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Written by Washington University residents, this small pocket book contains all the essential information that interns need from day 1 on the wards, including ACLS algorithms, useful formulas, patient notes, top 10 workups, common calls/complaints, and common consultative questions in all subspecialties. Content includes vital pointers on what not to miss, when to refer/call for help, triage, cross-covering, and working with difficult patients.
This edition has been thoroughly updated and several chapters have been expanded, particularly the critical care chapter. Other revisions include expanded coverage of anticoagulation and new guidelines on patient safety issues, DVT prophylaxis, and GI prophylaxis.
This edition is also available for PDAs. See PDA listing for details.
The Washington Manual® is a registered mark belonging to Washington University in St. Louis to which international legal protection applies. The mark is used in this publication by LWW under license from Washington University.
Data sheet
KEYS TO SURVIVAL
ACLS ALGORITHMS: ILCOR Universal/International ACLS Algorithm / Comprehensive ECC Algorithm / Ventricular Fibrillation/Pulseless VT Algorithm / Pulseless Electrical Activity Algorithm / Asystole: The Silent Heart Algorithm / Bradycardia Algorithm / The Tachycardia Overview Algorithm / Narrow-Complex Supraventricular Tachycardia Algorithm / Stable Ventricular Tachycardia (Monomorphic or Polymorphic) Algorithm
ACCUMULATING YOUR WAR CHEST: Books and Tools to Carry With You / Handheld Computer Resources / Internet Resources / Internet Resources for Evidence-Based Medicine
USEFUL FORMULAS: A-a O2 Gradient / Anion Gap (Serum) / Anion Gap (Urine) / Body Mass Index / Creatinine Clearance (Estimated, Measured) / Corrected Serum Calcium / Corrected Serum Sodium / Fractional Excretion of Sodium / Fractional Excretion of Urea / Mean Arterial Pressure / Osmolality (Serum, Estimated) / Osmolal Gap / Reticulocyte Count (Corrected) / Reticulocyte Production Index / Medical Epidemiology
TRIAGE: Before Accepting Admissions / Other Important Questions to Consider
CROSS COVERAGE: General Points / Reasons You Must Go See a Patient / Things to Consider Asking Before Arrival at Bedside / Things That Can Wait / Appropriate Transfer of Patients to the Intensive Care Unit
PATIENT AND STAFF RELATIONS: Working with Ancillary Staff / Referring a Patient / Working with Difficult Patients / Addressing End-of-Life Issues
ADMISSIONS: General Points / Admission Orders / DVT Prophylaxis / GI Prophylaxis / Assessment/Plan / Laboratory Results and Orders / Patient Safety Issues
DAILY ASSESSMENTS: Rounds / Daily Notes and Evaluation / Discharge Planning / Signouts
OTHER NOTES OF IMPORTANCE: Off-Service Notes / Procedure Notes / Death/Expirations
DISCHARGES: Discharge Process/Pearls / Discharge Summary
TOP TEN WORKUPS: Chest Pain / Abdominal Pain / Acute Altered Mental Status / Acute Renal Failure / Headache / Hypotension and Hypertension / Common Arrhythmias / Fever / Shortness of Breath / Gastrointestinal Bleeding
COMMON CALLS AND COMPLAINTS: Alcohol Withdrawal / Bleeding at Line Sites and After Procedures / Constipation / Cough / Diarrhea / Falls / Hyperglycemia and Hypoglycemia / Holding Medications for Morning Tests / Insomnia / Lack of Intravenous Access / Nausea and Vomiting / Pruritus / Rash / Sundowning / Transfusion Reactions
PAIN CONTROL: General Points / Selected Agents in the Three Step Analgesic Ladder
THERAPEUTIC CONSIDERATIONS: Antibiotics / Anticoagulation
TOOLS OF THE TRADE (FLUIDS, ELECTROLYTES, VITAL SIGNS, ELECTROCARDIOGRAPHY, RADIOLOGY): Fluids and Base Electrolytes / Electrolyte Abnormalities / Vital Signs / Electrocardiographic Interpretation / Acid-Base Disorders / Radiograph Interpretation / Preparation for Procedures
APPROACH TO CONSULTATION: The Medicine Consult / Dermatology / Neurology / Obstetrics and Gynecology / Ophthalmology / Orthopedic Surgery / Otolaryngology / Psychiatry / General Surgery
GUIDE TO PROCEDURES: All You Really Need to Know About Vascular Access / Venipuncture / Femoral Vein Phlebotomy / Peripheral IV / Blood Cultures / Arterial Blood Gas Sampling / Central Venous Access / Lumbar Puncture / Thoracentesis / Paracentesis / Guidelines for Occupational Exposures
CRITICAL CARE NOTES: Keys to Intensive Care Unit Survival / Ventilators / ICU Sedation / Cardiac Parameters / Shock / Drips / Suggestions for Prophylaxis / Total Parenteral Nutrition (TPN)
FINAL TOUCHES: Feedback / Patient Data Tracking Form