I used my Acid-Base workshop handout and added a slide show to facilitate the large group.
I still called on individual residents to answer questions to keep them involved.
I started the lecture with some audience participation. My previous lecture on IV Fluids, diuretics and dysnatremias began with me stating how ubiquitous these subjects were.
I had everyone stand then I asked people to sit down if, in the last three weeks they had not:
- Used any diuretics: no one sat down
- Used any IV diuretics: about half a dozen people sat down
- Used a thiazide diuretic to counter the effect of loop diuretic resistance: lost a lot of people there but still had about a dozen left
- Used a lasix drip to counter loop diuretic resistance from heart failure: everybody sat down but about 3 residents and the amazing Dr. Dhungel, my first year fellow on the consult service.
- Used torsemide instead of furosemide for better pharmacokinetics: only Dr Dhungel remained standing.
I then tried to repeat the excercise for IV fluids and dysnatremias but it didn’t work very well. Should have quit after the first one.
When I gave that IV Fluids, diuretics and dysnatremias lecture I didn’t have a hand out. In the last three weeks I have worked up a handout: