1/11 Congrats to those who matched! I tweeted about an inpatient pocket card set in 2020 and got great feedback. Here is the result of a big overhaul: bit.ly/pocketcardset

Let's review what's inside!

#MatchDay2021 #MedStudentTwitter #MedTwitter #TipsForNewDocs #FOAMed
3/11 First up is a pre-rounding checklist. Be systematic and read all of the notes in your patient’s chart (interdisciplinary care is critical).

H/t @nickmmark for the idea to use a QR code to maintain an updated version! This QR code also has some additional resources. Image
4/11 Next up is a daily checklist and disposition checklist. It is important to practice how you ask about code status. Image
5/11 Next we have an anti-emetic guide (watch that QTc). A possible intervention not included in this table - alcohol swabs! bit.ly/2MEv8rk Image
6/11 Next is a bowel regimen guide. Notice that docusate is not on here as it is a #TWDFNR. bit.ly/3r7dXgT Image
7/11 Here is a pain management guide with equianalgesic dosing from the amazing book by @mlmcpherson (thanks to @ml_barnett for noting last year that there is no reason NSAIDs are “weaker” than opioids bit.ly/3qdF493) Image
8/11 Next is an inpatient blood pressure guide. Pay attention to ICP, especially right after patients have strokes. Remember that we treat elevated SBPs more than we should (another #TWDFNR) but institutional policy will lag behind this. bit.ly/303033I Image
9/11 Next is an IV fluid timeout and electrolyte repletion guide. LR is pretty darn great! Image
10/11 Finally we have the incredible antibiotic spectrum chart from @FulchJen and antimicrobial stewardship from @SimonWuMD Image
11/11 I hope that this set is helpful to many. Once again, here is the link to the entire set: bit.ly/pocketcardset.

If you had to choose one, how would you prefer to use this set when rotating on a service?

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More from @SatyaPatelMD

23 Jun 20
1/14 I was always asked as a student if I wanted to give fluids to a patient, but no one ever told me how they think about. Here is my approach to giving IV fluids.

Disclaimer: Things are simplified for the sake of pragmatism.

#MedTwitter #MedEd
2/14 I call my approach an "IV fluid timeout." It involves asking yourself four questions before giving someone IV fluids.
3/14 I broke down the answer two question one into two major buckets. This is the most important question because if a patient does not need IV fluids, do not give IV fluids.
Read 15 tweets

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