The Washington Manual Internship Survival Guide (38 page)

Gout,
173

Gram-negative bacteria,
124

Gram’s stain,
70

G-tubes, end-of-life and,
24
t

Hallucinations,
188
,
189

Haloperidol,
186
,
191

HBV.
See
Hepatitis B

HCV.
See
Hepatitis C

Headache,
60
.
See also
Migraine

acetaminophen for,
62

causes of,
61

CVA and,
61

drugs and,
61

hypertension and,
61

lab tests for,
61

meningitis and,
61

seizures with,
62

sinusitis and,
61

trauma and,
61

work-up for,
60
–
62

Heliox,
178

Hematemesis,
47
,
55

Hematochezia,
55

Hematuria,
47

Hemodialysis catheter,
216
t

Hemophilia,
181

Hemoptysis,
47

Hemorrhoids,
75

Heparin,
90
.
See also
Low-molecular-weight heparins; Unfractionated heparin

for ischemic lower extremity,
197

Hepatic failure,
36

medications for,
41

respiratory alkalosis and,
97
t

Hepatitis B (HBV),
190

Hepatitis C (HCV),
190

Hepatorenal syndrome,
59

Hereditary hemorrhagic telangiectasia,
181

Hernia,
193

strangulated,
193

Hernia, reducible,
193

Herpes simplex virus (HSV),
164

Herpes zoster,
51
,
168

Hickman catheter,
216
t

HIDA scan,
119
t

His-Purkinje system,
108

HIV,
190

Hohn catheter,
216
t

Holding note,
33

Homelessness,
22
t

Home health services,
44

Horner’s syndrome,
184

Hospital-to-hospital transfer,
32

Hutchinson sign,
168

Hydralazine,
148

Hydrocephalus,
168

Hydrocodone,
78
t
,
81
t

Hydrocortisone,
64

for anaphylactic shock,
64

Hydromorphone (Dilaudid),
79
t
,
81
t

dosage of,
79
t

Hyperaldosteronism,
95
t

Hypercoagulation disorders,
166

Hyperkalemia,
6
f
,
58
,
89
–
91
,
112
–
113
,
113
f

pseudohyperkalemia,
89

Hypernatremia,
86
–
88

evaluation of,
87
f

Hyperproteinemia, osmolal gap and,
15

Hypersensitivity syndrome,
145

Hypertension

work-up for,
64
–
66

Hyperthyroidism, respiratory alkalosis and,
97
t

Hypertriglyceridemia, osmolal gap and,
15

Hyperventilation syndrome, respiratory alkalosis and,
97
t

Hypervolemia,
41

Hypoaldosteronism,
90

Hypoglycemia,
7
f
,
91

Hypokalemia,
7
f
,
88
–
89
,
95

evaluation of,
90

Hypomagnesemia,
89

Hyponatremia,
84
–
86

evaluation of,
85
f

hypertonic,
84

hypotonic,
84

isotonic,
84

pseudohyponatremia,
84

Hypotension,
47

AF and,
63

arrhythmias and,
66

fever and,
70

with hernia,
193

work-up for,
62
–
64

Hypothermia,
7
f

Hypovolemia,
7
f

fluids for,
83

Hypovolemic shock,
75
,
142
,
211

GI bleeding and,
76

Hypoxia,
7
f

SOB and,
73

Ibuprofen,
62
,
70
,
78
f

dosage of,
78
t

for fever,
70

ICU.
See
Intensive care unit

Idioventricular rhythm,
108

Incarcerated hernia,
193

Infiltrative disease,
168

Inflammatory bowel disease (IBD),
35

Informed consent,
30

Inotropes,
211

Insect bites,
174

Insulin,
91

Intensive care unit (ICU),
203
–
204

patients to,
48

sedation in,
206

shock in,
211

International normalized ratio (INR),
135

Internet resources,
9
–
12

for evidence-based medicine,
12

Intracranial mass,
56

Intracranial pressure (ICP),
150

Intraocular pressure,
163
,
167

Intravenous (IV),
6
f

access for,
36
,
47

at admission,
31

daily review of,
41

end-of-life and,
24
t

safety with,
31

Intubation

end-of-life and,
24
t

for stroke,
147

Ischemic lower extremity,
196
–
197

Isoniazid,
153
t

Isopropyl alcohol, osmolal gap and,
15

Jugular venous pressure (JVP),
63

Junctional rhythm,
108

Kayexalate.
See
Sodium polystyrene sulfonate

Ketoacidosis,
83

diabetic,
94
t

Labetalol, IV
148

Lactated Ringer’s,
63
,
211

Laryngeal mask airway (LMA),
178

Lateral pontomedullary syndrome,
183

LBBB,
52
,
110

Leiomyomas,
154

Leukemia,
146
,
176

Leukocytosis,
193

Librium.
See
Chlordiazepoxide

Lithium, intoxication with,
59

Long R-P tachycardia,
98

Lorazepam (Ativan),
58
,
122
,
149
,
208
t

Lower GI bleeding,
47

Low-molecular-weight heparins (LMWH),
35
,
52

dosing of,
129

for PE,
53

for SOB,
75

LV aneurysm,
196

Lymphoma,
146

Maalox.
See
Aluminum hydroxide

Magnesium sulfate,
38
t

Magnetic resonance imaging (MRI),
121

preparation for,
118
t