iopcp.blogg.se - Sketchy micro narrator

#Sketchy micro narrator skin#

Stage V ( < 13.7C < 58F): death due to irreversible hypothermia.

Stage IV ( < 24C < 75F): apparent death (but resuscitation possible!).

Stage III ( 24 – 28C 75 – 82F): unconscious, not shivering, vital signs present.

Stage II ( 28 – 32C 82 – 90F): altered mental status, not shivering.

Stage I ( 35 – 32C 90 – 95F): conscious, shivering.

The Swiss staging system is fairly commonly used for correlating core temperature and clinical signs: Generally, hypothermia is defined as a core temperature less than 35C (95F).

“Vancomycin: Parenteral dosing, monitoring, and adverse effects in adults”.

If the kidneys are not working well, reduce the dose. Starting dose should be 15-20 mg/kg (based on actual not ideal body weight) every 12 hours.

Monitor creatinine at least once a week (remember that whole nephrotoxicity bit).

Trough concentrations should be measured 30 minutes before the 4th dose any time a course of vanco is started or the dose is changed.

Generally the target is 10 mcg/ml, but this may need to be higher for treating MRSA or osteomyelitis.

This is where vancomycin can get tricky, because you are aiming for a target trough (between dose) serum concentrations. When you restart, give the infusion reaaaalllllly slooooooowly (over more than 4 hours)

If the reaction is severe, stop the infusion, give antihistamines, wait until symptoms resolve before restarting.

Treatment: anti-histamine, pause infusion, then restart at a slower rate.

Redman syndrome: A histamine-like flushing during or immediately after dose.

Normally vancomycin doesn’t cross the blood brain barrier very well, but in the setting of meningitis the inflamed meninges increases permeability.

Volume of distribution: IV serum 0.4-1 L / kg.

diff infections (because that’s going on in the GI tract)

Occasionally it is orally to supplement C.

Vancomycin has bad oral bioavailability so it’s almost never used as a pill.

The most common use for vancomycin is in invasive Gram positive infections You need to consider

#Sketchy micro narrator skin#

of forearm ( antebrachial cutaneous): sensory to skin over biceps and medial forearm of arm: sensory to medial surface of arm ( tiny area) Medial pectoral: pec minor, pec major ( sternocostal head) Inferior subscapular: subscapularis ( lower part), teres major Thoracodorsal ( aka middle subscapular): lat dorsi Superior subscapular: subscapularis ( upper part) Lateral pectoral: pec major ( clavicular head), sensation to pec Suprascapular: supraspinatus, infraspinatus, sensory to the AC & GH joints I’ve also included a printable version for your printing and pasting-up-to-the-wall-to-passively-absorb pleasure.ĭorsal scapular: rhomboids, levator scapulae Hopefully this will help you figure out “ where is the lesion?” when you are faced with a brachial plexus question on your exams (and in life) as well. As I’m gearing up studying, I created this more schematic diagram of the plexus, including the distal targets (mostly the muscles but some sensory too). Mike Kerns, Co-Founder and Partner at TCG, and Michaela Venuti, Vice President of TCG, will take positions on SketchyMedical’s Board of Directors.I’ve drawn the brachial plexus before showing more of its anatomical relationships (which is actually why the trunks and cords are named as they are). Each video depicts memorable scenes illustrated layer by layer, in real time, as the narrator guides students through a story to help with the memorization process. SketchyMedical offers tiered subscriptions that include a comprehensive set of video lessons, with complementary review cards and quiz questions.

The company, which uses the memory palace technique to help fellow students retain the amount of information necessary for board exams and beyond, offers courses in microbiology, pharmacology, pathophysiology, biochemistry, internal medicine, surgery, pediatrics, and OB/GYN. The company intends to use the funds to scale growth, establish in-house studio, and accelerate expansion to new subjects.įounded in 2013 by Saud Siddiqui, Andrew Berg, Bryan Lemieux, and Aaron Lemieux, SketchyMedical is an online education company that allows students to master complex concepts through informative video sketches that enhance visual memory. The investment will be used to scale company growth and establish an in-house studio for live content and animation for tackling new subjects. SketchyMedical, a Los Angeles, CA-based online education company that teaches complex concepts through visual memory techniques, received a $30m majority-stake investment from TCG.