom pump inhibitor

DOSE PROTON PUMP INHIBITORS: may cause

(desire/stock) x volume osteoporosis

BENZTROPINE: decreases Extrapyramidial

CONVERSION Syndrome (pseudoparkinsons, dystonia)
1 lb = 16 oz
1 oz = 30 mL FLUMENAZIL: antidote for benzodiazepine(lam,
1 cup = 8 oz pam)
1 tsp = 5mL
Modafinil: stimulant
ANTIDOTE
NorE/Epinephrine: Phentolamine Low residue means avoid all high fiber
Heparin: Protamine Sulfate
Warfarin: Vit K Hemorrhoids: priority is pain
Acetaminophen: Acetylcysteine
Benzodiazepine: Flumenazil No NGT for gastric surgeries
Malignant Hyperthermia: Dantrolene
EPS: Benztropine My butterfly's name is Lupus
SVT: Adenosine
MononucLymph

MMR: not for gelatine and neomycin

Dairy are high in potassium and phosphorus

Aphasia-impaired communication
Apraxia-loss of ability to perform learned movt
Dysarthria-impaired speech
Dysphagia-difficulty swallowing

TINEA CORPORIS: ringworm

Cardimilzem (-depine, diltiazem, verapamil) More volume, more pressure: volume in the
vascular space then pressure (CVP or BP) except
ACE-pril - do not decreases HR for some diseases

Fluoroquinolones(floxacin)-tendinitis (Achilles') concentration makes the numbers go up,

floten dilution makes the numbers go down: for Na,
Hct and sp.gravity
MyonepQt (-mycin: ototoxic and neprotoxic
affects QT in ECG)

Tranplant. think infection

Anticholinergic: Blocks bronchoconstriction

Thiozolidiones. -glitazone. DM2. Don't release

excess insulin like metformin

Tumor lysis: high K, Phos and Uric Acid

Hydroxiroliquine: retinal detachment

Meotheraxate: immunosuppressant. Psoriasis.

RA

TNF Inhibitor: immunosuppressant

-Zole: bone. Cdiff

Reye: aspirin. Bismuth subsalicylate

THROMBO-plase. Not for HTN, bleeding

No red food for bleeding

SVT: vagal maneuver

Amniotomy: engagement

Metronidazole: no alcohol

Prednisolone: take with PPI

Phenytoin: 50mg/min

Supine for heart catheterization

Patent ductus: indomethacin