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\usepackage{seqsplit}           % Splits long words.
%\usepackage{opensans}          % Can't make this work so far. Shame. Would be lovely.
\usepackage[normalem]{ulem}     % For underlining links
% Most of the following are not required for the majority
% of cheat sheets but are needed for some symbol support.
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\usepackage{MnSymbol}           % Symbols
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% Document Info
\author{humzakhan5}
\pdfinfo{
  /Title (intern-cheatsheet.pdf)
  /Creator (Cheatography)
  /Author (humzakhan5)
  /Subject (Intern Cheatsheet Cheat Sheet)
}

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% Header and Footer
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\fancyhead[L]{
\noindent
\begin{multicols}{3}
\begin{tabulary}{5.8cm}{C}
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    \vspace{-7pt}
    {\parbox{\dimexpr\textwidth-2\fboxsep\relax}{\noindent
        \hspace*{-6pt}\includegraphics[width=5.8cm]{/web/www.cheatography.com/public/images/cheatography_logo.pdf}}
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\columnbreak
\begin{tabulary}{11cm}{L}
    \vspace{-2pt}\large{\bf{\textcolor{DarkBackground}{\textrm{Intern Cheatsheet Cheat Sheet}}}} \\
    \normalsize{by \textcolor{DarkBackground}{humzakhan5} via \textcolor{DarkBackground}{\uline{cheatography.com/204642/cs/43637/}}}
\end{tabulary}
\end{multicols}}

\fancyfoot[L]{ \footnotesize
\noindent
\begin{multicols}{3}
\begin{tabulary}{5.8cm}{LL}
  \SetRowColor{FootBackground}
  \mymulticolumn{2}{p{5.377cm}}{\bf\textcolor{white}{Cheatographer}}  \\
  \vspace{-2pt}humzakhan5 \\
  \uline{cheatography.com/humzakhan5} \\
  \end{tabulary}
\vfill
\columnbreak
\begin{tabulary}{5.8cm}{L}
  \SetRowColor{FootBackground}
  \mymulticolumn{1}{p{5.377cm}}{\bf\textcolor{white}{Cheat Sheet}}  \\
   \vspace{-2pt}Not Yet Published.\\
   Updated 11th June, 2024.\\
   Page {\thepage} of \pageref{LastPage}.
\end{tabulary}
\vfill
\columnbreak
\begin{tabulary}{5.8cm}{L}
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  \mymulticolumn{1}{p{5.377cm}}{\bf\textcolor{white}{Sponsor}}  \\
  \SetRowColor{white}
  \vspace{-5pt}
  %\includegraphics[width=48px,height=48px]{dave.jpeg}
  Measure your website readability!\\
  www.readability-score.com
\end{tabulary}
\end{multicols}}




\begin{document}
\raggedright
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% from this page to resize cheat sheet text:
% www.emerson.emory.edu/services/latex/latex_169.html
\footnotesize % Small font.

\begin{multicols*}{3}

\begin{tabularx}{5.377cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{Admissions}}  \tn
\SetRowColor{white}
\mymulticolumn{1}{x{5.377cm}}{STEP ONE: {\bf{ED Admit Tab -\textgreater{} Order Reconciliation}}: Here you will reorder/discontinue home medications. Be sure to ask patient which medications they are actively taking. {\bf{{\emph{Dispense Report}} is a great tool for this}} \newline % Row Count 5 (+ 5)
STEP TWO: {\bf{Add "{\emph{Medicine Admission Order Set}}"}}, important tips below: \newline % Row Count 7 (+ 2)
- Treatment Team: For overnight admissions "Medicine Resident Admissions", all others, use the team you are on. \newline % Row Count 10 (+ 3)
- {\bf{Code Status}}: MUST ASK every time you do an admission.  \newline % Row Count 12 (+ 2)
- {\bf{Diet}}: Usually regular, however NPO for aspiration risk, renal/Low K for HD pts, DM Liberal for diabetics \newline % Row Count 15 (+ 3)
- {\bf{Pain Regimen}}: Usually 500mg Tylenol q6 is fine. Avoid Tylenol in Liver Failure patients. \newline % Row Count 17 (+ 2)
- {\bf{VTE ppx}}: {\emph{Lovenox}} for most EXCEPT those with AKI/CKD ({\emph{Heparin}} for kidney patients); {\emph{SCDs}} for those with bleeding risk \newline % Row Count 20 (+ 3)
- {\bf{Labs}}, daily BMP/CBCd for most, PT/OT% Row Count 21 (+ 1)
} \tn 
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{x{2.43873 cm} x{2.53827 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Important MDCalc to Save}}  \tn
% Row 0
\SetRowColor{LightBackground}
{\bf{NIH Stroke Scale (NIHSS)}} & Self-explanatory \tn 
% Row Count 2 (+ 2)
% Row 1
\SetRowColor{white}
{\bf{Corrected QTc}} & Corrects QT interval for manual calculation. \tn 
% Row Count 5 (+ 3)
% Row 2
\SetRowColor{LightBackground}
{\bf{Wells' Score for PE}} & Risk of PE \tn 
% Row Count 7 (+ 2)
% Row 3
\SetRowColor{white}
{\bf{Child-Pugh Score}} & Cirrhotics, helps guide tx \tn 
% Row Count 9 (+ 2)
% Row 4
\SetRowColor{LightBackground}
{\bf{Sodium Correction for Hyperglycemia}} & Recalculates Na in hyperglycemics\textasciicircum{}1\textasciicircum{} \tn 
% Row Count 12 (+ 3)
% Row 5
\SetRowColor{white}
{\bf{SIRS \& Sepsis Criteria}} & Determine whether meets sirs vs sepsis criteria \tn 
% Row Count 15 (+ 3)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{\textasciicircum{}1\textasciicircum{}: do NOT correct for Sodium when calculating Anion Gap (ex. DKA)}  \tn 
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{p{0.4577 cm} x{1.69349 cm} x{2.42581 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{3}{x{5.377cm}}{\bf\textcolor{white}{How to Discharge a Patient}}  \tn
% Row 0
\SetRowColor{LightBackground}
{\bf{M}} & {\bf{M}}ed Rec & Cont/Dc home meds, prescribe new meds, call Meds to Beds \tn 
% Row Count 3 (+ 3)
% Row 1
\SetRowColor{white}
{\bf{O}} & Discharge {\bf{O}}rder & Discharge vs Conditional Discharge \tn 
% Row Count 5 (+ 2)
% Row 2
\SetRowColor{LightBackground}
{\bf{I}} & Discharge {\bf{I}}nstructions & Plain English for patients (not needed for SNF) \tn 
% Row Count 8 (+ 3)
% Row 3
\SetRowColor{white}
{\bf{S}} & Discharge {\bf{S}}ummary & Include hospital course and to-do for OP providers. {\emph{Can Use .MCDISCHARGE at end of default note}} \tn 
% Row Count 13 (+ 5)
% Row 4
\SetRowColor{LightBackground}
{\bf{T}} & {\bf{T}}ime for Appts & Referrals Placed and f/u appts -\textgreater{} Unit Secretary vs msg {\emph{"CC Virtual Desk"}} \tn 
% Row Count 17 (+ 4)
\hhline{>{\arrayrulecolor{DarkBackground}}---}
\SetRowColor{LightBackground}
\mymulticolumn{3}{x{5.377cm}}{- Meds to Beds \#: {\bf{87364}}. Have patient MRN ready and just confirm new meds. \newline - Cardiac Monitor \#: {\bf{85117}} \newline - Keep up with SW/PT/OT notes, they help with dispo planning}  \tn 
\hhline{>{\arrayrulecolor{DarkBackground}}---}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{x{1.87657 cm} x{1.92234 cm} p{0.77809 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{3}{x{5.377cm}}{\bf\textcolor{white}{Electrolyte Repletion}}  \tn
% Row 0
\SetRowColor{LightBackground}
{\bf{Electrolyte}} & {\bf{Dose}} & {\bf{Δ}} \tn 
% Row Count 1 (+ 1)
% Row 1
\SetRowColor{white}
Potassium & 10 mEq (PO, IV) & +0.1 \tn 
% Row Count 2 (+ 1)
% Row 2
\SetRowColor{LightBackground}
Magnesium & 1000mg (IVPB) & +0.1 \tn 
% Row Count 3 (+ 1)
\hhline{>{\arrayrulecolor{DarkBackground}}---}
\SetRowColor{LightBackground}
\mymulticolumn{3}{x{5.377cm}}{- For cardiac patients (A Fib, HF, etc), keep K \textgreater{} 4, and Mg \textgreater{} 2.  \newline - For Potassium, PO tablets are large \& hard to swallow, PO liquid has poor taste, and IV can burn.}  \tn 
\hhline{>{\arrayrulecolor{DarkBackground}}---}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{p{0.4577 cm} x{1.3731 cm} x{2.7462 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{3}{x{5.377cm}}{\bf\textcolor{white}{Checklist Prior to Signing Out ({\bf{NO DUH}})}}  \tn
% Row 0
\SetRowColor{LightBackground}
{\bf{N}} & Notes & Notes should be signed \tn 
% Row Count 2 (+ 2)
% Row 1
\SetRowColor{white}
{\bf{O}} & Orders & Should be done from rounds \tn 
% Row Count 4 (+ 2)
% Row 2
\SetRowColor{LightBackground}
{\bf{D}} & \seqsplit{Discharge/Transfers} & Complete discharges, {\emph{SHARE}} transfer notes \tn 
% Row Count 6 (+ 2)
% Row 3
\SetRowColor{white}
{\bf{U}} & Update Family & Call to update family on major changes \tn 
% Row Count 8 (+ 2)
% Row 4
\SetRowColor{LightBackground}
{\bf{H}} & Handoff & Update treatment plan and to-dos. \tn 
% Row Count 10 (+ 2)
\hhline{>{\arrayrulecolor{DarkBackground}}---}
\SetRowColor{LightBackground}
\mymulticolumn{3}{x{5.377cm}}{- For handoffs, {\bf{{\emph{ANTICIPATE}}}} needs of night team in terms of pain control/blood mgmt. {\bf{Only pertinent to-dos}}. Actionable follow-ups ONLY (ex. {\emph{"f/u 10 PM BMP for hypoK and replete PRN"}}) \newline - {\bf{IPASS}} (Illness Severity, Patient Summary, Action List, Situation Awareness, Synthesis): watcher vs stable status, summarize patient, to-dos, situational awareness (ex. patient intermittently hypotensive overnight), ensure understanding)}  \tn 
\hhline{>{\arrayrulecolor{DarkBackground}}---}
\end{tabularx}
\par\addvspace{1.3em}


% That's all folks
\end{multicols*}

\end{document}