Remember That Diabetic Ketoacidosis Often Begins With an Anion-Gap Metabolic Acidosis Nirav G. Shah MD Diabetic ketoacidosis (DKA) is a common diagnosis encountered in the hospital setting with an estimated…
D-Dimer Levels Can Rule Out But Not Rule in Pulmonary Embolism in Postoperative Patients Hari Nathan MD D-dimer is a degradation product of cross-linked fibrin. A normal level of d-dimer…
Never Retest Low Serum Glucose; Treat Immediately and Then Prevent Further Episodes Kathleen A. Williams MSN, RN, CRNP Sherita Hill Golden MD, MHS Maintaining euglycemia in the inpatient setting has…
Use an Empty Lab Tube to Check the Viability of a Stoma B. Robert Gibson MD While stoma placement is typically considered a minor procedure, complications following it are frequent…
Check Thyroid Function in Critically Ill Patients Meghan C. Tadel MD Both hypothyroidism and hyperthyroidism can contribute to life-threatening situations during the care of critically ill patients. Although the most…
Obtain Blood Used for Mixed Venous Oxygen Testing From the Distal Pulmonary Artery Catheter Port Ala’ S. Haddadin MD Analysis of mixed venous blood provides valuable information in evaluating the…
Ask the Laboratory for a Synergy Panel in Resistant Pseudomonas Infections Harjot K. Singh MD Sara E. Cosgrove MD The use of combination therapy (double coverage) in the management of…
Remember that Troponin Levels are Inaccurate as a Measure of Cardiac Damage in Renal Insufficiency Bradford D. Winters MD, PHD The measurement of cardiac troponins has become a commonly used…
Check Serial Methemoglobin Levels in Patients on Inhaled Nitric Oxide Timothy M. Moore MD, PHD Inhaled nitric oxide acutely and locally relaxes constricted pulmonary vascular smooth muscle, resulting in decreased…
Remember that Argatroban Increases International Normalized Ratio But does Not Affect Coagulation in the Extrinsic System Kelly Grogan MD Heparin-induced thrombocytopenia (HIT) is an adverse drug reaction characterized by thrombocytopenia…
