amirhossein
Forum Guru
Topics: 57
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Let's develop some general orders for different patient categories, like unstable patient, chest pain, breathlessness, abdominal pain, bleeding and etc.
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| amirhossein
Forum Guru
Topics: 57
Posts: 859
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For every patient at ER:
Pulse Oximetry before doing anything, it is part of needed vital sign!
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| amirhossein
Forum Guru
Topics: 57
Posts: 859
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Pre-op patient:
- NPO
- Type and Cross Match
- Antiobiotics (in case like appendicitis, ruptured or unruptured)
- Advanced Directive (For old patient and high risk surgery)
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Hemodynamically Unstable Patient:
- Pulse oximetry
- O2 (no need to type oxygen, O2 works)
- IV Access
- Cardiac Monitoring
- BP monitoring (no need to type Blood Pressure, Just BP is enough)
- Push fluids (if BP down or dehydrated)
if needed:
- EKG
- CXR (AP/Lat or Portable AP)
- Cardiac Enzyme ( Troponin I is inside, no need to type it again)
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P.S. Waiting for your kind comments 
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| amirhossein
Forum Guru
Topics: 57
Posts: 859
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No need to do consults, Do your job, if consult is required, system will ask you to do so.
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| seri
Forum Senior
Topics: 4
Posts: 190
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i'd made a things to remember list for the ccs
for instance
pair NPO with omeprazole
pair complete bed rest with pneumatic compression device
discontinuation of antithyroid drugs 3-5 days before radioablation
in case of abnormal tft make sure to recheck tft 6 weeks after starting drugs
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| whiterabbit
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Wow ........u guys r good am prep for CCS now will take this into account 
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| preethikallu
Forum Elite
Topics: 35
Posts: 190
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unstable cardiac pt
pulse oximetry
oxygen
cardiac monitor
bp monitor
intravenous acess
normal saline
next quick physical
aspirin
nitro
b blocker
ace inhibitor
morphine
ecg
cxr
echo
car enzymes
card catheterisation
angioplasty
monitor frequent vitals,cbc, bmp, pt, ptt
counsel, advise of good habits
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| preethikallu
Forum Elite
Topics: 35
Posts: 190
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hope this helps, plz correct it if wrong
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| preethikallu
Forum Elite
Topics: 35
Posts: 190
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For
cardiac tamponade- pericardiocentesis
followed by ecg, cxr, cbc,vitals
acute pericarditis- naproxen
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| amirhossein
Forum Guru
Topics: 57
Posts: 859
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Labs for cardiac pt or chest pain in old men and women
CbC-diff, Lipid profile, TSH, Coagulation profile.
Labs for any infection:
- CBC-diff
- CRP, ESR
- Culture and Sensitivity from the site of infection ( Cervix, Urethra, Ulcer, Bronchial Washing, Nasal Secretions, etc)
- Gram stain, AFB Staining
- X-ray (if applicable)
- PPD (if applicable)
- Blood culture x 2 (if applicable)
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| karusmle
Forum Guru
Topics: 292
Posts: 986
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amirhossein , i have sent u a pm , check it out
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| amirhossein
Forum Guru
Topics: 57
Posts: 859
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DIC Panel: d-Dimer, Fibrinogen, Blood Smear
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