These notes are just meant as quick study guides and from my personal notes, some of the data is not up to date and should not be used for clinical purposes. I thought I would make it public because it might help someone out! All of these, with a few referenced exceptions, came from my […]
Quizzes
Pneumonia QuizResistance Quiz
Pneumonia Quiz
ID Student Book List
Stewardship Intro Jobs in stewardship Random Kinectics Vanc Gent Timeouts (shorter is better) Tracking Metrics Reportable HAIs Antibiogram Clinical Micro Basic Micro Handout Resistance Vanc/Gent Biostats Study Design/Forest Plots Basic Biostats R Cheat Sheet for Biostats CONSORT Framework? Respiratory CAP and VAP Community MRSA vs Hospital MRSA GI/SSTI/Bone Joint Intra-abdominal Infectious STOP IT C. Diff […]
Do I Need to Stop My Aspirin?
For decades, American physicians have recommended aspirin to prevent heart attacks, strokes and other vascular events for almost everyone over the age of 40, even those without evidence of a previous heart attack or stroke. Newly released guidelines from the American College of Cardiology and the American Heart Association take a more conservative approach to […]
What REDUCE-IT Means to You
A Cochrane review in July of 2018 found no real benefit to fish oil in reducing risks of heart attack, stroke or cardiovascular risk. That challenged the conventional belief that this was one over-the-counter supplement that actually worked. However, a few recent studies have contradicted the Cochrane review and found there may be some benefit […]
23andMe the First to Offer Direct to Consumer Pharmacogenomic Testing
Genetics company 23andme announced that they will be offering the first direct-to-consumer pharmacogenomics test starting this year. 23andMe has yet to say when the test will be available to patients and for how much This is the first authorization of a direct-to-consumer report on pharmacogenomics and came through the FDA’s de novo classification process. With this authorization, […]
Surgical Prophylaxis
You must administer surgical prophylaxis at the time of the first incision or as close as possible. Redose if surgery is longer than four hours. No need for post-op, except in cardiac procedures. Usually use cefazolin 2 g (3 g for patients above 120 kg), ceftriaxone, cefotetan, cefoxitin 2 g, clindamycin 900 mg, vancomycin 15 mg/kg Cefazolin 2g is […]
Gout
Caused by uric acid over-production or underexcretion Factors: DKA, myeloproliferative and lymphoproliferative disease, acute EtOH, hypothyroidism, acromegaly, hypo or hyperparathyroidism, chronic hemolytic anemia, obesity Medications: Decrease uric acid filtration: diuretics (thiazide and loop diuretics), nicotinic acid (Niaspan), salicylates (ASA), alcohol (EtOH), levodopa/carbidopa, ethambutol, pyrazinamide, ticagrelor Acute treatment: Colchicine, NSAIDs, corticosteroids (if NSAIDS contraindicated) Chronic treatment: Allopurinol or […]
Substance Abuse Disorders
Alcohol Withdrawal – Tremors start around 6 hours, seizures around 12 hours, but can occur 3-5 days later. Mortality can be as high as 35%. 3 Ts – Increase temp, tremor and tachycardia Treatment: correct electrolyte imbalances, benzos, can use propofol or barbiturates in refractory cases, magnesium, alpha 2 agonists, Beta blockers, calcium channel blockers Avoid: […]