Current Practice Guidelines In Inpatient Medicine

1.       Cardiovascular

a.       Cardiopulmonary Resuscitation

b.       Acute Coronary Syndrome

                                                               i.      Initial assessment

                                                              ii.      Acute medical management

1.       Antiplatelet therapy

2.       Beta blockers

3.       Renin-angiotensin-aldosterone system inhibitors

4.       Lipid-lowering agents

5.       Nitrates

6.       Calcium channel blockers

7.       Oxygen

8.       Analgesics

                                                            iii.      Coronary reperfusion therapy

                                                            iv.      Management after stabilization

1.       Antiplatelet therapy

2.       Beta blockers

3.       Renin-angiotensin-aldosterone system inhibitors

4.       Lipid-lowering agents

5.       Post-ACS risk assessments

c.        Congestive Heart Failure

                                                               i.      Initial assessment

1.       NT-pro-BNP

2.       Echocardiography

3.       ECG

                                                              ii.      Acute medical management

1.       Diuretics

2.       Nitrates

                                                            iii.      Interventions

1.       Non-invasive ventilation

2.       Cardiac resynchronization therapy

3.       Mechanical assist devices

                                                            iv.      Management after stabilization

1.       Beta blockers

2.       RAAS inhibitors

3.       Aldosterone antagonist

4.       Hydralazine and isosorbide dinitrate

5.       Implantable cardiac defibrillator

d.       Atrial Fibrillation

                                                               i.      Initial assessment

                                                              ii.      Acute medical management

1.       Rate control

2.       Rhythym control

3.       Cardioversion

                                                            iii.      Interventions

1.       Indications for pacemaker

                                                            iv.      Management after stabilization

1.       Rate control

2.       Rhythym control

3.       Candidates for ablation

4.       Stroke prevention

a.       Assessment of stroke risk & bleeding risk

b.       Anticoagulation

c.        Antiplatelet agents 

e.       Supraventricular Tachycardia

                                                               i.      Initial assessment

                                                              ii.      Acute medical management

                                                            iii.      Interventions

                                                            iv.      Management after stabilization

f.        Infective Endocarditis

                                                               i.      Initial assessment

                                                              ii.      Acute medical management

                                                            iii.      Interventions

                                                            iv.      Management after stabilization

g.       Valvular Heart Disease

                                                               i.      Initial assessment

                                                              ii.      Acute medical management

                                                            iii.      Interventions

                                                            iv.      Management after stabilization

h.       Sepsis & Septic Shock

                                                               i.      Initial assessment

                                                              ii.      Acute medical management

                                                            iii.      Interventions

                                                            iv.      Management after stabilization

2.       Vascular

a.       Venous Thromboembolism

                                                               i.      Initial assessment

                                                              ii.      Acute medical management

                                                            iii.      Interventions

                                                            iv.      Management after stabilization

b.       Peripheral Arterial Disease

                                                               i.      Initial assessment

                                                              ii.      Acute medical management

                                                            iii.      Interventions

                                                            iv.      Management after stabilization

3.       Pulmonary

a.       Pneumonia

                                                               i.      Initial assessment

                                                              ii.      Acute medical management

                                                            iii.      Interventions

                                                            iv.      Management after stabilization

                                                             v.      Bonus section: IDSA guidelines for management of atypical infections)

1.       Aspergillosis

2.       Blastomycosis

3.       Coccidiomycosis

4.       Cryptococcus

b.       COPD Exacerbation

                                                               i.      Initial assessment

                                                              ii.      Acute medical management

                                                            iii.      Interventions

                                                            iv.      Management after stabilization

c.        Idiopathic pulmonary fibrosis

                                                               i.      Initial assessment

                                                              ii.      Acute medical management

                                                            iii.      Interventions

                                                            iv.      Management after stabilization

4.       Neurology

a.       Acute Ischemic Stroke

                                                               i.      Initial assessment

                                                              ii.      Acute medical management

                                                            iii.      Interventions

                                                            iv.      Management after stabilization

b.       Acute Hemorrhagic Stroke