Sulfa Allergy

Drugs to avoid in patients with sulfonamide allergy:

Antimicrobials

  • Sulfamethoxazole
  • Sulfamerazine
  • Sulfamethizole
  • Sulfamoxole
  • Sulfamethazine
  • Sulfoxazole
  • Sulfapyridine

Nonantimicrobials (diuretics, triptans, oral hyopglycemics, antiinflammatories)

  • Bumetanide
  • Furosemide
  • Celecoxib
  • Acetazolamide
  • Sumatriptan
  • Hydrochlorothiazide Diazoxide
  • Glyburide
  • Sulfasalazine

 

Reference:

 

Uptodate.  “Sulfonamide allergy in HIV-uninfected patients.” Accessed 03/13/2017.

Algorithm: Management of GBM in Older Adult

2

 

Reference:

“Initial Treatment Of Malignant Glioma In Older Adults”. Uptodate.com. 2017. Accessed 8 Mar. 2017.

A List of Shunt Devices

Nice-to-know info:

 

Programmable pressure valves

a.JPG

 

Non-programmable pressure valves

b.JPG

 

References

Smith, G. et al. “Shunt Devices For Neurointensivists: Complications And Management”. Neurocritical Care (2017): n. pag. Web. 7 Mar. 2017.

Hemodynamic Monitoring

Lecture notes from Dr. Carpati

 

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b.JPG

ec.JPGd

 

Carpati Swan Ganz Notes.pdf

Antibiogram (LHH-Year 2015)

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gn.JPG

 

LHH Antibiogram

NOACs – To bridge or not to bridge?

Periprocedural management of NOACs

 

See tables below to determine need for briding and/or interrupting NOACs:

 

c.JPG

 

Simplified version:  (always interrupt if mod to high HR, consider bridging if high TR)d.JPG

 

a

b.JPG

 

Reference:

Raval, Amish N. et al. “Management Of Patients On Non–Vitamin K Antagonist Oral Anticoagulants In The Acute Care And Periprocedural Setting: A Scientific Statement From The American Heart Association”. Circulation (2017): CIR.0000000000000477.

Clotting Cascade and Anticoagulants

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Clotting cascade and anticoagulants.

 

Reference:

Raval, Amish N. et al. “Management Of Patients On Non–Vitamin K Antagonist Oral Anticoagulants In The Acute Care And Periprocedural Setting: A Scientific Statement From The American Heart Association”. Circulation (2017): CIR.0000000000000477.