Do not Treat Lactic Acidosis with Bicarbonate Prasert Sawasdiwipachai MD Lactic acidosis is one type of anion-gap metabolic acidosis. It occurs when aerobic tissue metabolism converts to anaerobic metabolism, which…
Do not Ascribe an Increased Serum Lactate Level to Renal Insufficiency Susanna L. Matsen MD Lactic acid levels are a useful adjunct in assessing perfusion in the intensive care unit…
Do not Squeeze the Toenails or Administer a Painful Stimulus to the foot to Test Response to Pain in Comatose Patients as this may Trigger a Spinal Reflex that may…
Learn the Cranial Nerve Examination as One Can Obtain a Lot of Information Even in Comatose and Poorly Cooperative Patients Eliahu S. Feen MD Jose I. Suarez MD First Cranial…
Know the Potential Adverse Effects of Valproic Acid Jose I. Suarez MD Valproic acid (Depakote) is useful in treating multiple seizure types including complex partial, generalized tonic-clonic, myoclonic, as well…
Treat Status Epilepticus as a Medical Emergency Laith R. Altaweel MD Status epilepticus is a medical emergency that requires immediate recognition and treatment. It is defined as a series of…
Remember that not all Seizures are Convulsive and Obvious Jose I. Suarez MD Seizures are a common occurrence in the intensive care unit (ICU). The term epilepsy refers to recurrent…
Avoid Using Incentive Spirometry in Myasthenia Gravis Patients; use Intrapulmonary Percussive Ventilation (IPPV) or Flutter Valve Instead Eric M. Bershad MD Jose I. Suarez MD Watch Out For Myasthenia gravis…
Remember that Patients with Myasthenia Gravis Exacerbation Usually Look Well Until Just Before they Require Intubation Eliahu S. Feen MD Jose I. Suarez MD Myasthenia gravis is an autoimmune disease…
Start Early Plasmapheresis or Immunoglobulins in Guillain-Barré Patients Jose I. Suarez MD Guillain-Barré syndrome (GBS) is an acute inflammatory disease of the peripheral nervous system that is usually characterized by…
