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.

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.

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

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

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.

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.

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.

Chart of phlebotomy tube by color, additive, use and common order of draw.

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, subcutaneous and intradermal injections correctly.

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.

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.

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

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

Commonly seen infections in Long Term Care (LTC) facilities with antibiotic treatment guidelines. This chapter is updated with the newest C. diff diarrhea guidelines from the Infectious Disease Society of America (IDSA) in 2018.

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. 

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.  

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

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

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.

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

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

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

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>

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.

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.

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.

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

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 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.

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.

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

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

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.

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 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.

Chapter has age based pediatric vitals and age-based hypotension definitions as well as evaluation and treatments for common pediatric conditions. The chapter has a comprehensive Asthma treatment guide including pediatric asthma score, asthma treatment steps with medication charts. There are also treatments for Bronchiolitis, Croup,and ear infections. age-based febrile infant evaluation/treatment protocols and common OTC meds with dosing.

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

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

Extensive tables providing guidance for MRI/MRA/MRV study selection/indications/IV contrast requirements and cautions. Ultrasound tables provide information to aid in selection of study type/indication and NPO status required for each study.

General guide for radiology order structure, common radiology order abbreviations and renal function precautions.

Extensive tables providing guidance for nuclear studies/PET scan study selection/indications and patient preparation, including NPO requirements for each type of study.

Chapter contains indications for each type of interventional radiology procedure, contrast use, need for conscious sedation and labs, NPO status and typical exam time.

Tables of common diagnostic x-rays describing joints included and typical views. Also includes common fluoroscopy studies (e.g. GI related barium studies, myelograms, etc.) with indications and patient prep requirements.

Chapter contains information on contrast media reactions with treatment guidelines, protocols for premedication for known contrast allergies, metformin precautions and precautions to avoid nephrogenic systemic fibrosis with MRI contrast agents.

Extensive tables providing guidance for CT study selection/indications/IV contrast requirements and patient preparation. Ultrasound tables provide information to aid in selection of study type/indication and NPO status required for each study.

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