SIMULATION CASEBOOK - MyCourses

More documents

Recommendations

Info

Gilbert Program in Medical Simulation Simulation Casebook Harvard Medical School Draft of the 1 st edition (2011), updated 3/2/12 d. Treatment i. Factors determining whether to admit patient to hospital ii. PORT/PSI/CURB-65 score calculators and decision support tools available online iii. Choice of antibiotics 1. Empiric 2. Organism specific iv. Ventilatory support VII. Development and Deployment This case was developed as part of an integrated clinical teaching module for second-year medical students, and has been used over several years. VIII. Authors and their affiliations Case drafted by Emily Hayden, MD, with contributions and updates by the Gilbert Simulation Team. Compiled and formatted by Elan Guterman. Reviewed and edited with references by Jeffrey Siegelman, M.D. and Zoë Howard, M.D. IX. References a) Mandell, LA, et al. IDSA/ATS Guidelines for CAP in Adults. Clin Infect Dis 2007:44 (Suppl 2) S27-72. b) http://www.clevelandclinicmeded.com/medicalpubs/diseasemanagement/infectiousdisease/community-acquired-pneumonia/#cesec6 168
Gilbert Program in Medical Simulation Simulation Casebook Harvard Medical School Draft of the 1 st edition (2011), updated 3/2/12 X. Appendix A: Lab Values ARTERIAL BLOOD GAS Reference Range pH 7.37 7.35-7.45 pCO 2 35 35-45 mmHg pO 2 80 60-100 mmHg HCO 3 26 24-28 mmol/L Sa O 2 91 97-100% FiO 2 .21 .21 BLOOD AND SPUTUM CULTURES Reference Range Blood Culture Pending N/A Sputum Culture Pending N/A COMPLETE BLOOD COUNT Reference Range WITH DIFFERENTIAL Male Female White Blood Cell (WBC) 10,500 4,500 - 10,000 K/uL Neutrophils (%) 85 54 – 62% Band forms (%) 8 3 - 5 (>8% indicates L shift) Basophils (%) 0.75 0 – 1% 0 - 0.75% Eosinophils (%) 0 0 – 3% 1 – 3% Lymphocytes (%) 4 24 – 44% 25 – 33% Monocytes (%) 3 3 – 6% 3 – 7% Hemoglobin (HGB) 13.0 13.5 - 16.5 g/dL 12.0 - 15.0 g/dL Hematocrit (HCT) 39.2 41 – 50% 36 – 44% Red blood cell (RBC) 4.8 4.5 - 5.5 M/uL 4.0 - 4.9 M/uL RBC Distribution Width 10.0 < 14.5% MCV 90 80 – 100 fL MCH 37 26 – 34 pg MCHC 33 31 – 37 g/dL Platelet 200,000 100,000 - 450,000 K/uL 169
Page 1 and 2:
THE G. S. BECKWITH GILBERT AND KATH
Page 3 and 4:
Gilbert Program in Medical Simulati
Page 5 and 6:
Page 7 and 8:
Page 9 and 10:
Page 11 and 12:
Page 13 and 14:
Page 15 and 16:
Page 17 and 18:
Page 19 and 20:
Page 21 and 22:
Page 23 and 24:
Page 25 and 26:
Page 27 and 28:
Page 29 and 30:
Page 31 and 32:
Page 33 and 34:
Page 35 and 36:
Page 37 and 38:
Page 39 and 40:
Page 41 and 42:
Page 43 and 44:
Page 45 and 46:
Page 47 and 48:
Page 49 and 50:
Page 51 and 52:
Page 53 and 54:
Page 55 and 56:
Page 57 and 58:
Page 59 and 60:
Page 61 and 62:
Page 63 and 64:
Page 65 and 66:
Page 67 and 68:
Page 69 and 70:
Page 71 and 72:
Page 73 and 74:
Page 75 and 76:
Page 77 and 78:
Page 79 and 80:
Page 81 and 82:
Page 83 and 84:
Page 85 and 86:
Page 87 and 88:
Page 89 and 90:
Page 91 and 92:
Page 93 and 94:
Page 95 and 96:
Page 97 and 98:
Page 99 and 100:
Page 101 and 102:
Page 103 and 104:
Page 105 and 106:
Page 107 and 108:
Page 109 and 110:
Page 111 and 112:
Page 113 and 114:
Page 115 and 116:
Page 117 and 118: Gilbert Program in Medical Simulati
Page 167: Gilbert Program in Medical Simulati
Page 177: Gilbert Program in Medical Simulati
show all

SIMULATION CASEBOOK - MyCourses

You also want an ePaper? Increase the reach of your titles

Delete template?

Save as template?