MedSurvival Mnemonics by Raza

06/01/2026

Mechanism of Alcoholic Ketoacidosis

Via The New England Journal of Medicine

05/31/2026

Condition-specific acute BP targets

💎💎Aortic dissection
➡️SBP ≤120 & HR

05/31/2026

In heart failure patients metoprolol succinate (Toprol-XL) should be used — NOT metoprolol tartrate (Lopressor).

Reason ➡️ The extended-release formulation of metoprolol succinate provides more stable beta-1 blockade throughout the dosing interval.

05/15/2026


Step-by-Step VF/Pulseless V-Tach Arrest Management

1💎Confirm cardiac arrest — check pulse (≤10 seconds).

2💎If pulseless, begin high-quality CPR immediately

3🫀Attach defibrillator/monitor and analyze rhythm. VF is a shockable rhythm.

4🤲Resume CPR immediately for 2 minutes after shock 

5💎 Establish IV/IO access during CPR (IV preferred over IO) & Begin addressing reversible causes (H's and T's). 

6🫀Rhythm check at 2 minutes — if still VF/pVT:
Shock #2 (same or escalating energy)

7🤲 Resume CPR immediately

8💉Epinephrine 1 mg IV/IO (give as soon as feasible after 2nd shock; repeat every 3–5 minutes) 

9🫀Rhythm check at 2 minutes — if still VF/pVT:
Shock #3

10💎Resume CPR immediately

11💉Antiarrhythmic: either amiodarone or lidocaine: 

12🤲Continue 2-minute CPR cycles — repeat rhythm checks, shocks if still shockable, and epinephrine every 3–5 minutes. A second dose of antiarrhythmic may be given if VF persists.

05/15/2026

💉💉Fomepizole Dosing

💎The loading dose: 15 mg/kg, followed by

💎10 mg/kg every 12 hours for 4 doses, then

💎 15 mg/kg every 12 hours thereafter until toxin level

05/01/2026

Drugs Adjustment for LOW GFR

02/17/2026

Switching ( Warfarin 💊💊DOACs)

01/21/2026

Standard Tracheostomy Care Protocols,
Best practice guidelines recommend:

💎First 24 hours post-surgery: Suctioning every 2 hours (and as needed) with 3-5 cc normal saline.

💎💎24-48 hours post-surgery: Suctioning every 4 hours (and as needed)

💎💎💎Beyond 48 hours: Frequency adjusted based on secretion production, typically every 2-4 hours.

The inner cannula should be removed twice daily for cleaning, and patients require airway inspection around the clock, including during sleep.

Protocol adherence and staff training are critical.

12/25/2025

Oxygen Delivery Devices: Different Types & uses

12/03/2025