Friday, March 29, 2013

Glass microbiology

http://www.lukejerram.com/glass/

Saturday, March 23, 2013

ER DRUGS: most commonly used medications in the ER

Epinephrine
Amiodarone
Lidocaine
Mag Sulfate
Sodium Bicarb
Atropine
Adenosine
Lasix
Integrelin
Rocephin
Narcan
Valium
Romazicon
D50
Albuterol
Artovent
Xopenex
Benadryl
Prednisone
Solu-Medrol
haldol
ativan
morphine
dilaudid
toradol
benadryl
PHENERGINE
Nitroglycerine
Amidate - for intubation
etomidate - for intubation
Tigan
Valium- diazepam
Prednisone
Solumedrol- methylprednisolone
Benadryl- diphenhydramine
Digoxin- lanoxin
Decadron- Dexamethasone
Anectine- succinycholine (sux)
Etomidate- Amidate 
Diprovan- propofol
Tylenol- acetominophen
Motrin- ibuprofen
Aspirin, ASA- acetylsalicylic acid
Nitrobid, NTG- nitroglycerin
Rocephin- ceftriaxone
Morphine- ordered as this
Dilaudid- hydromorphone
Zosyn- piperacillin and tazobactam
Unasyn- ampicillin and sulbactam
Phenergan- promethazine
Reglan- metoclopramide
Cipro- ciprofloxacin
Heparin- heparin sodium
Toradol- ketorolac
Lopressor- metoprolol
Catapres- clonidine
Keflex,Ancef- cefazolin
Zithromax- azithromycin 
Vicodin/Lortab- hydrocodone/acetominophen combo
Percocet- oxycodone/ acetominophen combo
Haldol- haloperidol
Ativan- lorazepam
Avelox- moxifloxacin
Lasix- furosimide
Plavix- clopidogrel
Lovenox- enoxaparin
Ondansetron (Zofran)
Metoprolol (Lopressor)
Vancomycin
Flagyl
Rocephin
Cardizem
Think the one you are pertaining as "sux" is the 
....suxamethonium 
and the "a" is the 
....atracurium
both are use during intubation and both are neuromuscular blocker!hope it helps!

succininylcholine is the first line paralytic
Are you sure it's not VA? Vancuronium, long term paralytic

narcotic pain relief meds (morphine, dialudid) anitemetics such as c
ompazine, 
zofran 
...and then cardiac drugs that used in arrests such as: 
epi, 
atropine, 
lidocaine
..... the lists goes on and on
IMHO (in no particular order unless mentioned)?
* Pain medication (narcotic or otherwise - but I will say, I don't nearly give as much Toradol as I did when I worked the floor).
* Anti emetics (Zofran, Reglan, Compazine and Phenergan - in that order. I've never given Tigan in the ED).
* Fluids (Say helllllloooo to Normal Saline! :chuckle)
* Antibiotics (the most common ones I give - in no particular order - are: Rocephin, Zithromax, Ancef, Vancomycin, Zosyn, Levaquin, Clindamycin, Ciprofloxacin).
* Coag drugs (Aspirin, Heparin, Integrilin/tPA/TNKase, Coumadin. Rarely Lovenox).
* High-Blood pressure drugs (Anything from Labetolol to Lopressor. Even something as exotic as a Nitroprusside drip)
* Low-Blood pressure drugs (Norepinephrine/Levophed, Dopamine, phenylephrine/Neo-synephrine being the most common)
* Nitroglycerine (sublingual, Topical and Intra-venous)
* "Code drugs" (a vast list, but the most common ones are: Epinepherine, Atropine, Bi-carb, Amiodarone, Calcium, Magnesium, Lidocaine).
* "Respiratory drugs" (Albuterol, Atrovent, racemic epinepherine, prednisone)
* Others:
- Adenosine
- Solu-Medrol/Solu-Cortef
- Benadryl
- Pepcid
- Nexium
- Blood
- Oxygen

IV Phenergan
IV NS

Tuesday, March 5, 2013

Homeless Problem

Holy crap batman !!.....we have a serious homeless and mental illness systemic problem in my town.

Dear god, 25% of the patient I see everyday at the facility I work at are homeless and mentally ill that are "Working the System". They claim to have phantom chest pain and they are wisked away immediately, given primo attention, tested, clothed, given warm blankets, valuables secured in a safe and sleep on a warm bed.

It is the closest thing to a 3-star hotel that a homeless person is gunna get. It is breaking the bank for the place I work at needlessly and we are getting work over by their deguiling stories. We are seeing the same people week-in-week-out, with the same phantom symptoms repeatedly, especially on cold, blustery nights when all they really want is a warm, secure place to sleep.

I did a bit of research in general on homelessness and their real needs:

Real Needs of Homeless:
   http://thehomelessguy.blogspot.com/2009/12/what-do-homeless-people-need_06.html

Homeless Newspaper Employment:
   http://www.nasna.org/