Cardiac Rate- Peds Remember: 311 (Fetal HR 120-160) RR -30 90-130 Infant 30-60 -10 80-120 Toddler 20-30

-10 70-110 Pres !ooler 16-22 Temperature "F # (1$8 % "&) ' 32 (T!(n) of t!em as be(n* + 2" a,art) 37"& # 98$6" F 38"&#100$-" F 39"&#102$2" F -0"& #10- " F Labs . /012&R # 3e!4drat(on 5 /012&R # 67er!4drat(on El: 1a (138-1-8) 9 (3$8-8) :* (1$8-2$8) &a (9-11) &l (96-106) P!os (3--$8) Endocrine /01 (7-22 or to remember ,;t t!e b;ns (n t!e o7en for 10-20 m(n) &r (0$8-1$8) 0r(ne <,e =ra7(t4 (1$008-1$030) Glucose: 1ml 80-110 Fast(n* >110 Infant /= 80-90 (>-8#!4,o*l4 em(a-!(*! ,(t ! r4) H*b?1 # --6@ (or >7@) Thyroid: T3 (60-180) T- (8-11) T<H (0$8-8) or 0$8-2 for !4,ot!4ro(d ,ts Free T-: 0$8-2$7 ( I remember (t $8-2$8 eas(er to memor(Ae) Hypothyroid: T<H BC T3 D THyperthyroid: C T<H B T3 DTABGs: PH 7$38-7$-8 ,62 80-100 ,&62 38--8 H&63 22-26 R6:E: F(t! ? (dos(s t!e PH (s alGa4s C and PH (s alGa4s (n ?l)alos(s Res,(rator4 6,,os(teB :etabol( EH;al RE<P 6PP: PH C P&62 # Res, ? (dos(s PH P&62 C # Res, ?l)alos(s :ET?/6II& # PH C H&63 C# :etabol( ? (dos(s PH H&63 # :etabol( ?l)alos(s Blood: R/& -$2-6$1 m(ll(on F/& 8000-10000 (or -800-11000) Plt 180J000

K -80J000 H*b F: 12-16 :: 1--18 H t F: 37--7@ :: -2-82@ ?m4lase: 83-123 ?lb;m(n: 3--$3 ?l) P!os,!ate: 1--100 1H3 (3868) /lood 6smol 280-300 I(,ase 1--280 /(l(r;b(n (Total: 0$3-1B Ind(re t: 0$2-0$8B 3(re t 0$1-0$3) P!en4lalan(ne: 1eGborn > 2 ?d;lt > 6 Antidotes 3(*oL(n M 3(*(band T4lenol M :; om(st (17 doses ' load(n* dose) He,ar(nM Protam(ne <;lfate /enAod(aAe,(ne M Fl;mAaem(l (RomaA( on) &o;mad(nMN(t 9 3I MC ?3HJ ;2oJ C 0r(ne <,e (f( =rJ 1a (t!(n) 1a # ;r(ne s,e *r) <I?3HM t!(n) s4ndrome of ed d(;ret( !ormone ?3HJ C ;2oJ ;r(ne s,e *r Insulins Rapid Reg Interm Very Long Long Acting 8-18m 30-60m 1-3! 1! 6-8! 1-2! 2--! 6-12! ,ea)less a t(on 12-16! --6! 8-7! 16-20! 18-2-! 20-30 1o7olo* 1o7ol(n R 1PH Iant;s 0ltra Iente O H;malo* H;m;l(n R Iente Vaccines He, / 0J 1-2J 6-18mo H(b 2J -J 6J 12-18 Pne;mo 2J -J 6J12-18 3ta, 2J -J 6J 18-18J --64rsB Td H 10 4rs IPN 2J -J 6-18J --64r Nar( ella 12-18J --64r ::R 12-18J --64r He, ? 12-23 mo (2 dosesJ 6 mo a,art) :en(n* 9-11 4rs Rota 2J -J 6 Infl;enAa at 6 mo and t!en 4earl4 after Random Stuff T!(aA(des /= e;,o*en # e;tro,!(l !,o*en # R/&2!r4t!o 4te Iofenala Form;la # for P90 (nfants 6totoL( dr;*s # loo, d(;ret( s (Ias(L) and Plat(nol-?6 TB "eds #RIS!$ Rifampin I1H Stre,tom4 (n !t!amb;tol %CS E4es (- ,o(nts) Nerbal (8 ,o(nts) :otor (6 ,o(nts) :aL # 18 (>8# oma)

AP%AR Score ?t 1 and 8 m(n after b(rt! (1st s ore (s t!e trans(t(onal s ore and 2nd (s ,lann(n* are of neGborn) 8-10 # o) &'( Appearance )All pin*+ pin*,blue+ blue-pale. P;lse PQ 100J > 100J 1o Res,onseR %r(ma e P o;*!J *r(ma eJ no res,onseR A t(7(t4 PfleLedJ fla (dJ l(m,R Res, Pstron* r4J Gea) r4J no r4R I /!CTI0 C0 TR0L Airborne (My Chicken Hez TB) :easles (R;beola) &!( )en ,oL (Nar( ella) Her,es Soster (s!(n*les (n ((mm;no om,rom(sed (ndJ or d(ssem(nated) T;ber ;los(s Management: -,r(7ate room -ne*at(7e a(rfloG ,ress;reJ m(n(m;m of 6-12 a(r eL !an*es ,er !o;r -0N *erm( (de (rrad(at(on2 !(*! eff( (en 4 a(r f(lter (s ;sedJ mas)J 198 mas) for T/ roplet (!"# E$MAn% <ars < arlet fe7er <e,s(s <tre,to o al ,!ar4n*(t(s Pert;ss(s Par7o7(r;s /19 Pne;mon(a Infl;enAa 3(,!t!er(a E,(*lott(t(s R;bella :;m,s :4 o,lasmal2:en(n*eal Pne;mon(a ?de1o7(r;s Management: -,r(7ate room -mas) (G(t!(n 1 ft$ Contact (M$!&'EE% ";lt(-res(stant or*an(sm Res,(rator4 <4n (t(al N(r;s (R<N) S)(n Infe t(ons VC2IPS (e$*: Nar( ella Aoster &;taneo;s 3(,!t!er(aJ Her,es <(m,leL Im,et(*o Ped( ;los(s <ta,! (nfe t(on < ab(es)

AleL # ?I3< 2e3# Her,es Soster 4#8t! 3L Co(ns#&ro;, 2eRe5 2epatitis and RSV 6o;nd Infe t(on !nter( Infe t(on (&lostr(d(;m 3(ff( (le) !4e Infe t(on (&onT;n t(7(t(s) &ro;, Management: -:R<?: *lo7esJ *oGnJ *o**lesJ fa e s!(eld -,at(ents s!o;ld be (n a ,r(7ate room 7onning 1 =oGn 2 :as) 3 =o**le - =lo7es Remo8ing 1 =lo7es 2 =o**le 3 =oGn - :as) Addisons - !4,onatrem(aJ !4,er)alem(a Cus9ings - !4,ernatrem(aJ !4,o)alem(a R!"!"B!R: V!AL C20P Nar(able (s &ord om,ress(on Earl4 (s Head om,ress(on ? elerat(on (s 6) Iate (s Pla ental Ins;ff( (en 4

<( )le &ell 3LJ ?l,!a ?nt(-Tr4,s(n 3ef( (en 4J =ala tetsem(a Autosomal 7ominant: H;nt(n*tonWs 3(seaseJ :arfanWsJ Pol4da tl4J ? !andro,!( 3Garf(smJ Polycystic ;idney 7isease <-Lin*ed Recessi8e: 3; !enneWs :;s le 34stro,!4J Hemo,!(l(a ? (Females are arr(ers (n t!ese d(seases and males are affe ted b4 t!e d(sease) (e)born At Term: 1ml # Gt: 6-9lbsJ !ead (r ;mferen e: X bod4 len*t!J 13-1- (nJ !est: 12-13(n 0mb(l( al ord falls off (n 1-2 Gee)s <tool: 'st stool (:e on(;m) K bla ) ' tarr4 (,asses G2(n 12-2- !rs)J t!(n2*reen2broGn da4 3J form;la feed(n*s (1-2 ,ale 4elloG2l(*!t broGn stools) or breast feed(n* (loose *olden 4elloG stools G(t! so;r m(l) odor) 2ypo*alemia: Flat T Ga7eJ 3e,ressed <TJ and Prom(nent 0 Ga7e 2yper*alemia: Tall T Ga7eJ F(de YR<J Ion* PR Fa7e

o &4totaLJ Im;ran (Imm;nos;,ressants) o 1<?I3s o PlaH;(n(l (also an an(t-malar(al dr;*) More Maternity Z /undal 2eig9t o To, of <4m,!(s P;b(s to to, of f;nd;s o =ross est(mate of dates o 0se a non-stret !able ta,e meas;re o 12-1- G)s (at le7el of s4m,!(s) o s!oG after Gee) 1- ( an tell ,re*) o 20 G)s (+ 20 m) at le7el of ;mb(l( ;s o r(ses 1 m2G) t(ll 36 Gee)s t!en 7ar(es Z Y;( )en(n* # fetal mo7ementB 16-20 Gee)s Z Fetal Heartbeat # 8-12 Gee)s (b4 3o,,ler) and 18-20 Gee)s b4 a;s ;ltat(n* G(t! stet!os o,e Z Preterm: 20-37 Gee)s Z Term: 38--2 Gee)s Z Post-term: -2 Gee)s ,l;s Z Total ,re* Ge(*!t *a(n: 11-1- )* (28-38 lb) Z 300 al d;r(n* ,re* (3?II[) and 200-800 al d;r(n* breastfeed(n* (3?II[) Z &affe(ne > 300 m*2da4 (800-780 mI2da4 #Q r(s) of s,ontaneo;s abort(on or fetal (ntra;ter(ne *roGt! restr( t(on Z 0ter(ne ontra t(ons an be felt after -t! mont! # /raLton H( )s &ontra t(ons fa (l(tate ;ter(ne blood floG t!ro;*! ,la enta and ,romote 62 del(7er4 to fet;s Z Amniotic /luid: o 1ml: 800-1200 mI (trans,arent2 learJ no odor) o >300 mI # Olighydrimanos (loG amn(ot( fl;(d) # 9(dne4 ,roblems o Polyhydrimanos (too much amniotic fluid) Z 0mb(l( al &ord: 2 arter(es and 1 7e(n Z Pla enta: Fetal l;n*s (n ;tero Z ?l o!olJ affe(neJ n( ot(neJ meds # eas(l4 ross ,la enta (7(r;ses an rossJ ba ter(a annotB eLs of 7(r;ses (HINJ ?I3<J Her,esJ :easlesJ ToLo,lasmos(sJ He,) Z ?FP Test: meas;red at 16-18 Gee)s o ed Ie7els # r(s) of ne;ral t;be2abd Gall defects (eL$ s,(na b(f(da) o Ced Ie7els: r(s) of 3oGn <4ndrome Z /etal 7istress o HR > 110 or Q 160 o Fetal !4,era t(7(t4 or no a t(7(t4 o Fetal /lood ,H > 7$2 0t9er Stuff Z Immed after ,;t ,t on a :e ! Nent !e ) /P (!4,otens(on) Z Ies(ons of m(dbra(n # de erebrate ,os(t(on(n* Z :or,!(ne ToL( (t4 # P(n,o(nt ,;,(ls Z &ort( ostero(d Effe ts: ? neJ H(r(t;(smJ :ood <G(n*sJ osto,oros(s and adrenal s;,,ress(on ((n )(ds # dela4ed *roGt!) Z 1o PaL(l G(t! :?6I) Z /eta /lo )ers # :as) Effe t 6f H4,o*l4 em(a Z <6:o*4( Effe t # /= somet(mes ;, and somet(mes doGn Z 3aGn P!enomenon # !(*! /= (n 3?F1 !rs (8-8am) Z A/T!R o Post tra !eostom4: )ee, 62 and <; t(on at beds(de

4 P=s of /racture: Pain+ pallor+ pulseless+ parest9esia+ paralysis 2ypo8entilation 5: Res, ? (dos(s ( &62) UReta(n &62V 2yper8entilation5: Res, ?l)alos(s (C &62) U/loG off &62V (t!(n) Cus9ing=s Triad: #Indicates ed ICP$ C 2R+ CRR+ BP of ,re* breat!(n*) Ias(L2/;meL # 9' Fast(n* ( an a;se !4,o)alem(a) ?lda tone # 9' <,ar(n* ( an a;se !4,er)alem(a) TL of 3I& # He,ar(n (safe d;r(n* ,re*) Post "asectomy Care: BR!AST /P 16T on affe ted s(de Rea ! Re o7er4 Ele7ate affe ted s(de ?bd; t(on and eLternal rotat(on K no (n(t(al eLer (se ((n(t(al (s eLtens(on2fleL(on) <elf /reast ELam (1L mont! K 7 da4 after ,er(od) Tr4 to ,romote a (') self-(ma*e Autosomal Recessi8e: &4st( F(bros(sJ P90J Ta4-<a !sJ ?lb(n(smJ C0 V!RSI0 S: 1 lb # 16 oA B 1 T # 3 ts, # 18 mI 1 t # 8 mI 1 # 8 oA # 2-0 mI 1 lb # -8- * # 16 oA 2 # 1 ,t # 16 oA 1 oA # 30 mI# 8 drams 1 m* # 1000 m * 2 ,t # 1 Ht# 32 oA 1 * # 18 *r - Ht #1 *al # 128 oA 1 *r # 60 m* Med Tri*ia Z TalGan and <tadol#Q ?7o(d (o,o(d a*on(st anta*on(sts) K m; ! less effe t(7e t!an o,o(d a*on(sts Z 1o Ta*amet G(t! Farfar(n Z Ero*ostat #Q For :(*ra(ne Z 1o Y;(nolones2Tetra 4 l(nes G(t! ,re*nan 4 Z 1o ?<?21<?I3< (n Hemo,!(l(a ? ,at(ents Z I(,(tor # P: 61I[J no *ra,efr;(t T;( e Z tP?# d(ssol7es lots (!e,ar(n does not) Z <IE TL

o Post ,le;ral b(o,s4: !est t;be and dra(na*e s4stem at beds(de o Post ,arat!4ro(de tom4: tra !eostom4 at beds(de o Ton( &lon( <e(A;res: <; t(on a,,arat;s at beds(de o Para entes(s: /P &;ff at /eds(de $ACE+"riority in a ,ire o R-Res ;e o ?-?larm o &-&onf(ne o E-ELt(n*;(s! "A!! - To use a ,ire e.tinguisher o P-P;ll P(n o ?-?(m at /ase F(re o <-<H;eeAe Handle o <-<Gee, f(re from s(de to s(de / 0olic Acid $ich 0oods (012) o F# F(s! o 6#6r*an :eatsJ 6ran*es o I#Ieaf4 *reen 7e**(es / 34 0oods ($15GB#6+$ainbo) colors) o Red# <traGberr(esJ Tomatoes (not a,,les) o 6ran*e# 6ran*es o [elloG#/anana o =reen# ?7o adoJ *reen 7e**(es o /l;e# F(s! from t!e /I0E sea o Ind(*o2N(olet# Ra(s(ns

o :-:or,!(ne o ?-?m(no,!4ll(ne o 3-3(*(tal(s o 3-3(;ret( s o 6-62 o =-=asses (n blood (?/=s) Z C9olecystisis: =allbladder (nflammat(on (R0Y ,a(n) Z C9olelit9iasis: =all <tones > Pancreatitis o T?R !R=S SI% : /lan* ec9ymosis o C?LLA =s SI% : /l;(s! ,er(;mb( al (aro;nd t!e bell4 b;tton) 69o needs 7ialysis@ VoAels: A!I0? A: ? (d2/ase Problems !: Ele trol4te Problems I: IntoL( at(ons 0: 67erload of fl;(ds ?: 0rem( <4m,toms

o C point gait Z /ot! le*s and bot! r;t !es to; ! t!e *ro;nd Z Fe(*!t bear(n* o SAing t9roug9 gait Z ?d7an (n* bot! r;t !esJ t!en bot! le*sJ and reH;(res Ge(*!t bear(n* Z 1ot as stable as ot!er *a(ts Z Iam(ne tom4 # remo7al of 1 or more 7ertebral lam(nae K need stra(*!t ba ) after # I6=R6II and ;!!P BAC; STRAI%2T (so flat bed) Z Int;ss e,tat(on o <een (n 1on-Hod*)(nWs I4m,!oma o Hot do* mass (n R0Y o Red &;rrant ^ell4 I()e m; o;s and blood4 stool Z <Geat &!ol o Q 60 # &F o -0-60 # /orderl(ne &F Z 0stomy # ,o; ! o,en(n* 128 (n lar*er t!an stoma Z "acule # flat and ro;nd Z Papule # ro;nded and red Z Vesicle # f(lled G(t! fl;(d Z Impetigo # 1:20 /;rroGWs <olnJ !one4 olored r;sts Z Permet9rin ) I<. #Q 10@ for l( e tL and 8@ for < ab(es tL o (< ab(es # m(tes b;r4 ;nder s)(n)

Z Cus9ing=s 7B o (&;s!(on K too m; ! &ort(sone) o (3 <Ws # !(*! Ster(odsJ !(*! S;*ars (!4,er*l4 em(a)J !(*! Sod(;m o :oon Fa eJ /;ffalo H;m,J Tr;n)al obes(t4J t!(n s)(nn4 eLtrem(t(esJ sloG Go;nd !eal(n*J osteo,oros(sJ HT1J m;s le Gast(n* $78: Rig9t upper Duadrant o C 9' Z &!olel(t!(as(s (*allstones) Z &!ole 4st(t(s ((nflamm of *allbladder) Z Cretenism # &on*ent(al H4,ot!4ro(d(sm (a,,ears 3-6 mo (n Z Addison=s 7B Z He,at(t(s bottlefed (nfants and later (n breastfed (nfants) o 1eed to ?33 stero(ds Z Pan reat(t(s (se7ere )n(fel()e ,a(nB Gorse G(t! eat(n*2l4(n* doGnB Z 2epatitis: loG fatJ !(*! al2 arbs2,rote(nJ no al o!ol o (3 <Ws # IoG <tero(dsJ IoG <;*arsJ IoG <od(;m) some rel(ef G(t! fetal ,os(t(on) Z 2ypot9ryoid: H(*! Prote(nJ loG al d(et o IoG 7as ;lar 7ol;me (1ot !old(n* salt and H20 l()e (n &;s!(n*Ws)J Z Cystic /ibrosis: H(*! Prote(n 3(et and Pan r enA4me re,la ement loG /P $28: Z 2ital 2ernia: F;ndo,l( t(on (t(*!ten ard(a s,!(n ter on stoma !) o H4,er)alem(a ( 9') Z &ro!nWs 3L (Ile;mJ Rt &olonB ,a(n after meals) donWt l(e doGn for 1 !r after mealsJ H6/ --8 (n G!en slee,4J no o /ronAe <)(nJ H4,er,(*mentat(on Z ?,,end( (t(s food before bed o Pa(n at : /;rne4Ws Po(nt Z Pa,able ol(7e s!a,ed t;mor (n e,(*astr(m # ,4lor( stenos(s Z ALL! T!ST Z (122 b2G ;mb(l( ;s and r(*!t (l(a rest) (,roTe t(le 7om(t(n*) o /- draG(n* ?/=s do an ?llenWs Test o In ad;lts from ,e,t( ;l ersB (n (nfants from !4,ertro,!4 of o &om,ress bot! rad(al and ;lnar art(es (Gr(st) at same t(me on 1 228: ,4loro;s (s4m, 2nd--t! G) after b(rt!) !and Z 0l erat(7e &ol(t(s (Re t;mJ left olonB ,a(n ,re-defe at(on) o Release t!e 0I1?R s(de (,(n)4 s(de) and !and s!o;ld t;rn Z 3(7ert( ;l(t(s "E ! d(s olored and s!o;ld be able to see blood floG ba ) (nto (t o Rel(e7ed b4 ,assa*e of stool2flat;l;s Z Toddler: Fear of se,arat(on (*(7e s(m,le d(re t(ons) Z (Rad(al K (s lo ated on t!e t!;mb s(de and ;lnar (s on t!e ,(n)4 Z Pres !ooler: Fear m;t(lat(on (?lloG to ,la4 G(t! eH;(,ment) s(de) uodenal 7lcer: Pa(n 2-3 !rs after meals and n(*!tt(me (rel(e7e ,a(n Z < !ool ?*ers: Fear loss of ontrol (alloG to ,la4 G(t! eH;(,ment) o :(n;tes of ,ress on t!e ?/= s(te after draG(n* blood] G(t! F663 I1T?9E) Z ?dol: Fear loss of (nde,enden e Z 8-10 m(n or 18-20 m(n (f on ant(- oa*;lants Gastric 7lcer: Pa(n 1 !r after meal2G!en fast(n*B rel(e7e ,a(n G(t! Z ?fter a l(7er b(o,s4 ,la e ,at(ent on t!e RI=HT <(de 7om(t(n*J not G(t! food (nta)e "neumothora. !ymp ("+Thora.% (!tar*e the gastric ulcer and ,eed the duodenal% o P-Ple;rt( Pa(n Z "obility o T-Tra !ea 3e7(at(on o Cane i*erticular .: &ram,(n* (n IIY rel(7ed b4 ,assa*e of stool and o H-H4,erresonan e Z C0AL # Cane 0pp Affected Leg flat;s ( onst(,at(on alternates G(t! d(arr!ea (from def (n d(et f(ber) o 6-6nset <;dden o & point gait !(*! f(ber d(et o R-Red; ed breat! so;nds (d4s,nea) Z 6ne le* and 1 r;t ! to; ! *ro;nd at same t(me Meckel9s i*erticulum: on*en sa or ,o; ! (n (le;mJ s4m, seen b4 o ?-?bsent Frem(t;s Z Fe(*!t bear(n* a*e 2B ,a(nless re tal bleed(n*J abdJ !emate !eA(aJ ( ;rrant Tell4 l()e o \-\-Ra4s s!oG olla,se o 1 point gait stool)J s2s of a,,end( (t(s (tL # remo7e d(7ert( ;l;m) Z /ot! r;t !es and 1 foot are on t!e *ro;nd "ul Edema T. (MA 1G% Z (on+)eight bearing Cirrhosis:

Z /(l(ar4 obstr; t(onJ al o!olJ He,at(t(s Z Earl4 sta*e: !(*! ,rote(n2 arbs and N(t / Z ?d7 sta*e: loG f(ber2salt2fat2,rote(nJ !(*! alJ fl;(d restr( t(on Z !sop9ageal Varices o <en*sta)en /la)emore T;be or :(nnesota T;be Z /alloon on Eso,!a*;s and stoma ! to a,,l4 d(re t ,ress on bleed(n* 7e(ns o TIPS #transeso,!e*al (ntra!e,at( ,ost s4stem( s!;nt) Z Balloon Cat9eter (nserted 7(a T;*;lar 7e(n G(t! an*(o*ra,!4 to reate a metal stent b$G ,ortal 7e(n to 7ena a7a !annel (,ro7(des a ,at!Ga4 for blood b2G ,ortal 7e(n and !e,at( 7e(n # b4,asses (rr!ot( l(7er) and rel(e7es ,ress on eso,! 7ar( (es Eaundice #Icterus$ Z Hemol4t( o R/&s are destro4ed (release b(l(r;b(n) Z Hemol4t( transf;s(on rLn Z Hemol4t( ?nem(a Z <( )le &ell &r(s(s Z He,ato ell;lar o T!e (m,a(red l(7er ell (!e,ato 4te) doesnWt alloG b(l(r;b(n to on7ert from t!e ;n onT;*ated to t!e onT;*ated form Z 6bstr; t(7e o /(le floG (s obstr; ted Z T;mors E3G! Z ml Sinus o 60-100 o PYR<T nml E9= <tr(, Z Sinus Brady o > 60 o TL: ?tro,(ne o ( an be nml (n ,!4s( all4 f(t2tra(ner ,erson # t!en no tL needed) Z 'st degree AV _ Bloc* o Prolon*ed PR (nter7al o 1ml PR (nter7al: 0$12-0$20 o &ond; t(on Problem o 3r;*s (3(*J /eta /lo )ersJ &a &!annel /lo )ers) an a;se b4 sloG(n* ond; t(on s4stem (sloGs ond; t(on from <? node to ?N node to P;rnTee F(bers # see sloGed PR (?tr(al Res,onse) o 0s; donWt see s4m,J so ;s; not treated Z Atrial /lutter o <aG Toot! ?,,earan e o ?tr(;m ra (n* aGa4J blood ,ools and an t!roG a lot #Q stro)e o Treat G(t! &ard(o7ers(on 20-80 ^;les (10R<E m;st !(t <4n !ron(Ae b;tton) o Nentr( le beats are re*;lar Z Atrial /ib o Nentr( le beats are (rre*;lar o ?tr(;m H;(7ersJ not *ood ,;m, o &ard(o7ert 80-100 ^;les o If (n !os,(tal and Gere stable b- *o(n* (nto a f(b # *(7e ard(Aem

dr(, and beta blo )ers b- ard(o7ers(on

`/9 - For Pre*nant Pat(ents `/12 - Pern( (o;s anem(aJ Ne*etar(ans$ Z V-Tac9 `&om,l( at(ons of &o;mad(n - 3HWs - Hemorr!a*eJ !emat;r(a D o F(de YR< om,leLes !e,at(t(s o N Ta ! and aGa)e dr;*s I m;st ta)e (?m(odarone or I(do a(ne) `FFP (s adm(n(stered to 3I&(d(ssem(nated (nter7as ;lar oa*;lat(on) o N Ta ! and a na, (;n ons (o;s) Aa, Aa, Aa, (def(br(llate) b2 of t!e lott(n* FL o &an onl4 sta4 (n for 2-3 m(n ( an d(e) `:ann(tol (osmot( d(;ret( PHead (nT;r4R) r4stall(Aes at room tem, K ;se a f(lter needle Z V /ib `?nt(anL(et4 med( at(on (s ,!arma olo*( all4 s(m(lar to al o!ol K o Irre* ma)es no sense ;sed for Gean(n* TL o 6nl4 Ga4 to tL # defr(b(llate start at 360 ^;les `?dm(n(strate =l; a*on G!en ,t (s !4,o*l4 em(a and ;nres,ons(7e o E,( (to HR) `P!enaAo,4r(d(ne ( P4r(d(;m)--0r(ne G(ll a,,ear oran*e !troke `R(fam,( (n -- Red-;r(neJ tearsJ sGeat) $ight !ided: Im,at(entJ eas(l4 d(stra tedJ (m,;ls(7eJ less on erned `Hot and 3r4 # s;*ar !(*! (!4,er*l4 em(a) abo;t l(fe e7entsJ safet4 (s a b(* (ss;e ((m,;lse) `&old and lamm4 # need some and4 (!4,o*l4 em(a) `:ed of !o( e for N-ta ! (s # l(do a(ne 2e,t !ided: <loGJ a;t(o;sJ ,art( ;larJ 7er4 aGare of def( (tsJ *reater `:ed of !o( e for <NT # adenos(ne or adeno ard de,ress(on2anL(et4 `:ed of !o( e for ?s4stole # atro,(ne `:ed of !o( e for &HF (s # ? e (n!(b(tor$ (T!(n) rt bra(n # reat(7eJ left bra(n # lo*( alJ mat!J s (en e) `:ed of !o( e for ana,!4la t( s!o )# (s E,(ne,!r(ne `:ed of !o( e for <tat;s E,(le,t( ;s # (s Nal(;m$ "harm 0acts `:ed of !o( e for b(,olar (s #l(t!(;m$ `3onWt *(7e non-sele t(7e beta-blo )ers 1<// to ,at(ents `=(7e ?&E (n!(b(tors G2food to ,re7ent stoma ! ;,set G2res,(rator4 ,roblems `?dm(n(ster d(;ret( s (n t!e morn(n* `N(tam(n & an a;se false '(7e o ;lt blood `=(7e I(,(tor at 1700 s(n e t!e enA4mes Gor) best d;r(n* t!e e7en(n* `?7o(d t!e a=W !erbs (*(ns(n*J *(n*erJ *(n)oJ *arl( ) G!en on ant(`&ommon Tricyclic :eds - 3 s4llabes (,amelorJ ela7(l) lott(n* dr;*s ( o;mad(nJ ?<?J Pla7(LJ et ) `&ommon "A0I=s - 2 s4llables (ParnateJ mar,lanJ emsanJ nard(lJ J) `?<? toL( (t4 an a;se r(n*(n* of t!e ears 6totoL( (t4 `TP1 !as a ded( ated l(ne D annot be m(Led a!ead of t(me `1o nar ot( s to an4 !ead-(nT;r4 7( t(ms `R2o%A" -- =(7en at 28 Gee)s D 72 !rs ,ost,art;m `:*2' toL( (t4 (s treated G(t! &al (;m =l; onate `3o not adm(n(ster eryt9romycin to :;lt(,le < leros(s ,t `3o not *(7e &al (;m-&!annel /lo )ers G(t! =ra,efr;(t ^;( e `/enadr4l and \anaL ta)en to*et!er G(ll a;se add(t(7e effe ts$ `6L4to (n (s ne7er adm(n(stered t!ro;*! t!e ,r(mar4 IN `&anbt ta)e LasiB (f aller*( to Sulfa dr;*s$ `I(t!(;m (:ood) ,at(ents m;st ons;me 1a eLtra sod(;m to ,re7ent `Acetaminop9en an be ;sed for !eada !e G!en t!e l(ent (s ;s(n* toL( (t4 nitroglycerinF `"A0I Pat(ents s!o;ld a7o(d t!4ram(ne: (?a adosJ bananasJ G7ilantin - an not *(7e G(t! deLtrose$ 6nl4 *(7e G(t! 1<$ beef2 !( )en l(7erJ affe(neJ red G(neJ beerJ !eese (eL e,t otta*e !eese)J ra(s(nsJ sa;sa*esJ ,e,,eron(J 4o*;rtJ so;r ream) `3onWt *(7e atro,(ne for *la; oma K (t (n reases I6P Addison is s*inny ( !4,o*l4 em( J 4o; *et Ge(*!t lossJ 4o; *ot `3onWt *(7e ant-a (ds G(t! food -- b2 (t dela4s *astr( em,t4(n*$ Gea)nessJ and 4o; *et ,ost;ral !4,oton( ) `3onWt *(7e <tadol to :et!adone2Hero(n Pre**oWs -- a;se (nstant Cus9ing is fat ( !4,er*l4 em( J 4o; *et moon fa eJ b(* !ee)sJ and G(t!draGal s4m,toms 4o; reta(n a lot of 1a and fl;(dJ Ge(*!t) `Ins;l(n K lear before lo;d4 `(e*er Gi*e *ia #6": `3onWt *(7e :e,er(d(ne (3emerol) to ,an reat(t(s ,at(ents o9&I `?lGa4s 7er(f4 boGel so;nds G!en *(7(n* 9a4eLelate oHe,ar(n `H4,er al em(a &a # P!os !4,o,!os,!atem(a oIb;,rofen `Rad(oa t(7e 34e K ;r(ne eL ret(on oIns;l(n `<(*ns of toL( ammon(a le7els (s ?ster(L(s (!ands fla,,(n*) o3ob;tam(ne `310F an be s;bst(t;ted for TP1 (tem,orar4 ;se) o?<? `3o,am(ne and Ias(L are (n om,at(ble o?lb;m(n `H4,o*l4 em( s!(7ers an be sto,,ed b4 !old(n* t!e l(mbJ se(A;res o? etam(no,!en annot ((nfants) `&ommon s4m,tom of ?l;m(n;m !4droL(de K onst(,at(on :#nsulin: `T!(aA(de d(;ret( s ma4 (nd; e !4,er*l4 em(a oRa,(d: (lispro-9umalg) onset >18 m(n$ Pea): 1!r$ 3;r 3!r `Ta)e Iron G(t! N(t & K (t en!an es absorbt(on K 3o not ta)e G(t! o<!ort: Re* (9umulin-no8olin) onset c - 1!r$ P): 2-3!r$ 3:--6 m(l) oInt: ( P2-Lente)Konset: 2!r$ Pea) 6-12 !r$ 3;rat(on: 16-2-!r `/1 - For ?l o!ol( Pat(ents (to ,re7ent Fern( )eWs en e,!alo,at!4 oIon*: (?ltralente ) onset --6 !r$ Pea): 12-16 !r$ 3;ra: Q2-!r D 9orsa)offWs s4ndrome) oN$Ion*: (Lantus-glargine) onset 1!r$ Pea): 1one$ 3;r: 2-!r `/6 - For T/ Pat(ents

Acetylcholine (eurotransmitter (P1< m;s le mo7 &1< ?lA!e(mers) AC9 Re e,tor ?*on(sts are ;sed to treat myast9enia gra8is and Al39eimerHs diseaseF :Anticholergic !;E: gi*en ,or Ach !;E (dicyclo*erine;atropine% o&anWt <ee (bl;rred 7(s(on) o&anWt Pee (an;r(a) o&anWt <,(t ( oral se ret(ons) o&anWt <!%t ( ,er(stals(s 7a*;s ner7e) ` HypoCalcemia Ca4 - CAT! o&on7;ls(ons o?rr4t!m(as oTetan4 o<,asms D <tr(dor Hyper 3alemia Causes 34: <MACH#(E9 o:ed( at(onal (a e (n!(b(torsJ 1<?I3<) o? (dos(s (metabol( D re,(rator4) o&ell;lar destr; t(on (b;rnsJ tra;mat( (nT;r4) oH4,oaldosteron(smJ Hemol4s(s o1e,!ronsJ renal fa(l;re oEL ret(on ((m,a(red) `!igns o, increased 3 < Murder9 o:;s le Gea)ness o0r(ne K ol4*;r(aJ an;r(a oRes,(rator4 d(stress o3e reaed ard(a ontra t(l(t4 oE&= &!an*es oRefleLes K !4,errefleL(aJ or fla (d :!ubstance "oisoning and Antidotes o:et!anol -- Et!anol o&62 -6L4*en o3o,am(ne -- P!entolam(ne o/enAoWs (Nersed) -- Fl;maAen(l oIead -- <; (merJ &al (;m 3(sod(;m oIron -3eferoLam(ne o&o;mad(n -- N(tam(n 9 oHe,ar(n -Protam(ne <;lfate oT!oraA(ne -- &o*ent(ne oF(ld :;s!rooms - ?tro,(ne oRat Po(son N(t 9 `Par*land /ormula: - % 9* % BSA Burned # Total Nol;me 1e essar4 o1st 8!rs K c total 7ol;me o2nd 8!rs K X total 7ol;me o3rd 8 !rs K X total 7ol;mes 1$ Alp9a '-adrenergic Bloc*ers end (n 3osin and losinF

S! are d(AA(nessJ Gea)ness ma4 o ;r G!en !an*(n* ,os(t(on$ breat!(n*J n(*!t o;*!J sGell(n* of eLtrem(t(esJ sloG ,;lseJ <!o;ld tea ! ,t to !an*e ,os(t(on sloGl4 and l(e doGn (f d(AA(ness onf;s(onJ de,ress(onJ ras! and sore t!roat$ o ;rs$ =I ;,set ma4 o ;rJ tea ! ,t to eat smaller more freH;ent meals$ <!o;ld tell t!e ,t to re,ort FREY0E1T fa(ntness or d(AA(ness$ :ental Healt!: 2$ Aminoglycosides end (n mycin and anot!er (m,$ t!at t!e4 tr4 to t!roG (n to onf;se 4o; (s ami*acin sulfate$$ &loAar(lJ &o*ent(nJ 3alamaneJ 3eLedr(neJ Ela7(lJ Es)al(t!J HaldolJ teac9 ,t to ta)e f;ll o;rse of dr;*s and dr(n) ,lent4 of fl;(dsJtell I;m(nalJ 1a7aneJ P!ener*anJ R(tal(nJ <eraLJ <(neH;anJ <;rfa)J t!em t!e4 ma4 re,ort t!ese T!oraA(ne S!$$RI1=I1= I1 E?R<J !eada !eJ d(AA(nessJ 12NJ loss of a,,et(te$ T!e4 s!o;ld re,ort ,a(n at t!e (nTe t(on s(te and se7ere !eada !eJ 6/: d(AA(nessJ loss of !ear(n*J !an*es (n ;r(ne ,atternJ d(ff( ;lt4 breat!(n*J ras! or s)(n les(onsJ ?ldometJ ?m,( (ll(nJ &ortefJ Er*ometr(neJ :a*nes(;m s;lfateJ P(to (nJ Premar(nJ Pr(maL(nJ [;to,ar 3$ AC! in9ibitors end (n pril ta)e t!ese dr;*s ' 9our before or & 9ours after mealsJ do 16T ta)e G2 food ( a,to,r(lJ moeL(,r(l)$ Peds: S! T!ese dr;*s G(ll *(7e a false ,os$ for ;r(ne a etoneJ 16T pregnant Gomen an a;se ser(o;s fetal effe ts$ ,at(ent ma4 9eGllJ 1(LJ 6n o7(n (,l;s t!e med-s;r* dr;*s) eL,er(en e =I ;,setJ a,,et(te lossJ d(AA(ness fast !eart rateJ c9ange in tasteF Tea ! ,t to re,ort sore t!roatJ fe7erJ !(lls sGell(n* of !ands and feetJ !est ,a(n and (rre*;lar !eart beats sGell(n* of fa e and e4es l(,s ton*;e d(ff( ;lt4 breat!(n* -$ ARBS #Angiotensing II receptor bloc*ers$ end (n SARTA F Tea ! ,t t!e4 m;st ;se an alternate met!od to b(rt! ontrol G!(le ;s(n* t!ese dr;*s$ S! :a4 eL,er(en e d(AA(nessJ na;seaJ abdom(nal ,a(nJ s4m,toms of 0RIJ o;*!$ Re,ort fe7erJ !(llsJ d(AA(ness and ,re*nan 4 8$ Anti migraine 3r;*s end (n triptanF 16 ta)e G!(le ,re*nant &onta t :3 I::E3$ (f 4o; eL,er(en e !est ,a(n or ,ress;re t!at doesnWt *o aGa4J Re,ort feel(n*s of !eat fl;s!(n* t(rednessJ s( )ness sGell(n* of l(,s and e4el(ds$ S! 4o; ma4 eL,er(en e are: d(AA(ness and droGs(nessJ n;mbness feel(n*s of t(*!tness or ,ress;re -ase # t!rombol4t( -aAe,am # benAod(aAe,(ne -aA(ne # ant(emet( B ,!enot!(aA(de -aAole # ,roton ,;m, (n!(b(torJ ant(f;n*al -barb(tal # barb(t;rate - oL(b # oL 2 enA4me blo )ers 6$ Anti8irals end (n NIR$ - e,2- ef # ant(-(nfe t(7es S! ,t ma4 eL,er(en e are n272dJ loss of a,,et(teJ H?J d(AA(ness$ - a(ne # anest!et( s REP6RT: d(ff( ;lt4 ;r(nat(n*J s)(n ras!J or freH$ re ;rren es$ - (ll(n # ,en( (ll(n - 4 l(ne # ant(b(ot( 7$ Barbituates end (n barbitalF Tea ! ,t t!at t!ese dr;*s ma)e 4o; -d(,(ne # al (;m !annel blo )er droAsy and less anL(o;s donWt tr4 to *et ;, after re e(7(n* t!(s dr;* -floLa (n # ant(b(ot( and t!e4 ma4 eL,er(en e droGs(nessJ d(AA(ness J (m,a(red t!(n)(n*J -(,ram(ne # Tr( 4 l( ant(de,ressant !an*o7erJ $$$AV0I7 7RIVI %F %I ;,setJ dreams (n(*!tmares) d(ff$ -(ne # re7erse trans r(,tase (n!(b(torsJ ant(!(stam(nes on entrat(n*J fat(*;e$ -)(nase # t!rombol4t( s S! Re,ort se7ere d(AA(nessJ droGs(nessJ and Gea)ness and -loneJ ,red- # ort( ostero(d ,re*nan 4 -mab # mono lonal ant(b(ot( s -m( (n # ant(b(ot( J am(no*l4 os(de 8$ Ben3odia3epines end (n pam and lam and (n t!e m(ddle !a7e -na7(r # ,rotease (n!(b(tor e(t!er aAo or aAe$ n(tr-J -n(tr- # n(trate27asod(lator S! are same as abo7e droGs(nessJ d(AA(ness et $ REP6RT: <ENERE -olol # beta anta*on(st droGs(nessJ d(AA(nessJ sGell(n* (n eLtrem(t(esJ d(ff$ 7o(d(n*J -oL(n # ard(a *l4 os(de ,al,(tat(ons -os(n # ?l,!a blo )er -,ar(n # ant( oa*;lant -,raAole # PPIWs 9$ Beta Bloc*ers end (n L0LF -,!4ll(ne # bron !od(lator S! [o; ma4 eL,er(en e d(AA(nessJ droGs(nessJ l(*!t !eadedJ bl;rred -,r(l # ?&E (n!(b(tor 7(s(onJ n27J loss of a,,et(teJ (m,oten eJ de,ress(on$ REP6RT: d(ff$ -stat(n # !olesterol loGer(n* a*ent -sartan # an*(otens(n II blo )er

-sone # *l; o ort( o(dJ ort( ostero(d -st(*m(ne # !ol(ner*( s -terol # /eta 2 ?*on(st -t!(aA(de # d(;ret( -t(d(ne # ant(;l er -tro,!(n # P(t;(tar4 Hormone -7(r # ant(-7(ralJ ,rotease (n!(b(tors -Aos(n # ?l,!a 1 ?nta*on(st -Aolam # benAo2sedat(7e -A(ne # ant(!(stam(ne ? tonel$ ?7odart$ /on(7a$ &elebreL$ &(al(s$ &ore*$ &restor$ 3etrol$ 3(tro,an$ Enbrel$ FosamaL$ H;m(ra$ Ie7(tra$ I;nesta$ 1eL(;m$ PaL(l$ Pla7(L$ Premar(n$ Pr(lose $ Pro r(t <trattera$ NaltreL Nes( are$ N(a*ra$ N(oLL$ N4tor(n$ Fellb;tr(n$ Selnorm$ So or$ S4,reLa$ ?b(l(f4 ?la7ert ?m(t(Aa ?r( e,t &ad;et &4mbalta EffeLor EnableL E7(sta FloGmaL =ardas(l Im(treL ^an;7(a I4r( a :(ra,eL :(rena

1asoneL 1e;lasta 6ren (a Re last ReH;(, Restas(s RoAerem <(n*;la(r <,(r(7a <4mb( ort Some 0t9er Interesting /acts Li*ely To Be 0n T9e Test T!(aA(de 3(;ret( s /< 3(abet( s need food 9 l()e oran*esJ bananas and bro !oll( Vitamine ; (s a nat;ral oa*;lant Foods !(*! (n N(tam(n 9 l()e *reen leafy 8egatables s!o;ld be a7o(ded G(t! blood t!(nners$ 1ormal ,otass(;m le7els 3$8 to 8$0 mEH2l(ter Potass(;m le7els ;nder 3$8 (s H4,o)alem(a Vasodilators: (es, n(tro*l4er(ne) (nn(t(all4 !a7e ort!ostat( !4,otens(on s(de effe t G!( ! Gears off o7er t(me 3(;ret( K Ioo,: &al (;m &!annel /lo )er ?ll l(sted treat H4,ertens(on ?ll Treat H4,retens(on and ?n*(na

AngioTension II Receptor Antagonist ?ll l(sted treat HT1 AC!- In9ibitors: 1) ?re t!e ,r(mar4 dr;* of !o( e for 7asod(lat(on (n Heart Fa(l;re 2) 6ne s(de effe t of ?&E-I (s ort!ostat( !4,otens(on$ 3) ?ll ?&E-I I(sted all treat H4,ertens(on D &HF someJ treat :I Beta Bloc*ers : 1) ?ll l(sted treat H4,ertens(on D ?n*(na 2) :ost Treat &HF D ?rr4t!m(a 3) :;st be ta,er sloGl4 G!en d(s ont(n;ed to a7o(d ?n*(na$ d&om,l( at(ons of H4,ertens(on are: 1) ?n*(na 2) stro)e 3) Renal fa(l;re -) Heart fa(l;red

If d(*(tal(s (s order d=(7e d(*(tals (f 60 > HR > 120 Hold d(*(tal(s (f 60 Q HR Q 120d