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Algorithm for the Treatment of Severe Hypoglycemia

Step #1:  IV dextrose bolus

Step #2:  food (if
Hypoglycemia Step #1: ... steroid Step #4b: octreotide
Hepatorenal Syndrome Treatment
Volume expansion: 
 • Albumin (typical dose = 1g/kg on day 1 +/- day
= 1g/kg on day 1 ... Midodrine - An alpha- 1 ... vasoconstrictor) + Octreotide
Evidence for Treatment of Acute Esophageal Variceal Bleeding
 • Octreotide (PMID: 11870374) - Endoscopic banding +
Variceal Bleeding • Octreotide ... Endoscopic banding + octreotide ... free survival at 1
Protein Losing Enteropathy
Clinical Presentation:
 • Volume overload: Peripheral edema, pleural effusion or ascites.
 • Gl symptoms
Increase in alpha-1 ... underlying disease • Octreotide
Hyperkalemia - Diagnosis and Management - GrepMed Handbook

S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
insulin (DM, DKA, octreotide ... 5-10U reg IV + 1-
Hepatorenal Syndrome - Diagnosis and Management Summary
Who gets HRS?
 • Decompensated cirrhosis
 • Typically with existing
data MIDODRINE+OCTREOTIDE ... vasoconstriction • Octreotide ... 15mg PO TID • Octreotide
Pharmacological Treatment of Hepatorenal Syndrome (HRS)

Midodrine - Alpha agonist incr blood pressure incr renal perfusion pressure
perfusion pressure Octreotide
Hypoglycemia Management and Monitoring #Management #EM #IM #Hypoglycemia #Monitoring #Algorithm #Sulfonylurea #Octreotide #Charcoal #Ddxof
#Sulfonylurea #Octreotide
The Gastroenterology Consult Primer
Guide to Calling a GI Consult
HPI:
 - Start with reason for consult
started (PPI IV, octreotide
Approach to Thyroid Function Tests in the Evaluation of Hyperthyroidism
 • Low TSH, Low normal T4
dopamine agonists/octreotide