Acute Cholecystitis.
Location?
ADMIT
Acute Cholecystitis.
Diagnostics?
CBC CHEM B-HCG Urinalysis FOBT
Abdominal ultrasound
Acute Cholecystitis.
Treatment?
PAIN - Morphine IV
ABX - Ampicillin & sulbactam (Unysyn)
NAUSEA - ondansatron
iv access fluids NS NPO PT/PTT Type cross
Consult General surgery
Acute Cholecystitis.
Discharge orders?
Screening - Pap Smear
Advise - Limit alcohol
VACCINE - DTP
Aortic Dissection.
Location?
ER
Aortic Dissection.
Diagnostics?
CBC CHEM Monitor Oxy fluids urinalysis
ekg enzymes CXR d-dimer TEE
Aortic Dissection.
Treatment?
Nitroglycerine
Morphine
Atenolol
pt/ptt
type cross
consult - cardiothoracic surgery.
Aortic Dissection.
Discharge orders?
none