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Levothyroxine (Synthroid) Take it first thing in the morning, no food or meds. Do lab work, report hyperthyroidism (tachycardia, weight loss, fever, high motor activity) IV Initiation Smallest and shortest catheter and apply warm compresses for 10 min. Don't try insertion for more than 2 times. Review contraindications and use the most distal vein of the arm, avoid hand veins to prevent nerve damage Lyme disease Bull's eye rash, enlarged lymph nodes, fatigue, arthralgia, malaise, encephalopathy. The mainstay treatment is antibiotics such as doxycycline. Chest tube Suction: no tidaling, gentle bubbling. Water seal: tidaling, intermittent bubbling. Drainage: pink (serosanguineous), no tidaling, no bubbling.
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