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pharmacology diagnosis hypertension differential htn internship nephrology guide inpatient management pain potassium workup binders binding bloodpressure bowel cardiology constipation conversion
Diabetes Medications Summary Table Insulin Lifestyle modifications Metformin Sulfonylureas GLP-1 receptor agonists - ↓ major adverse CV events TZDs DPP-4 inhibitors SGLT2 inhibitors -
Diabetes Medications ... Summary Table ... Improved outcomes in CKD ... #diabetes #medications ... #table #comparison
Potassium-Binding Agents to Treat Hyperkalemia Sodium zirconium cyclosilicate (Lokelma): • Mechanism: Preferentially captures K in exchange for
Potassium-Binding Agents ... constipation, diarrhea, nausea ... ); nausea, vomiting ... #medications #pharmacology ... #table #comparison
Secondary Causes of Hypertension - Differential Diagnosis Algorithm Hypertension - BP > 140/90 (>130/80 for DM) Hypertensive urgency
Secondary Causes ... Differential Diagnosis Algorithm ... syndrome • AKI/CKD ... Hyperthyroidism • Hypercalcemia ... Differential #Diagnosis #Algorithm
Intern Pocket Cards - Pharmacologic Pain Management Options Anti-inflammatory: • Acetaminophen (24 hours: < 3-4g in healthy
adults, <3g in CKD ... avoid NSAIDs if CKD ... • Neuropathic agents ... #Ladder #medications ... internship #guide #comparison
Primary and Secondary Causes of Hypertension - Differential Diagnosis Algorithm Primary (Essential) (95%) - Onset between age
Causes of Hypertension ... Differential Diagnosis Algorithm ... licorice • Medications ... parenchymal disease - CKD ... Differential #Diagnosis #Algorithm
Causes of Secondary Hypertension - Workup and Differential Diagnosis Approach (when evaluation should be done): 1. Severe or
Causes of Secondary ... antihypertensive agents ... with previously stable ... disorders including hypokalemia ... parenchymal disease: CKD
Intern Pocket Cards - Inpatient Bowel Regimen Guide Osmotic agents (draws water into bowel, thereby loosening stool
Guide Osmotic agents ... Polyethylene glycol - Nausea ... Guide #Inpatient #medications ... #pharmacology #table ... #comparison
Intern Pocket Cards - Inpatient Blood Pressure Management Guide ß-blockers: • Metoprolol, Carvedilol, Labetalol • Bradycardia, heart
Valsartan • AKI, hyperkalemia ... BloodPressure #medications ... #pharmacology #table ... #agents #internship ... #comparison
Causes of Secondary Hypertension - Differential Diagnosis and Screening Testing Common causes: • Renal parenchymal disease
Causes of Secondary ... (correction of hypokalemia ... withdrawal of suspected agent ... Acromegaly #Secondary ... Screening #Workup #table
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
Etiology: • Medications ... VBG (acidosis), CK ... only if no clear cause ... Elimination (see Table ... STOP offending medications
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