Aug 17, 2011 Dan Waldman

 Organized thought Process  “Dyspnea” vs “Hypoxia”  “Anchor Bias” in dyspnea  Thoughts on PE

 “Mr. Smith’s oxygen requirement is going up. Now he’s on a facemask.”  On your signout list: “72 yo M with CHF exacerbation and COPD exacerbation…”

 Urgency/Emergency/”Malignant”  Causes of hypertension in hospitalized pts  Who needs meds? What meds?

 Stroke: 25%  Pulmonary Edema: 23%  Hypertensive Encephalopathy: 16.3%  CHF: 12%  Some others: Intracranial hemorrhage Aortic dissection Ecclampsia MI

 Pain  Alcohol/benzo withdrawal  Cocaine/amphetamines  Anxiety  BP Med withdrawal  White Coat Htn  NSAIDs  Steroids  OSA  Cuff Size  Urinary Retention (think about in post-op)

 Nitropaste (can be removed)  Captopril  Nifedipine  Clonidine PO (rebound htn)  But really…do they need these?