Extensive chapter reviews Acute Coronary Syndrome (ACS) workup and treatments for STEMI, NSTEMI, UA. Includes TIMI Risk Scores, Killip Classification and Canadian Cardiovascular Society Angina Classification. Stress testing algorithm and the acute management of myocardial infarctions with details on medications and interventions included.

Understand the basics of EKG interpretation using this chapter. Contains details on the normal EKG values, QRS complex morphology, EKG paper, heart rate determination, rhythm evaluation, axis, bundle branch blocks, and defining myocardial infarctions.

EKG unipolar and bipolar lead locations with detailed review of regular and right sided lead placement. Review of Einthoven's triangle. Anatomical review of lead locations, lung views, lobes and cardiac auscultation points.

Flowchart summarizing the ACC/AHA evidence-based recommendations for treatment of hypertension in adults. Includes hypertension classification and stages, treatment thresholds, goals, and medications and dosing. Guidelines include the initial evaluation based on age and comorbidities.

<p>This chapter covers the latest guidelines on the primary prevention of cardiovascular disease with the classification and treatment of hyperlipidemia based on the Atherosclerotic Cardiovascular Disease (ASCVD) risk assessment score. Chapter also includes statin and non-statin treatment options for lipid management.</p>

Evidence based criteria for the diagnosis and treatment of heart failure. Includes heart failure stages, New York Heart Association Classification; major and minor heart failure criteria are included along with initial and maximum daily dosing of medications.

Detailed chart to help you identify and describe heart murmur locations and radiation patterns, sounds, quality, and timing.

Most recent Pediatric Advanced Life Support (PALS) guidelines. This chapter has easy to follow algorithms to guide you through the most commonly used pediatric life support measures. Included in this chapter, Universal PALS Cardiac Algorithm, Universal PALS components with medications, Pediatric Bradycardia, Pediatric Tachycardia, PALS resuscitation medications list, and post resuscitation cardiac medications list.

The latest guidelines from the American Heart Association for Advanced Cardiovascular Life Support (ALCS) diagnosis and treatment in critical situations. Also includes Basic Life Support (BLS), as well as ACLS drugs and dosing. These recommendations are from the latest American Heart Association (AHA) Guidelines Update for Cardiopulmonary Resuscitation (CPR) and Emergency Cardiovascular Care (ECC).

Actions of insulin on the body with differences between Type I and Type II diabetes. Comprehensive diabetic medication charts including insulin and non-insulin medications. Insulin table lists onset, peak, duration of different insulin types. Chapter also includes diabetes diagnostic criteria, target plasma glucose levels and easy charts and equations to estimate glucose levels based on A1C values.

Chapter has select diabetic medications; includes chart for the onset, peak and duration of insulins with basic guidelines for DKA, hyperosmolar state, adrenal insufficiency hypothyroidism, hyperthyroidism and thyroid storm.

Insulin actions, diabetes diagnostic criteria and staging, screening recommendations, comparison of insulins and table of diabetic medications by class and target,&nbsp; details on how to estimate glucose levels based on A1C values as well as office visit recommendations.&nbsp;

Common epidemiology and evidence based medicine definitions and equations used in population studies and journal articles. Includes equations for sensitivity, specificity, prevalence, relative risk and other terms.

Common Evidence Based Medicine (EBM) clinical study types are defined along with approach to evaluation of randomized control trials. Also includes Fagan nomogram that allows you to estimate the probability of disease given a particular test result. Great pocket resource for EBM review and referencing.

Listing of the various hospital diets including restrictions for each type of specialized diet. Chapter has tables covering common nutritional supplements/meal replacements. Types of dysphagia are also covered as are descriptions, standard labeling, and abbreviations for dysphagia modified food and liquid consistencies&nbsp;according to the International Dysphagia Diet Standardisation Initiative (IDSSI).

Listing of over 50 abbreviations commonly used by medical professionals. Also includes common symbols and unapproved abbreviation listing.

Accreditation Council for Graduate Medical Education (ACGME) core competencies for Internal Medicine Residents.

Evidence based recommendations on avoiding wasteful or unnecessary medical testing, treatments and procedures for geriatric patients. Developed by the American Board of Internal Medicine and the American Geriatrics Society.

Classification of cellulitis infections based on severity along with antibiotic treatment recommendations based on severity and risk factors for MRSA, anaerobes and Pseudomonas.

Clinical practice guidelines for sepsis based on the latest recommendations (2021) for recognition, diagnosis and treatment of SIRS, Sepsis and Septic Shock. Guidelines use SOFA criteria in the diagnosis of Sepsis.&nbsp;

HIV basics with screening guidelines, disease testing, antiretrovirals and initial treatment regimens. Listing of CD4+ counts and complications.

Clearly organized chart detailing the various Gram + and Gram - bacteria as well as fungi classifications. Antibiotic chart to help you select the right coverage based on the bacteria.

Comparative Cerebral Spinal Fluid (CSF) compositions for different conditions. Includes comparison of cell type, wbc, pressure, glucose, protein, and miscellaneous testing options for bacterial meningitis, viral meningitis, herpes encephalitis and many other conditions.

Comprehensive IV fluid composition comparison chart along with fluid maintenance calculations and examples. Includes diagram of total body water compartments and composition and loss rates of selected bodily fluids.

Lab values and references for all of the labs you encounter everyday. Included in this list, complete blood cell count, metabolic panels, rheumatology labs, antibody patterns and disease associations, arterial blood gases, coagulation and more.

Medications used for rapid intubations with dosing and cautions. Also includes select other medications used for emergency situations (hypertensive emergency, anti-epileptics, and others).

Dosing and side effect profiles of commonly prescribed antidepressants; sleep hygiene recommendations and comparison chart of antipsychotic adverse effects.

Advanced chart of critical care medications with dosages, comparison of physiological responses, target receptors and half-lives. Includes pressors, IV beta blockers, calcium channel blockers and vasodilators.&nbsp;&nbsp;

Detailed listing of commonly prescribed opioid and non-opioid pain medications with doses, uses, contraindications and warnings. Steroid comparison chart with equivalents and conversions are also included.

Common medications for nausea, vomiting, diarrhea and constipation with mechanisms of action, dosing, side effects and warnings. Includes medications and doses for opioid induced constipation (OIC), chronic idiopathic constipation (CIC), irritable bowel syndrome - constipation (IBS-C).

Guidelines for the initiation of warfarin (Coumadin) and expected INR elevations. Also includes maintenance dosing and reversal strategies as well as listing of select drugs that increase INR.

This section describes the dosing and side effects of Intravenous Immunoglobulin (IVIG). Also describes Plasma Exchange. IVIG is used to treat various autoimmune, infectious, and idiopathic diseases. IVIG is an approved treatment for graft versus host disease and ITP. It is accepted for use in persons with Kawasaki disease, Guillain-Barré syndrome, and polymyositis/dermatomyositis.

Select cardiac and sedation medications used in the ICU. Includes load and dosing parameters. The Richmond Agitation-Sedation Scale (RASS) is also included.

Listing of common medications that should not be crushed when given to patients.

This chapter focuses on the treatment of patients with acutely elevated blood pressures. Drug treatments are listed and include mechanisms of action, dosages, duration and adverse effects.&nbsp;

Novel anticoagulant chart comparing mechanism of action, use, dosing, monitoring, drug interactions, and reversal agents. Edoxaban and Betrixaban were added in 2019 to the rapidly growing list of anticoagulants.

Acute kidney injury (AKI) definition as well as diagnostic algorithm using laboratory tests to aid in determining the underlying AKI etiology.

Diagnostic workup of hyponatremia with a flow algorithm including tests and possible etiologies.

Algorithm to guide you through the workup of hypernatremia.

Confusion Assessment Method (CAM-ICU) tool used to diagnose and monitor delirium in ICU patients.

<p>Listing of the small fiber neuropathies and radiculopathies.&nbsp;</p>

<p>Illustrations of the lumbosacral and brachial plexuses.</p>

Use this chapter to calculate risk of stroke in non-valvular a-fib with the CHA2DS2-VASc stroke risk calculation tools. Also includes the companion HAS-BLED bleeding risk scoring tool.

<p>Ataxia differential with Parkinson's symptoms and treatments.&nbsp;</p>

MRI modalities T1 and T2 differences.

<p>Guidelines on the diagnosis and treatment of convulsive status epilepticus (SE) and non-convulsive status epilepticus.</p>

Chapter includes the Saint Louis University Mental Status (SLUMS) exam for evaluation of cognitive impairment and the Glasgow Coma Scale (GCS) used to evaluate for impaired consciousness. Score guidelines included for both exams for easy and rapid interpretation.&nbsp;

<p><span style="color: rgb(84, 84, 84); font-family: Roboto, arial, sans-serif; font-size: small;">The MoCA is a cognitive screening test designed to assist health professionals in the detection of mild cognitive impairment and Alzheimer's disease.</span></p>

<p>Lumbar puncture procedure.</p>

<p>Easily locate visual field lesions using this chapter that helps you correlate your visual field clinical exam findings with the anatomic location of the lesion.<br></p>

<p>Electromyogram (EMG) and nerve conduction study (NCS) characteristics.&nbsp;</p>

<p>EEG electrode placement map with frequencies.&nbsp;</p>

<p>Chapter reviews antiepileptic drug (AED) use, target serum level, and side effects.</p>

Detailed diagram of skin areas that are supplied in large part by a single spinal nerve. This diagram can be used to help find the location of nerve related injuries and deficits.

Autonomic system throughout the body with Parasympathetic and Sympathetic innervations as well as relevant nuclei and ganglia.

<p>Chapter reviews the associated symptoms, differential diagnosis and treatments of vertigo.<br></p>

<p>Palsy differential for cranial nerves III, IV, VI with the eight classical cortical aphasias.&nbsp;</p>

Guidelines for management of acute stroke including inclusion and exclusion criteria for the use of TPA and mechanical thrombectomy in acute stroke. The chapter also covers stroke mimics, stroke syndromes with diagrams of location and relevant vasculature, and the NIH stroke scale.

Detailed listing of all the cranial nerves with locations, components, examination, and physical exam findings with cranial nerve damage or lesion.

<p>Drugs used in the treatment of Parkinson's Disease. Table contains drug action, use, and side effects.</p>

Chapter details peripheral nerve muscular action and sensory distributions, anatomic landmarks and sensory testing for spinothalamic tract and posterior columns.

<p>Extensive listing of commonly used neurology drugs with half-life, metabolism, dosing and contraindications.&nbsp;</p>

What to expect with cross cover call for neurological conditions including altered mental status, delirium, seizure, and CVA and what to do in those situations.

<p>Chapter lists where tumors are more likely to spread in metastatic disease.</p>

Detailed History and Physical Exam template with assessment descriptors to provide a structured assessment of a patient's health and health problems.

Sample hospital admission orders in sequence with explanations to help guide you as you write your hospital admission orders.

Checklist of important items to include in your patient checkout process, as well as the listing History and Physical and Discharge Summary components in order.

Daily Progress Note template to help you write daily progress notes in the right sequence with general guidelines.

Clinical note templates/samples including general progress (SOAP) notes, cross-cover, procedure, death, ICU, surgical and discharge/ transfer notes.&nbsp;<br style="color: rgb(76, 76, 76); font-family: Noto, &quot;Lucida Grande&quot;, Helvetica, Verdana, Arial, sans-serif; font-size: 13px;"><br>

Cross cover chapter focuses on reviewing what's important when seeing patients on cross cover with details on tests to order and exams to follow. Includes evaluations for chest pain, shortness of breath, falls, fevers and other common calls.

Procedure for declaring death in patients. Details the sequence to follow and sample death note. Also includes section on communication and handoffs and guidance for how to handle a Code Blue.

Admission history and physical exam template for labor and delivery. Includes descriptors to help with each section.

Helpful chapter on tests and exams to preform for declaring death. Includes brain death criteria and physical exam techniques. Sample Death Note included.

Commonly used OB medications for labor, delivery and post-op medications for nausea, sleep, infections, itching, hemorrhage, GBS and more.

This section includes a detailed menstrual cycle diagram covering events in ovulation. This chapter also includes the Stages of Labor as well as fetal heart rate monitoring parameters with accompanying fetal heart rate interpretation system.

Listing of Over the Counter (OTC) medications considered safe in pregnancy with FDA Pregnancy Class listing.

Recommended antimicrobial prophylactic regimens by gynecological procedure.

Most up-to-date guidelines and indications for intrapartum group B streptococcal (GBS) prophylaxis.

Sample OB notes with descriptors for Intrapartum Progress Notes, Delivery Note -Vaginal Delivery, Delivery Note - C section, and Postpartum Progress Notes.

Guidelines on the treatment of asymptomatic UTI and acute cystitis in pregnancy. Includes antibiotic dosing.

The U.S. Preventive Services Task Force (USPSTF) is an independent panel of experts in primary care and prevention who develop recommendations for clinical preventive services. Screening recommendations in this chapter include, colorectal, skin, cervical, testicular cancers, as well as checkup recommendations for BMI, cholesterol, BMD, infectious diseases, eye, hearing and immunizations.

Latest available U.S. Preventive Services Task Force recommendations for cervical cancer screening.&nbsp;

Ottawa ankle and Ottawa knee rules with sets of guidelines for clinicians to help decide if a patient with foot, ankle or knee pain requires an X-ray to diagnose a possible fracture.

Chapter reviews the core osteopathic techniques and exam principles. Possible treatments are included along with Osteopathic Manipulative Therapy Medicine contraindications.

Diagnostic aid points for osteopathic manipulative medicine to aid in connecting internal pain to specific pathology.

Osteopathic physical exam with details on Osteopathic Manipulative Medicine contraindications.

Pediatric vitals, fluids, commonly prescribed medications and dosages, Asthma management and pneumonia treatments are included in this chapter.

Listing of the newborn reflexes with description of the reflex and when it's observed. APGAR score chart is included in this chapter as is expected weight gain for the newborn and expected milestones during pregnancy.

Chapter details treatment options for ear infections, detailed pediatric asthma treatment, asthma treatment ladder and pediatric asthma score, sepsis rule out, pneumonia treatment and commonly used medications.

Step-by-step algorithm from the initial "Golden Minute" of birth to guide providers in newborn resuscitation.&nbsp;

Transfusion guidelines for blood, for both adults and pediatrics.

IV catheter selection guide based on gauge and use with associated implications. Central line listing along with information regarding flushing solutions and frequency for each type of line.

Log for keeping track of all the procedures you have completed. Procedures listed are based on the America Board of Internal Medicine (ABIM) for Internal Medicine Residents.

Detailed review of supplies, preparation and procedures for central venous catheter placement, thoracentesis, paracentesis, lumbar punctures, arthrocentesis and joint injections. Also includes lab tests to order, Light's criteria for pleural exudates and diagnostic clues from pleural fluid appearance.

Commonly used intramuscular (IM) injection sites and how to perform IM, subcutaneous and intradermal injections correctly.

Procedure note examples for Endotracheal Intubation, Internal Jugular Central Venous Catheter insertion, Femoral Central Venous Catheters, Lumbar Puncture (including lab tests to order by tube) Radial Artery Line Placement, and Paracentesis.

Guidelines for blood draws. Includes supplies needed, step by step venipuncture procedure, order and color of tubes. Also Includes details on intravenous site for blood draws with anatomical sites for punctures.

Find the right suture material and follow our procedure guidelines. Laceration repair guidelines with recommendations for local anesthesia, suture type and suture removal schedule. Details different suture types and other closure options.

Basic guidelines for using and optimizing non-invasive ventilation modalities as well as mechanical vents with weaning and extubation criteria. Includes ARDS criteria and strategies to decrease ARDS incidence. Acid base analysis guidelines are also included.

Interpret ABGs (arterial blood gasses) and acid-base status with step-by-step instructions to determine primary disorders and expected compensation. Includes differential diagnoses for metabolic or respiratory acidosis/alkalosis. Also includes how to calculate and use A-a gradients to evaluate hypoxemic conditions.

Comparison of oxygen delivery systems. Includes flow rate, percentage of oxygen, and information on how and when to use. Also includes typical pharmacy PO/IV medication administration times and list of selected medications that can only be administered using IV pump.

Latest recommendations for adult pneumonia vaccinations series, including PCV15 (Vaxneuvance), PCV20 (Prevanar 20) and PPSV23 (Pneumovax 23)

2024 recommended immunization schedules for children, adolescents, and adults. Also includes tetanus prophylaxis in routine wound management.&nbsp;