Place the Tip of a Central Venous Catheter at the Junction of the Superior Vena Cava and Atrium Jayme E. Locke MD Central venous access is often necessary in order…
Avoid Placement of Central Access In The Right Internal Jugular in Cardiac Transplant Patients if Possible Benjamin S. Brooke MD The outcome of cardiac transplantation has improved dramatically over the…
Do not Insert, Change, or Remove A Central Line With the Patient Sitting Up Aaron Bransky MD Heidi Frankel MD The insertion of central venous catheters is an extremely common…
Remember that Many Commonly used Intensive Care Unit Drugs Should not be Used in Porphyria J. Gregory Hobelmann MD The porphyrias are a constellation of congenital and acquired deficiencies in…
Do not Crush Sevelamer Hydrochloride (Renagel) to Place Down a Nasogastric or Feeding Tube Ashita Goel MD Hyperphosphatemia is a common metabolic derangement seen in end-stage renal disease secondary to…
Be Cautious in Using Ketorolac in Patients with Marginal Urine Output or Renal Function Angela D. Shoher MD Ketorolac is a nonsteroidal inflammatory agent with greater systemic analgesic properties than…
Do not use Ipratropium in Meter-Dose Inhaler Form in Patients with Nut Allergies J. Gregory Hobelmann MD Ipratropium bromide is an anticholinergic agent that is commonly used in the intensive…
Check an Electrocardiogram for Long Qt Interval Before Giving Haloperidol Shaytone Nichols MD Several drugs used in the intensive care unit (ICU) have the potential to prolong the QT interval….
Administer Acetazolamide (Diamox) On A One-Time Dose Schedule Only Ying Wei Lum MD Metabolic alkalosis is usually categorized as either chloride responsive or nonchloride responsive. Common causes for chloride-responsive metabolic…
Beware of Intensive Care Unit Medications that can Increase Serum Potassium and Cause Hyperkalemia Adam R. Berliner MD Derek M. Fine MD Many common medications can raise serum potassium (K+)…
