Housestaff Survival Guide Crosscover Specialty Procedures + Calcs ...
Housestaff Survival Guide Crosscover Specialty Procedures + Calcs ...
Housestaff Survival Guide Crosscover Specialty Procedures + Calcs ...
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<strong>Crosscover</strong><br />
<strong>Specialty</strong><br />
<strong>Procedures</strong> + <strong>Calcs</strong><br />
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<strong>Crosscover</strong><br />
<strong>Housestaff</strong><br />
<strong>Survival</strong> <strong>Guide</strong><br />
<strong>Housestaff</strong> <strong>Survival</strong> <strong>Guide</strong> | <strong>Crosscover</strong> | Nausea and vomiting<br />
****Is this an anginal equivalent/atypical chest pain? > go to Chest Pain<br />
Watch for complications – dehydration, electrolytes, acid/base<br />
DDx:<br />
Medications – NSAIDs, erythromycin, morphine, codeine, aminophylline, chemo, digoxin,<br />
antiarrhythmics, nicotine, bromocriptine<br />
Infection – gastroenteritis, otitis media, pharyngitis, CNS, pneumonia<br />
Gut disorder – obstruction, PUD, gastroparesis, hepatobiliary, pancreatic, cancer<br />
CNS – increased ICP, migraine, seizure, anxiety, bulimia/anorexia, pain<br />
Other – MI, metabolic, pregnancy, drugs/alcohol, radiation sickness, Labyrinthine disorders<br />
Tx:<br />
PO if mild, IV if severe<br />
Promethazine (Phenergan) 12.5-25mg po/IV q4-6h (sedating)<br />
Prochlorperazine (Compazine) 5-10mg IV/PO/IM q4-6h PRN, or suppository 25mg bid<br />
Metoclopramide (Reglan) 10mg PO/IV q6h prn (not with obstruction)<br />
Ondansetron (Zofran) 4mg IV (esp with chemo)<br />
Tx of GI upset: PUD, reflux: Maalox (aluminum hydroxide/magnesium hydroxide) 30-60mL
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