The Washington Manual Internship Survival Guide (41 page)

Social workers,
22
t

daily review of,
41

discharges and,
44

Sodium,
83
,
86

corrected serum sodium,
14

Sodium polystyrene sulfonate (Kayexalate),
91

Sorbitol,
91

osmolal gap and,
15

Specificity,
16
,
17
t

Spinal cord injury,
36

Spironolactone,
90

Staphylococcus aureus,
70
,
72
,
143

STATcoder,
9

Status epilepticus,
148
,
149

STDs.
See
Sexually transmitted diseases

Steroids, IV
183

Stevens-Johnson syndrome (SJS),
141

Stroke,
146
–
148

Subarachnoid hemorrhage,
61
,
168

CT for,
62

Subdural hematoma,
61
,
168

CT for,
62

Substance abuse.
See
Chemical dependency

Suicide,
185

difficult patients and,
23
t

Sulfonamides,
141

Sumatriptan (Imitrex),
62

SVT,
63
,
67
,
104

Syphilis,
166
,
168

Systemic lupus erythematosus,
90

Tachyarrhythmias,
47

Tachycardia,
66
,
98
–
105
.
See also
Ventricular tachycardia

ALCS algorithm for,
7
f

Tamponade,
7
f

SOB and,
73

TB.
See
Tuberculosis

TBW.
See
Total body weight

Telemetry

for angina,
52

prerounding and,
40

Temporal arteritis,
61

TEN.
See
Toxic epidermal necrolysis

Tension pneumothorax,
7
f

Tetanus toxoid,
163

Tetracycline,
144

Theophylline, intoxication with,
59

Thiamine,
58
,
149

for stroke,
146

Third-degree AV block,
107

Thoracostomy, open tube,
200

Thrombosis,
7
f
,
146

Thyroid stimulating hormone (TSH),
57
,
159
,
167

Thyroxine, respiratory alkalosis and,
97
t

“Time out”,
49

Tirofiban,
52

Tobramycin,
165

Topical vasoconstrictors,
182

Torsades de Pointes (TDP),
105

Total body weight (TBW),
86
–
87

Total parenteral nutrition (TPN),
214

Toxic epidermal necrolysis (TEN),
141
–
142

Toxic shock syndrome (TSS),
142
–
143

TPN.
See
Total parenteral nutrition

Tracheoesophageal fistula,
178

Tracheostomy,
179
–
181

shiley,
180

tracheostomy, percutaneous dilational (PDT),
180

thoracostomy, percutaneous tube,
200

Tramadol,
78
t

Transplantation,
36

Transtubular potassium gradient (TTKG),
88
,
90

Trauma,
7
f
,
36

headaches and,
60

in ophthalmology,
162

psychiatric,
189
–
190

respiratory alkalosis and,
97
t

Triage,
31
–
32

Triamterene,
90

Trichomoniasis,
155
,
156
t

Trimethoprim,
90

Triple-lumen catheter,
216
t

Troponins,
56
,
74

TSS.
See
Toxic shock syndrome

TTKG.
See
Transtubular potassium gradient

Tuberculosis (TB),
153
t
,
168

Tubulointerstitial disease,
90

Tunneled cuffed catheters,
217
t

Tylenol.
See
Acetaminophen

UAG.
See
Urine anion gap

Ulcers

corneal,
164
,
165

decubitus,
214

diabetic foot,
175

ischemic ulcer of lower extremity,
197
–
198

pressure,
201
–
202

PUD,
36
,
51
,
74

risk factors for,
35
–
36

Ultrasound,
122

central venous access with,
215

for femoral artery pseudoaneurysm,
199

needle insertion for,
220
f

preparation for,
118
t

Unfractionated heparin (UFH),
35
,
52
,
128

for PE,
53

Unna boots,
198

Upper respiratory tract infection (URI),
169

Uremia,
53
,
60
,
94
t

pericarditis from,
112

Urine anion gap (UAG),
13
–
14

Uveitis,
168

Vagal maneuvers,
102

Vaginal bleeding,
47
,
158
–
160

approach to,
159
f

anticoagulants and,
159

Vaginal discharge,
155
–
157

Vaginitis,
156
t

Valsalva maneuver,
68
,
193

Vancomycin,
71
,
123
–
124
,
153
t
,
163
,
176

dosing adjustment,
124
t
,
125
t

Vascular access,
215
–
220
,
216
t
–
218
t

Vasculitis,
144

Vasoconstrictors,
182

Vasopressin,
213
t

Vasopressors,
211

drips of,
213
t

end-of-life and,
24
t

inotropes,
211

Ventilation.
See
Mechanical ventilation

Ventricular fibrillation (VF),
105

Ventricular tachycardia (VT),
63
,
66
,
67
,
68
,
103
,
104
f

Verapamil,
67
,
68

Vertebrobasilar insufficiency,
183

Vertigo,
183
–
185

migraine and,
184

nausea with,
184

vomiting with,
184

Vestibular neuronitis,
184

VF.
See
Ventricular fibrillation

Violence

difficult patients and,
21
t
,
186

domestic,
189
–
190

Vision loss, acute,
165

painful,
167
–
168