Discover and read the best of Twitter Threads about #breadnbuttermedicine

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#MedThread Day 10 (sorta). I'm sure most know this, which is why I consider this #BreadNButterMedicine. But, if you follow along, you might learn a little history as well! Today, we are going to talk about Central Venous Catheters.
2/ If you had your choice of central line sites (no contraindications), what would you choose?
3/ 1st, why would you want to place a CVC?
🔹CVP monitoring
🔹Resuscitation
🔹Emergency venous access
🔹Inability to obtain peripheral venous access
🔹Repetitive labs
🔹Need for hyperalimentation, caustic agents, or other concentrated fluids
🔹HD
🔹and MORE!
Read 20 tweets
Day 7 of my inpatient service & number 7 of my #BreadNButterMedicine #MedThreads.

Today, Hemodilution!

I’m no expert & I don't routinely administer large volumes of IV resuscitation fluids like my EM & trauma colleagues. But, I do give maintenance fluids to many patients.
2/ (POLL) With maintenance IV fluids, which cell lines can you see decrease due to hemodilution?
3/ To unpack this, we need to first start with the definition...

What is hemodilution?

Hemodilution implies dilution of the normal blood constitutents occuring either spontaneously after injury and/or blood loss, or as a result of plasma replacement or expansion.l
Read 17 tweets

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