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43 Cards in this Set

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Pregnant pt w/ cystitis
urine culture
repeat 1-2 weeks
complicated cystiis
7 day course of TMP-SMX
Cystitis in pregnancy
7 day course of amoxicillin
When can transvaginal ultrasound detect fetal heart beat
5-6 weeks
diet & suppliments for pregno
folate, iron, prenatal vitam, high calorie diet
When should follow up visits occur in pregnant women?
every 4 weeks until until week 28 then every two weeks unitl wk 36, every week from week 36 to delivery
Confirm pregnancy
Complete physical
preg test
pelvic u/s
Upon confirmation of pregnancy
Blood type, antibody screen, CBC w/ diff, pap, rubella status, syphilis, ua and cultural, HIV counselling and testing, and chlamdia
THINK: TORCHES
labs reserved for high risk pregnos
gono, tb, red cell indices for thalessemia, hemogloblin electropherasis, Hexomandiase, cystic fibrosis, serum phenylanine, toxo, hep C
Pregno glucose screen
28 week
first visit if: >25 years, obesity, FH, previous infant> 4000g, recurrent spontaneous abortions
standard w/u UC
sigmoidoscopy, rectal biopsy
ESR, CBC, stool/ova/parasites/WBCS
Stool culture
LFTS
Pt/INR
PTT
Treat UC (mild)
Topical ASA suppost
Antidiarrheals: loperamide

/spasmodics: dicyclomine

Dietary consult
management pt w/ ectopic
On ward: NPO. IV access, vitals q1, IV ns, complete bedrest
W/u IBS
CBC, BMP, TSH, ESR, FOBT, Stool for...
+ Fecal fat
Don't order colonscopy!
Management IBS
Complete physical
Diet modification: high fiber, lactose-free
Dicyclomine
loperamide
Amitripyline
Psychotherapy
reassurance
how often should f/u appointments be scheduled for major depression (major/mild)
1=2 weeks for 6-8 weeks
When to order psychiatric consultaton
No improvement on pharmoco therapy in 6- 8 weeks
w/u vaginal discharge
wet mount
Vag Ph
U/A
cervical culture
GC & chlamida
Alzheimer's drugs
donepezil
Memantine (adjunct or if can't tolerate cholinesterase inhibitors
Vitamin E
Addressing depression/anxiety/insomnia in Alzeimer
Buspirone if pt has anxiety
For insomina: temazepam
Other Alzeimers
Counseling of pt and family
Cognitive rehab
occupational thearpyy
support groups
ensuring nutrition
no driving
medical alert compliance
advanced directives
What test to order in COPD exacerbation
PEFR
CRX
ABG
EKG
CBC
BMP
Monitoring COPD exacerbatuib
Cardiac monitor
Pulse ox
PEFR
Migrane Rx:
Nl saline
Iv promethazine
NSAIDS
Caffeine
IM sumatriptan (if patient doesn't improve
Migrane f/u
1 month
PPX: SSRIS
Temporal arteritis f/u
cont low does predisone
ESR in two weeks
Vit D and Calcium if placed on steroids
Meningitis Rx ER
IV dexamethasone
Meningitis Rx ward
CSF culture
Malignant hypertension in ER STAT
02, CXR
Malignant hypertension in ER W/U
CPK-MB, Trops x 3
UA
W/ U Malignant hypertension in ICU
continous cardiac monitoring
Lipid profile
ECho
Alcohol withdrawl rx
IV diazepam and atenolol
Tonic clonic seizure ER order
ABG,
UA
Urine tox
Complex Tonic-Clonic seizure: Ward
Make sure to get neurology consult
Narcotic overdose: ER STAT
Suction airway
Fingerstick bloodsurge
IV naxolone
Narcotic overdose: ER W/U
Urine pregnancy
INR
Serum lactate
CXR, PA
Narcotic overdose: ICU:W/U
gastric lavage
suicide precautions
TCA overdose: ER W/U
Serum lactate
Serum osmolality
Blood ketones
CT-Head
TCA overdose: ER rx
IV D5W nl saline
Thiamine
Central line
NG tue gastric laval
Activated charcol
Bicarb
TCA overdose: ICU rx
IV lidocaine
IV magnesium sulfate x 1
Order in TIA
Accu check
Order in PID
VDRL
HIV
PAP
NPO
gram stain
Inpatient management PID
IV cefoxitin + IV doxy