The Washington manual internship survival guide

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Bibliographic Information

The Washington manual internship survival guide

written and edited by Grace A. Lin, Tammy L. Lin, Kaori A. Sakurai ; executive editor, Thomas M. DeFer

(The Washington manual survival guide series)

Lippincott Williams & Wilkins, c2006

2nd ed

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Internship survival guide

Available at  / 5 libraries

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Note

Includes bibliographical references and index

"Washington University in St. Louis, School of Medicine""Internal Medicine"--Cover

HTTP:URL=http://www.loc.gov/catdir/toc/ecip0518/2005026134.html Information=Table of contents

Description and Table of Contents

Description

Written by Washington University residents, this small pocket book contains all the essential information that interns need from day 1 on the wards, including ACLS algorithms, useful formulas, patient notes, top 10 workups, common calls/complaints, and common consultative questions in all subspecialties. The content includes vital pointers on what not to miss, when to refer/call for help, triage, cross-covering, and working with difficult patients.This edition has been thoroughly updated and several chapters have been expanded, particularly the critical care chapter. Other revisions include expanded coverage of anticoagulation and new guidelines on patient safety issues, DVT prophylaxis, and GI prophylaxis. This edition is also available for PDAs. See PDA listing for details. The Washington Manual[registered] is a registered mark belonging to Washington University in St. Louis to which international legal protection applies. The mark is used in this publication by LWW under license from Washington University.

Table of Contents

KEYS TO SURVIVAL ACLS ALGORITHMS: ILCOR Universal/International ACLS Algorithm / Comprehensive ECC Algorithm / Ventricular Fibrillation/Pulseless VT Algorithm / Pulseless Electrical Activity Algorithm / Asystole: The Silent Heart Algorithm / Bradycardia Algorithm / The Tachycardia Overview Algorithm / Narrow-Complex Supraventricular Tachycardia Algorithm / Stable Ventricular Tachycardia (Monomorphic or Polymorphic) Algorithm ACCUMULATING YOUR WAR CHEST: Books and Tools to Carry With You / Handheld Computer Resources / Internet Resources / Internet Resources for Evidence-Based Medicine USEFUL FORMULAS: A-a O2 Gradient / Anion Gap (Serum) / Anion Gap (Urine) / Body Mass Index / Creatinine Clearance (Estimated, Measured) / Corrected Serum Calcium / Corrected Serum Sodium / Fractional Excretion of Sodium / Fractional Excretion of Urea / Mean Arterial Pressure / Osmolality (Serum, Estimated) / Osmolal Gap / Reticulocyte Count (Corrected) / Reticulocyte Production Index / Medical Epidemiology TRIAGE: Before Accepting Admissions / Other Important Questions to Consider CROSS COVERAGE: General Points / Reasons You Must Go See a Patient / Things to Consider Asking Before Arrival at Bedside / Things That Can Wait / Appropriate Transfer of Patients to the Intensive Care Unit PATIENT AND STAFF RELATIONS: Working with Ancillary Staff / Referring a Patient / Working with Difficult Patients / Addressing End-of-Life Issues ADMISSIONS: General Points / Admission Orders / DVT Prophylaxis / GI Prophylaxis / Assessment/Plan / Laboratory Results and Orders / Patient Safety Issues DAILY ASSESSMENTS: Rounds / Daily Notes and Evaluation / Discharge Planning / Signouts OTHER NOTES OF IMPORTANCE: Off-Service Notes / Procedure Notes / Death/Expirations DISCHARGES: Discharge Process/Pearls / Discharge Summary TOP TEN WORKUPS: Chest Pain / Abdominal Pain / Acute Altered Mental Status / Acute Renal Failure / Headache / Hypotension and Hypertension / Common Arrhythmias / Fever / Shortness of Breath / Gastrointestinal Bleeding COMMON CALLS AND COMPLAINTS: Alcohol Withdrawal / Bleeding at Line Sites and After Procedures / Constipation / Cough / Diarrhea / Falls / Hyperglycemia and Hypoglycemia / Holding Medications for Morning Tests / Insomnia / Lack of Intravenous Access / Nausea and Vomiting / Pruritus / Rash / Sundowning / Transfusion Reactions PAIN CONTROL: General Points / Selected Agents in the Three Step Analgesic Ladder THERAPEUTIC CONSIDERATIONS: Antibiotics / Anticoagulation TOOLS OF THE TRADE (FLUIDS, ELECTROLYTES, VITAL SIGNS, ELECTROCARDIOGRAPHY, RADIOLOGY): Fluids and Base Electrolytes / Electrolyte Abnormalities / Vital Signs / Electrocardiographic Interpretation / Acid-Base Disorders / Radiograph Interpretation / Preparation for Procedures APPROACH TO CONSULTATION: The Medicine Consult / Dermatology / Neurology / Obstetrics and Gynecology / Ophthalmology / Orthopedic Surgery / Otolaryngology / Psychiatry / General Surgery GUIDE TO PROCEDURES: All You Really Need to Know About Vascular Access / Venipuncture / Femoral Vein Phlebotomy / Peripheral IV / Blood Cultures / Arterial Blood Gas Sampling / Central Venous Access / Lumbar Puncture / Thoracentesis / Paracentesis / Guidelines for Occupational Exposures CRITICAL CARE NOTES: Keys to Intensive Care Unit Survival / Ventilators / ICU Sedation / Cardiac Parameters / Shock / Drips / Suggestions for Prophylaxis / Total Parenteral Nutrition (TPN) FINAL TOUCHES: Feedback / Patient Data Tracking Form

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