Guidelines for the initiation of warfarin (Coumadin) and expected INR elevations. Includes maintenance dosing and reversal strategies. Section also includes glucocorticoid conversions, common nutritional supplements and their compositions and opioid equivalents chart.

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.

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

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

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

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.

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.

Advanced chart of cardiac medications with dosages, comparison of physiological responses, target receptors and half-lives.

This chapter focuses on the evaluation of patients with acutely elevated blood pressures. Flow diagram helps you classify patients with Hypertensive Emergencies and end organ damage. Drug treatments are listed and include mechanisms of action, dosages, duration and adverse effects. 

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

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.

<p>&nbsp;This chapter includes the CURB-65 and the Pneumonia Severity Index for scoring pneumonia severity (PSI) and the treatment of community acquired, hospital acquired, and ventilator-associated pneumonias. Includes the latest evidence based antibiotic treatments of pneumonia. Clinical indicators for additional diagnostic testing, risk factors for medication toxicity and poor tolerance of antimicrobial agents are also included.&nbsp;</p><p><span style="font-family: Arial, Helvetica, sans-serif; font-size: small; color: rgb(156, 156, 148);">Circulation. 2019;140:e563–e595.</span></p><p><br></p>

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

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.

Commonly used medical phrases with Spanish translations.

Listing of over 50 abbreviations commonly used by medical professionals.

Diabetes diagnostic criteria, office visit recommendations, patient education and medical management recommendations by the ADA including goal A1C, blood pressure, and lipid management. Includes criteria for testing for diabetes in asymptomatic adults.

Chapter details the actions of insulin on the body, classification of Type I or II diabetes. Comparison of insulin type with onset, peak, and duration of each type of insulin. Also includes diabetic medications by class and estimates of average blood glucose based on HbA1c.

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;

2016 recommendations for adult pneumonia vaccinations series, PCV13 and PPSV23.

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.

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.

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

Tally the procedures you have finished. 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 catheters 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.

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.

Transfusion guidelines for blood.&nbsp;

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

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).

Chapter has age based pediatric vitals and age-based hypotension definitions. Includes treatments for Bronchiolitis, Croup, Asthma and ear infections. Also includes pediatric asthma score, age-based rule out sepsis protocols and common OTC meds with dosing.

Ottawa ankle and Ottawa knee rules 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.

The Saint Louis University Mental Status (SLUMS) exam is a 30-point, 11 question screening questionnaire that tests orientation, memory, attention, and executive function of

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.

Use this chapter to calculate risk of stroke in non-valvular a-fib with CHADS2 or CHA2DS2-VASc stroke risk calculation tools. Also included is the CHA2DS2-VASc anticoagulation decision algorithm and the HAS-BLED bleeding risk scoring tool.

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

Chapters details motor strength and sensory testing, deep tendon reflex locations, testing and grading, cerebellar testing, and peripheral nerve muscular and sensory innervation.

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.

Guidelines for the acute management of acute stroke. Inclusion and exclusion criteria for the use of TPA with the NIH Stroke Scale. Also includes stroke mimics.

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.

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

The Wells’ Criteria is a clinical prediction tool that can be used to stratify patients for risk of clot. Includes two tools: one for PE risk calculation and one for DVT risk calculation. Criteria have been validated in both inpatient and emergency department settings. Its score is often used in conjunction with d-dimer testing to evaluate for PE.

Sample hospital admission order sequence with descriptors to help you write them.

What to expect from cross cover calls with details on tests to order and exams to follow. Includes evaluations for chest pain, shortness of breath, falls, fevers and other common calls.

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

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

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

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

Sample notes with descriptors for Admission Orders, as well as Preoperative, Operative, and Postoperative Notes, General Progress Notes (SOAP), and Peds, Neurology, Procedure, Delivery, and Surgery Notes.

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.

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.

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

Evidence based criteria for the diagnosis and treatment of heart failure. Major and minor heart failure criteria are included along with initial and maximum daily dosing of medications.

Algorithm for initiation and escalation of hypertension drug treatments based on comorbidities. The management of hypertension in diabetes is also included.

<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 treatment options for raising HDL and statin dosing equivalents.</p><p>Circulation. 2019;140:e563–e595.<br></p>

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

HIV testing basics with screening guidelines. Listing of CD4+ counts and complications.

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.

Clinical practice guidelines for sepsis based on the latest recommendations (2015 &amp; 2018) for recognition, diagnosis and treatment of SIRS, Sepsis and Septic Shock.

Listing of the various hospital diets including restrictions for each. Also includes descriptions of types of dysphagia.

Most up-to-date guidelines and indications for intrapartum group B streptococcal (GBS) prophylaxis (ACOG 2011).

Recommended antimicrobial prophylactic regimens by gynecological procedure.

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

This section includes definitions of the Stages of Labor, fetal heart rate monitoring parameters with the fetal heart rate interpretation system, and detailed menstrual cycle diagram with events in ovulation.

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

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