Inpatient Curriculum

                                                                                               

Internal Medicine Residency Program

Jacobi Medical Center

 

 

 

 

 

 

 

 

 

William Rifkin M.D.

Version: February 2008

 

 

 

 

Acute Change in Mental Status/Delirium

A. Medical issue, not psychiatric

B. Different from Dementia: rapid onset, waxing/waning, attention is impaired, perception errors

C Very common among: inpatients, baseline demented, elderly (25% of delirious are demented, 40% of

    Demented inpatients are delirious)

D. Common Causes:  (especially in patients with the above noted: ‘substrate’)

1.      Translocation Delirium (sundowning in new environment)

2.      Drugs: anticholenergics, narcotics, benzodiazepines, steroids

3.      Infection of any kind (think common first)

4.      Metabolic: renal, liver, thyroid, hyper/hypoglycemia, electrolytes

5.      Hypoxia

Treatment:

1.      Do not ignore, can be important

2.      Search for proximal cause and remove or treat

3.      Reorientation, mobilize, Close follow-up, reassess often

4.      If severe: consider Haldol .5mg IM and/or posey vest. Avoid wrist/leg restraints; benzos

 

Acute GI Bleed: (hematemesis and/or melena)

Mortality 10%

Asses hemodynamic status by BP and HR

SBP <100: severe blood loss

HR>100 and SBP >100: moderate blood loss

HCT not reliable initially

·         Two large bore IV’s

·         Type and Cross 2-4 units,  CBC, PT/PTT, Chem 8, LFT’s

·         NG Tube Placement and aspiration (clear aspirate = lower risk)

·         IF moderate-severe blood loss:

IVF: NS wide open

Transfuse PRBC’s

FFP for platelets less than 50K or on ASA and for each 5 units of PRBC’s transfused

DDAVP IV (0.3 micrograms/kg) for uremic patients

IV Octreotide (100 mcg bolus, then 50-100 mcg/hr) for those with suspected liver disease or portal hypertension and active upper GI bleeding

·         D/C all NSAIDS and obtain GI and Surgical evaluations

 

Acute Respiratory Failure:

A.     Definition

  1. At least two of: dyspnea, room air PO2 <50, PCO2 >50 or acute reduction in arterial pH
  2. ABG is critical, unless emergent use SC lidocaine

B.     Signs and Symptoms

  1. Hypoxemia: dyspnea, cyanosis, restlessness, confusion, anxiety, delirium, tachypnea
  2. Hypercapnea: hypertension, tachypnea, stupor, confusion, lethargy, papilledema.

C.     Causes (history is paramount)

  1. Airway Disorders

COPD

Asthma

  1. Parenchymal Lung Disorders

Pulmonary Embolism

Pulmonary Edema

Pneumothorax

Pneumonia

  1. Chest Wall Disorders

Pickwician (obesity)

Neuro-muscular

  1. Central Nervous System Disorders

Drug Effects (respiratory suppression)

Narcotics

Benzodiazepines (in those with COPD, ETOH or barbiturates)

Brain Stem Disease or Herniation

D.     Treatment

Specific Therapy directed towards underlying cause

Reparatory Support as per ABG

Supplemental oxygen is only needed is patient is hypoxic (PO2 <60, Sat <88%)

Supplemental oxygen can suppress respiration in those with hypoxic drive to breathe

PCO2 elevated at baseline: “CO2 retainers” (normal or near normal pH with high PCO2)

Use minimum oxygen to raise PO2 to 60 (sat to 90%), above this amount may be harmful

Do not withhold needed supplemental oxygen in retainers, use CPAP, BIPAP or intubation

Check patient status often: RR, pulse ox, ABG, adjust oxygen as needed

If cannot balance oxygen needs and pH or PCO2 consider CPAP, BIPAP or Intubation

If cannot oxygenate adequately by non-invasive means consider CPAP, BIPAP or Intubation

 If patient cannot maintain adequate ventilation (rising PCO2, falling pH): intubate

 

CALCIUM

Hypercalcemia:

·         Adjust for albumin level or measure ionized calcium level

·         Signs/Symptoms: “Bones, stones, groans and psychic overtones” (fractures, renal stones, abdominal pain, depression, change in mental status, constipation, polyuria, stupor and coma)

·         Primary hyperparathyroidism and malignancy account for 90% of all cases

Treatment: (if marked or symptomatic)

IVF (1/2 NS or NS at 250-500 ml/hr) and furosemide (20-40 mg IV every 2 hours)

If severe or malignancy: bisphosphonates (Pamidronate 90mg IV over two hours), but takes days to work

If severe: Calcitonin 4 IU/kg IM/SC/intranasal every 12 hours (works rapidly), skin test before 1st dose

Hypocalcemia:

Correct for albumin level. No treatment if due to low albumin

Most commonly due to renal failure (low Ca++, high PO4++)

Signs and Symptoms:  muscle spasm, cramps, tetany, convulsions, parathesias, Chvostek’s sign, long QT

Treatment:

1.      Severe, Symptomatic: IV calcium gluconate (10%) 10-20 ml over 10 minutes, then IV infusion (6-8 10ml vials of 10% calcium gluconate in 1 liter of D5W over 4- hours). Monitor and maintain serum calcium at 7-8.5 mg/dL

2.      Asymptomatic:  oral calcium (1-2 g) and Vitamin D. Replace Mg++ if low

 

POTASSIUM

Hyperkalemia:

Causes: spurious (hemolyzed), renal failure, over-supplementation, acidosis, hypoaldosteronism

Signs/Symptoms:  muscle weakness, abdominal distention, diarrhea, VT/VF, death

            Note: ˝ of patients with K+> 6.5 Meq/L will have normal ECG’s. (No peaked T waves, widened QRS)

Treatment:

1.      Confirm elevation is genuine, D/C supplementation

2.      If no ECG changes:  Kayexalate 40-80 mg PO/PR/day divided BID/TID and/or furosemide IV/PO (effects over 1-3 hours) (0.5-1 meq of K+ removed per 1 g of Kayexalate)

3.      If  symptomatic, ECG changes or K+> 6.5 meq/L (acutely):  options:

  1. Calcium Gluconate 10% 5-30 ml IV or Calcium Chloride 5% 5-30 ml IV (immediate cardioprotection, no removal of K+ stores)
  2. NaHCO3 44-88 Meq (1-2 amps) IVP (K+ shift into cells in 15 minutes, no removal of K+ stores)
  3. Regular insulin 5-10 units IV, plus 25 g of 50% glucose (1 amp) IVP (K+ shift in 15 minutes, no removal of K+ stores)
  4. Reduction of K+ stores as above with Kayexalate and furosemide and/or dialysis

4. Frequent monitoring of serum K+

 

 

 

Hypokalemia:

Causes: renal losses, diuretics, hypomagnesemia, GI losses

Signs/Symptoms: muscular weakness/cramps, fatigue, hyporeflexia, tetany, broad T, prominent U waves, ST depressions on ECG

Treatment:

1.      Mild-Moderate: oral K+ supplementation (40 meq PO every 8 hours till normal), monitor serum K+

2.      Severe (< 3.0 meq/L) or unable to take PO:   IV K+, (concentration no greater than 40 meq/L, rate no faster than 40 meq/L/hr), continuous ECG monitoring, check K+ every 3-6 hours.

3.      If resistant to correction consider and supplement low Mg++ levels

 

SODIUM:

Hyponatremia: (<130 meq/L)

Most common electrolyte abnormality in general medical inpatients, seen in 2% of patients

Initial Approach:

Measure Serum Osmolality

A. Normal (280-295 mosm/kg) defining isotonic hyponatremia: (psuedohyponatremia)

1.      Hyperproteinemia:

2.      Hyperlipidemia

Rx: none (treat underlying problem)

B. High (>295 mosm/kg) defining hypertonic hyponatremia

1.      Hyperglycemia

2.      Mannitol, sorbitol, glycerol, maltose

3.      Radiocontrast agents

Rx: treat reversible causes (high glucose)

C. Low (< 280 mosm/kg) defining hypotonic hyponatremia (most common, true hyponatremia)

Determine Volume Status: (JVP, orthostatic changes, skin turgor, dry axilla)

I. Hypovolemic

If urine Na+ < 10 meq/L          If urine Na+ > 20 meq/L

Extra-renal salt loss:                 Renal Salt Loss:

Dehydration                 1. Diuretics

Diarrhea                                   2. ACE Inhibitors

Vomiting                                  3. Nephropathies

4. Mineralcorticoid Deficiency

5. Renal Na+ Wasting

Rx: IVF with NS or ˝ NS, add mineralcorticoid if deficiency suspected                                           

II. Euvolemic

SIADH (some causes: any CNS process, pulmonary TB, pneumonia or neoplasm, other neoplasms, some drugs: antidepressants, antineoplastics, carbamazepine, neuroleptics)

Postoperative hyponatremia

Hypothyroidism

Psychogenic Polydipsia

Beer Potomania (or Tea and Toast diet, leading to loss of intra-renal solute and urine concentration)

Idiosyncratic drug reaction (thiazides, ACE-I)

Rx:

Symptomatic (seizures, MS changes)

Correct Na+ no faster than 1 meq/L/hr (but no more than 12 meq/L on first day to avoid central pontine myelinolysis. Slow rate of correction to 0.5 meq/L/hr once symptoms improve. Initial goal: serum Na+ of 125-130 meq/L.

Saline plus furosemide: 3% saline (1-2 mL/kg/hr) plus furosemide (0.5-1 mg/kg IV). Measure serum Na+ every four hours and re-adjust accordingly.

Asymptomatic hyponatremia:

1.      Correct Na+ no faster than 0.5 meq/L/hr, no more than 12 meq/L in first 24 hours Improvement should occur over days

2.      Water restriction: 500-1000cc/day

3.      IV NS plus furosemide may be used if serum Na+ is less than 120 meq/L

4.      Demeclocycline (300-600 mg PO BID) inhibits ADH. Onset of action: 1 week Not used in liver failure

5.      Fludrocortisione: if cerebral salt-wasting syndrome

III. Hypervolemic (edematous states)

CHF

Liver Disease

Nephrotic Syndrome

Advanced Renal Failure

Rx:

1.      Treatment of underlying condition

2.      Water restriction (1-2 L/day)

3.      Diuretics: used cautiously, w/o increase in free water intake

4.      3% Saline (200cc plus furosemide) vs. emergent dialysis: only if severe (<110 meq/L) and CNS symptoms

5.       

Hypernatremia: (Na+ > 145 meq/L)

1. An intact thirst drive (or access to water) prevents, only seen when appropriate water intake is not possible

2. Signs/Symptoms:  orthostatic changes, oliguria, hyperthermia, delirium to coma

Evaluation:

A. Urine Osmolality > 400 mosm/kg:  renal  water-conserving ability intact

i.                    Nonrenal losses: sweating (fever), respiration, stool

ii.                  Renal losses: Osmotic diuresis (hyperglycemia, mannitol)

B. Urine Osmolality < 250 mosm/kg:  Diabetes Insipidis

i.                    Central

ii.                  Nephrogenic (lithium, demclocycline, s/p obstruction, interstitial nephritis)

Treatment:  Fluid therapy should be administered over a 48-72 hour period, aiming for a decrease in serum Na+ of no more than 1meq/L/hour. If corrected too rapidly: cerebral edema, coma, death.

A. Calculate water deficit:  Volume in L = Total Body Water X  (measured Na+ - 140)/140

     TBW = weight in Kg  X  (50% for men over 60 and women under 60)

                                              (60% for men under 60, 40% for women over 60)

B. Add maintenance needs (usually about 1 L/day if minimal extra renal losses)

C. Use ˝ NS IV to replete ˝ of calculated deficit over first 24 hours, the other half over the next 48 hours.

i.                    half the volume of ˝ NS infused is ‘free water’, thus 2 L of ˝ NS (84 cc/hr) provides 1 L of free water

ii.                  add glucose and potassium as needed to the solution (if NPO or hypokalemic)

iii.                if severely hypovolemic and hyperosmotic, can begin repletion with NS

       D. Measure serum Na+ at least every 6 hours to assure proper rate of correction and to re-calculate deficit

 

GLUCOSE:

Hyperglycemia:  (serum glucose > 200)

A.     Usually due to DM and/or steroid use. Check for glucose in IVF.

B.     If not critically ill and taking PO, continue home regimen

1.      Be aware that concurrent illness can lead to higher glucose levels, may need short term modification

2.      Discontinue metformin if any likelihood of contrast administration

3.      Best to simulate home eating patterns (if not on ADA diet at home, don’t have to employ as inpatient) to best allow realistic adjustments

C.     If acutely ill, worse control or not PO, use insulin to control serum glucose

1.      Common error: admit with ‘sliding scale’ coverage and FS QID, but never checking results and need to adjust coverage. For most diabetics, the initial sliding scale is not sufficient for adequate control. Should assess “prn” sliding scales needs for previous 24 hours and fold into standing doses (see below)

2.      Common error: discontinuing standing insulin used at home. May need to reduce if less PO, but if patient needs insulin at home, will also in the hospital adjusted to FS measurements.

3.      Goal: usually less strict control than desired for stable outpatient. However, some evidence that inpatient course can be improved with reasonable control (<200). Specifically post MI or infected.

D. Determination of NPH insulin dosage:

1.      Measure FS QID (before meals and QHS)

2.      Control with sliding-scale regular insulin:  example: (those on high doses of insulin at home may need a scale with higher dosages)

3.      Determine the previous days’ total amount of regular insulin given and give 2/3 of this dosage as NPH before breakfast and continue sliding scale coverage, with further adjustment each day. If giving more than 2/3 of calculated needs as NPH, then discontinue sliding scale coverage to avoid hypoglycemia. Continue regular FS to determine adequacy of control.

4.      For more fine-tuned control, can divide the AM and PM dosage into NPH and Regular, as follows: 2/3 of total needs in AM (2/3 as NPH, 1/3 regular), one-sixth as regular with dinner, one-sixth at bedtime as NPH.

For example:  if total daily needs in 36 u

                              24 u before breakfast (16 u NPH, 8 u Regular)

                              6 u regular with dinner

                              6 u NPH at bedtime

5.      Be aware that changes in oral intake and overall condition can necessitate downward adjustment of dosages.

6.      Once fairly stable FS achieved can reduce FS orders to BID

7.      No usual role for lispro (super-short acting) or ultralente (super-long acting) unless part of home regimen.

Insulin Kinetics:

                                    Onset               Peak                 Duration

Regular                                    30-60 min        2-4 hrs             6-8 hrs

NPH                             1-2 hrs             6-12 hrs           18-24 hrs

                             

ANTICOAGULATION:

Guidelines for the Initiation, Monitoring and Clinical Use of Anticoagulant Therapy

(from the Anticoagulant Consensus Panel, Chest, 2003)

Unfractionated IV Heparin for DVT, PE or Acute Coronary Syndromes (ACS):

Initiation

1.      Check baseline PT/PTT, CBC

2.      Give bolus: 80 units/kg IV

3.      Begin infusion at 18 units/kg/hr IV

4.      Target PTT: 60-110 (institution specific)

Monitoring:

1.      PTT six hours after bolus

2.      PTT every six hours after dose change

3.      When two consecutive PTT’s are therapeutic can check PTT every 24 hours

4.      Order CBC with platelet count every three days during treatment (if platelet count falls consider heparin-induced thrombocytopenia or HIT)

Low Molecular Weight Heparin (LMWH)

Lovenox (enoxaparin) is on formulary, routine monitoring of PTT is not necessary, platelet counts are.

Indication:                   Dose

DVT prophylaxis         30mg SC q 12 hours

DVT treatment             1mg/kg SC q 12 hours (or 1.5 mg/kg SC QD), decrease dose if CrCl < 30 ml/min

ACS                             1 mg/kg SC q 12 hours (for at least 2 days)

Coumadin (Warfarin)

Can initiate concurrently with heparin unless patient suspected of having a hyper-coagulable state

Day 1:  baseline INR, dose 5 mg PO, (2.5 mg if liver disease, CHF, malnourished, over 80 or on medication that can significantly potentate Coumadin

Day 2 :  Check INR:                If INR < 1.5 give same dose

                                                If INR > 1.5 give lower dose

Day 3: Check INR:                  If INR < 1.5  patient will likely need higher 5mg maintenance dose

                                                IF INR 1.5-2.0  patient will likely need 5 mg maintenance dose

                                                IF INR > 2.0    patient will likely need less than 5mg maintenance dose

Heparin and Coumadin therapy should overlap for 4-5 days and a therapeutic INR on 2 consecutive days should be obtained before heparin is discontinued

Coumadin is contraindicated in:

Ř  Patients where the risk of hemorrhage outweighs the potential benefits of therapy

Ř  Pregnancy

Ř  Alcoholism/drug abuse (active)

Ř  Unsupervised dementia/psychosis

 

Therapeutic Goals:

Indication                                INR Target (range)                Duration of Therapy

DVT prophylaxis                     2.5 (2-3)                                  post-operative (weeks)

Treatment of DVT/PE              2.5 (2-3)                                  at least 6 months

Tissue Heart Valves                 2.5 (2-3)                                  variable number of months post operatively

A-fib                                        2.5 (2-3)                                  lifelong or until contraindicated

Recurrent DVT/PE                   2.5 (2-3)                                  lifelong or until contraindicated

Mechanical heart valves                      3.5 (3-4)                                  lifelong

 

Managing excessive prolongation of the INR or bleeding while on Coumadin:

Minor/No Bleeding                

INR                                                     Recommendations

Above therapeutic, but < 5                  Hold dose; restart at same or lower dose when INR is therapeutic

5.0-9.0                                                                                                  Hold dose; recheck in 24 hours; restart at lower dose when INR is therapeutic

Oral vitamin K (1.0-2.5 mg) if high risk of bleeding (e.g. recent surgery)

9.1-20.0                                                                                              Hold dose; restart at lower dose when INR is therapeutic

Oral vitamin K (2.5-5.0 mg) can be given

> 20.0                                                  Hold dose; restart at lower dose when INR is therapeutic

                                                            Vitamin K (5-10 mg) can be given IV/SC

                                                            Check H/H

                                                            FFP can be given if high risk of bleeding (e.g. recent surgery)

Serious Bleeding  (e.g. fall in H/H, GI, CNS)

INR therapeutic or elevated                 Hold dose;

                                                            Vitamin K (5-10mg) IV

                                                            FFP (15 ml/kg)

                                                            Manage source of bleeding

AUTOPSY POLICY:

Ask for autopsy from family in all inpatient deaths. If necessary chaplains can help explain different religion’s precepts and prohibitions. Autopsy is important source of medical education. It is estimated that about 20% of autopsies reveal new information on presumed diagnosis or cause of death. Autopsy should be especially encouraged in cases of:

1.      Unexpected or unanticipated deaths

2.      Deaths due to unknown cause

3.      Family (genetic or family history issues) or public concern (high-risk infectious diseases)

4.      Unexpected or unexplained deaths during or following dental, medical or surgical procedures

5.      Deaths of patients who have participated in clinical trials or protocols

6.      Deaths known or suspected to have resulted from environmental or occupational hazards

 

 Deaths occurring under the following circumstances must be reported to the medical examiner (who will rule on exact follow-up):

1.      All forms of criminal violence or from an unlawful act or criminal neglect

2.      All accidents (MVA, industrial, home, etc.)

3.      All suicides

4.      All deaths that are caused or contributed to by drug and/or chemical overdose or poisoning

5.      Sudden death of a person in apparent good health

6.      Deaths which occur unattended by a physician and where no physician can be found to certify the cause of death. Unattended shall mean not treated by a physician within 31 days preceding death.

7.      Deaths of all persons in legal detention, jails or police custody. This category also includes any prisoner who is a patent in a hospital, regardless of the duration of hospital confinement.

8.      Deaths which occur during diagnostic or therapeutic procedures or from complications of such procedures

9.      Deaths due to disease, injury or toxic agent resulting from employment

10.  When there is an intent to cremate or dispose of a body in any fashion other than interment in a cemetery

11.  Deaths which occur in any suspicious or unusual manner

 

 

ACUTE CHANGE IN SERUM CREATININE: (Acute Renal Failure)

·         Marker for GFR

·         If absent renal function, can increase by 1-1.5 mg/dL per day

·         2-5% of hospitalized patients develop ARF

·         Fractional excretion of Na+ is very helpful in differentiating pre-renal from renal causes (if oliguric):

FeNa+ = Urine Na+/Plasma Na+          X 100%

                Urine Cr/Plasma Cr

For all causes: watch fluid status and electrolytes carefully and adjust medication dosages

Consider acetylcysteine (Mucomyst) when using IV contrast, especially in diabetics (dosing as order set in MACS)

Classification and differential:

Etiology          Prerenal                                  Postrenal                     Intrinsic (usually ATN)

BUN/Cr           > 20:1                                      > 20:1                          <20:1

FeNa (%)         <1                                            varies                           >1

Sediment          benign                                      RBC’s or WBC’s         renal tubular casts (ATN)

                                                                                                            red cell casts (glomerular disease)

                                                                                                            white cell casts (interstitial nephritis)

Causes             dehydration                             BPH                             ischemia

                        over diuresis                blocked Foley                          contrast (especially Diabetics)

                        heart failure                                                                 medications (nephrotoxic or allergic)

 

Treatment        maximize volume status          Foley (or replace)        maybe IVF and furosemide hastens recovery 

                                                                                                            Remove inciting agent

                                                                                                            Recovery, if at all, is over weeks

PAIN:

1.      Consider as fifth vital sign

2.      Frequently undertreated

3.      From ACHQ Guideline:

A: Ask about pain regularly (quality, description, location, intensity, duration)

B: Believe the patient

C: Choose appropriate options, dosage, frequency

D: Deliver interventions in a timely, logical manner

E. Empower the patients, (PCA if appropriate)

F: Follow up and reassess often

4.      Start with acetaminophen and NSAIDS, use narcotics if needed

5.      Determination of source of pain is crucial, it is a symptom, not a diagnosis

6.      For narcotics:

Use short acting to titrate (fentanyl patch takes 24-36 hours to kick in), then convert to longer acting formulations

Try to use one medication at a time, to ease titration

Morphine is cheapest and has most flexible dosing options (SL, PR, PO, IV, SC)

Assure equianalgesic dosing when converting from IV to PO

Always prescribe a standing dose with breakthrough dosing

Prescribe with laxatives to avoid constipation

Toxicity usually from the combined drug (ASA, acetaminophen), no upper dose of narcotic, based on pain and side effects (sedation, nausea, vomiting, constipation, delirium)

7.      Common Errors

·         Undertreat due to fear of addiction:  Addiction very unlikely unless h/o substance abuse

·         Fear of narcotic respiratory suppression: titrate carefully, hold for sedation. Patient will not go directly from pain to respiratory sedation, will have sedated state in-between (if emergency, can reverse with naltrexone 0.1-0.2 mg IVP, may need to repeat if reversing a long-acting narcotic)

·         Prescribe incorrectly: frequency of meds should correspond to half-life (IV= 3 hours, PO= 4 hours), “Drug seeking” behavior is often merely due to medication wearing off

·         Demerol: do not use,  neurotoxic metabolites, IM hematomas, no evidence that increases biliary tree pressures

·         PRN:  in most patients “PRN” is not a good idea as pain is harder to treat once established, nurse may think patient is drug seeking, delays administration, language barriers

·         Benefit of Cox-2 inhibitors is over long term treatment, not acutely. No added analgesic effects.

·         Renally adjust all medications, watch NSAIDS carefully in CRF

·         Codeine is a very weak analgesic, usually more side effects than others

·         Whenever standing dose prescribed, should add breakthrough dosing

Acetaminophen/NSAIDS

Drug                                        Usual Dose                              Frequency                    Comments

Acetaminophen                                   650-1000 mg PO                     q4-6 h                          Daily total < 4 g

Ibuprofen (Advil, Motrin)        400-800 mg PO                                   q6 h                            

Ketorolac (Toradol)                 10 mg PO                                 q4-6 h                          Max. 4 doses/day

                                                60 mg IM                                 Once

                                                30 mg IM                                                                     Max 5 day use

Narcotics

Drug                                        Usual Dose                              Frequency                    Comments

Morphine                                 30 mg PO/PR                           q4 h                            

                                                10 mg SC/IV                            q3 h

MS Contin                               90-120 mg PO                         q12 h                                                              

Hydrocodone/acetaminophen  1-2 tabs                                                q4 h                             Max 4g/day acetaminophen           

(5/500, 7.5/750,10/660)

Oxycodone/acetaminophen     1-2 tabs                                                q4 h                             Max 4g/day acetaminophen

(5/325, 7.5/500, 10/650)         

Tramadol (Ultram)                   50-100 mg PO                         q4-6 h                          Opiod/Non-opiod actions       

Cautions:

Adjust dosage in renal failure and elderly

See a separate prescribing guide for details

Effects are very individual, adjust according to response (use lower dose if sedated, higher dose if pain not controlled)

Use MMC Pain Management Guide (green card) for more details

 

HYPERTENSIVE URGENCIES AND EMERGENCIES:

Urgency: 

·         Asymptomatic

·         SBP >220 mmHg or DBP > 125 mmHg and

1.      Optic disk edema or

2.      Progressive target end organ complications or

3.      Periooperative

·         BP must be reduced within a few hours

·         High BP alone rarely requires urgent/emergent therapy (can control with PO, gradually)

 

Emergency:

·         Require substantial reduction of BP within 1 hour to avoid serious morbidity or death

·         Not defied by specific BP reading (although usually very high)

·         Defined by end organ damage:

Hypertensive encephalopathy (HA, irritability, confusion and altered mental status) or

Hypertensive nephropathy (hematuria, proteinuria or progressive renal dysfunction) or

Intracranial hemorrhage or

Aortic dissection or

Preeclampsia-eclampsia or

Pulmonary edema or

Unstable angina/MI

·         Parenteral therapy is indicated

·         Goal: reduce BP by no more than 25% in first minutes to 2 hours, then towards 160/100 within 2-6 hours

·         Do not use sublingual or oral short-acting nifedipine (Procardia) (drops BP too quickly)

 

 

 

 

 

Pharmacologic Management:

IV Agent                      Dose                            Onset               Duration          Comments

Nitroprusside               0.25-10 mcg/kg/min     seconds                        3-5 min                        Most titratible, fastest, CN toxicity

                                                                                                                        Need a-line,

Nitroglycerin                0.25-5 mcg/kg  /min     2-5 min                        3-5 min                        Used in acute coronary syndromes      

Labetalol                      20-40 mg q 10 min      5-10 min          3-6 hrs             Good in pregnancy, can covert to PO

                                    Or 2 mg/min infusion 

Enalaprilat                   1.25 mg q 6 hrs                        15 min             >6 hrs              Can convert to PO

Furosemide                  10-80 mg                     15 min             4 hrs                Unpredictable onset, good for CHF

 

Oral Agent (less acute) Dose                            Onset               Duration          Comments

Clonidine                     0.2 mg initially,                        30-60 min        6-8 hrs             sedation, rebound

                                    Then 0.1 mg q 1 hr

                                    To total of 0.8 mg

Captopril                      12.5-25 mg                  15-30 min        4-6 hrs             variable-excessive response

 

Inpatient Prevention:

A.     Infections

5% of those hospitalized w/o infection acquire a nocosomial infection

a.       UTI from Foleys (most common cause)

i. Only use Foleys when medically necessary, not to prevent/treat decubiti (Rx is good nursing care)

     ii.  Remove foleys when placed w/o rationale

    iii. Foley must be removed to clear a UTI

b.      Bloodstream infections from IV lines

i. Check lines frequently, remove at first sign of infection (red, tender, warm, indurated)

ii. Remove all lines when no longer medically needed (off IV meds or fluids)

iii. Femoral Lines are for emergencies only. Change to less infection-prone site ASAP

c.       Not all fever indicates infection

i. unless clinically septic (shock-like picture) can usually ‘round up usual suspects’ (blood/urine cultures, U/A, check lines, chest x-ray) and assess results before starting antibiotics

ii. Indiscriminant use of antimicrobials makes further assessment of infectious source difficult

d. Wash your hands (use purgell dispensers) after every patient contact. This is not only mandatory, it is good medicine.

Contact Precautions

a. Patients on contact precautions: all persons entering the patients’ room must wear gloves (whether or not they plan to touch the patient) and remove gloves/wash hands upon leaving the room. If patient has open wounds or the examiner expects possible blood/fluid exposure gowns must be worn and removed upon leaving the room.

B.     DVT Prophylaxis

options

a.       unfractionated heparin 5000 u SC TID

b.      Lovenox 30mg SC BID (ortho), 40mg SC QD (non-ortho)

c.       Intermittent compression device (especially if bleed risk, CNS surgery); inferior to heparins

C. GI prophylaxis

1.      Indications to prevent upper GI bleeding in inpatients:

a.       patients with coagulopathy

b.      patients with respiratory failure (on vents)

c.       strong history of upper GI bleeding (recent)

d.      maybe if on: steroids or high-dose NSAIDS

2.      Should usually use a proton-pump inhibitor (PPI)

a.       PO is fine

b.      Most can be discontinued upon discharge

D.     Radiology Issues

Do not order a MRI or MRA on any patient with ANY metal in them. For example, pacemakers, brain aneurysm clips, implanted drug infusion device, metal in eye, stents, heart valve, Cava filter, etc. If at all unsure, ask the radiologist. Do Not order a MRI or MRA on a patient you do not know without carefully reading the chart, x-rays AND examining the patient. (Each year a couple of patients with pacemakers are sent for MRI)

All necessary sedation for radiology procedures should be performed on the inpatient unit, under observation. In any event any use or preparation of sedatives requires an order in the computer and a explanatory note in the chart detailing the reasons for sedation, monitoring, follow-up etc.

E.      Restraints

Only to be used when needed to promote patient safety

Use alternative means (reorientation, address pain or metabolic issues, medications) whenever possible

Use least restrictive means possible (poesy vest better than wrist/leg restraints to prevent falls)

Reassess need often, be sure to address underlying issues

Indication for restraints is considered “medical” if behavior disturbance (for example delirium, dementia) is due to a medical, infectious, metabolic (or the like) issues. “Behavioral” indications include acute psychiatric disturbances such as suicidality.

 

Avoiding iatrogenica:

·         Never assume

·         D/C IVF

·         D/C Foleys

·         DVT PPX

·         GI PPX

·         Bowel regimens

·         Trend: VS and Labs

·         Think before daily labs

·         Examine skin and wounds

·         Review Med lists daily

·         Adjust for renal failure

·         Confirm admission med doses

·         Question admission dx

·         Follow up on official radiology report

Sign-Out:

·         Critically important

·         Go over with resident

·         Brief history and updated active issues

·         Code Status

·         “To do list”

·         Culture if spike

·         Access

·         Only sign out issues that affect overnight care

·         Do not sign out procedures or post procedure films

·         Anticipate and have a plan

·         T and C if appropriate

·         If sign out lab/radiology: “what looking for and then what”

 

Presentations and Progress Notes:

·         Brief ID of patient

·         Events of last 24 hours

·         Vitals, I/Os, lines, vent settings

·         Meds: including day of abx

·         Focused PE

·         Labs/cultures

·         Recent imaging

·         Problem based plan

 

 

 

Definition of SIRS/Sepsis

SIRS requires two of:

·         Temp >38 or < 36

·         HR >90

·         RR >20

·         WBC >12K or <4K or >10% bands (if band count reliable)

Sepsis: SIRS with source of infection

Septic Shock: Sepsis with hypotension and e/o organ hypo-perfusion despite IVF resuscitation

 

Cross Coverage:

·         If called: GO SEE THE PATIENT

o   Assess

o   No phone orders

§  Rare exceptions, but still need to see

·         ALWAYS LEAVE A NOTE:

o   Why you were called

o   VS and focused exam

o   A/P and F/U

Blood:

·         Products

o   PRBC: RBCs, for symptomatic anemia, fluid resuscitation; 1 u is 300-400cc and = about 1 gm Hg

o   FFP: All plasma coagulation factors; for clotting factor deficiencies, reversal of PT/PTT, TTP; 220cc

o   Cryo: Factor 8, VWF, Fibrinogen, Factor 13, Fibronectin: for hemophilia A, vWF disease,  15cc

o   Platelets: for bleeding from plt deficiency, poor function, inhibition, save this bullet: autoimmunization 50cc, should see about 10K rise if not auto immunized

·         Transfusion Reactions:

o   All but mild: stop transfusion, IV NS, verify product, d/w blood bank, send specimen and sample of product prn

Type                Signs/Symps                            Mechanism                              Mgmt

Mild allergic     pruritis, urticaria                      Ab to plasma proteins             benedryl and may re try transfusion

 

Severe allergy  SOB, abd pain,                                    Abs to plasma proteins                        as for all, benedryl, sc epi, steroids,

low bp, anaphylaxis                                                                 use washed rbc’s in future

 

Fever               chills, rigors, SOB, anxiety      abs to wbc antigens                  as for all; antipyretics; premedicate

 

TRALI                         Fever, chills, sob, ARDS          abs from donor plasma to pt wbc        as for all, supportive

 

Acute hemolytic  CP, flank pain, shock,                      ABO incompatible                   as for all, steroids, induce diuresis,            

                                                                                                Monitor for ARF, DIC, Low BP

Septic               Fever, chills, low bp                bacteria in product                   as for all, culture pt and product

 

 

Resources ‘at the speed of care’ for background questions:  online via computer (AECOM Library Website)

·         Up to Date

·         Harrison’s Online

·         Current Medical Diagnosis and Treatment

·         Merck Manual

·         Many others

 

 

 

 

 

 

A stepwise approach to assessing an acid-base problems.

Look at the pH. Is it acidemic, normal, or alkaline?

 

When you have made the decision about pH look at the carbon dioxide concentration. It is

<40, 40, or > 40? This will allow you to determine if the pH change is due to respiratory or

metabolic disturbance

 

Look at the plasma bicarbonate concentration. Is it < 24, 24, or > 24?

 

Look at the plasma anion gap. This is particularly of used in assessing metabolic acidosis.

 

Look at the plasma chloride concentration, and look at it in relation to the plasma bicarbonate

concentration. Note that normal anion gap metabolic acidosis is associated with hyperchloremia,

a normal anion gap, and a low plasma bicarbonate.

 

In contrast, increased anion gap metabolic acidosis has a normal plasma chloride, a reduced plasma bicarbonate, and increased unmeasured anions (increased plasma anion gap). In metabolic alkalosis, particularly those associated with chloride depletion, such as nausea and vomiting or diuretics, the plasma chloride concentration is low in association with an increased plasma bicarbonate concentration.

 

Golden rules of determining if an acid-base disorder is a simple or mixed disorder:

1. In a simple acid-base disturbance the plasma bicarbonate and CO2 concentrations change in

the same direction. If they don't, it is a mixed disorder.

 

2. In a simple acid-base disorder, the appropriate secondary response must be present. If they

are not present, it is a mixed disorder.

 

3. In a simple acid-base disorder, the secondary response never fully corrects the pH. They

bring pH back toward normal. If they fully correct the pH or overshoot, it is a mixed acid-base

disorder.

 

Clinical description in pointing toward specific acid-base disorders:

1. Tachypnea suggests hyperventilation and, therefore, respiratory alkalosis.

2. Obstruction to airway flow or inability to breathe, such as oversedation, suggest impaired gas

exchange by the lung; therefore, increased carbon dioxide concentration which is respiratory

acidosis.

3. Nausea and vomiting, chloride depletion metabolic alkalosis

4. Diuretics, chloride depletion metabolic alkalosis

5. Diarrhea results in direct bicarbonate loss from the gut, resulting in normal anion gap

metabolic acidosis.

6. Chronic renal insufficiency when mild to moderate typically results in normal anion gap

metabolic acidosis. More advanced renal failure results in the retention of acid anions, such as

phosphate and urates, and has an increased anion gap metabolic acidosis.

7. Type I diabetic, off insulin, suggests ketoacidosis, which is a cause of increased anion gap

metabolic acidosis.

8. Circulatory shock from any cause will tend to result in anaerobic metabolism leading to lactic

acidosis with an increased plasma anion gap.