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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
Hepatorenal Syndrome - Diagnosis and Management Summary
Who gets HRS?
 • Decompensated cirrhosis
 • Typically with existing
data MIDODRINE+OCTREOTIDE ... vasoconstriction • Octreotide ... 15mg PO TID • Octreotide
The Gastroenterology Consult Primer
Guide to Calling a GI Consult
HPI:
 - Start with reason for consult
lipase PMH: - Focus ... started (PPI IV, octreotide
Focus Assessed Transthoracic Echo (FATE) - Basic FATE views

Pos 1: Subcostal 4-chamber

Pos 2: Apical 4-chamber

Pos 3:
Focus Assessed Transthoracic ... FATE views Pos 1: ... Echocardiogram #POCUS
Pharmacological Treatment of Hepatorenal Syndrome (HRS)

Midodrine - Alpha agonist incr blood pressure incr renal perfusion pressure
perfusion pressure Octreotide
D-Sign on Ultrasound
Right Ventricular Pressure vs Volume Overload
Eccentricity Index (EI) = D2/D1
RV Overload “D Sign” EI
“D Sign” EI > 1 ... - POCUS 101 @Pocus101 ... diagnosis #cardiology #pocus
Hypoglycemia Management and Monitoring #Management #EM #IM #Hypoglycemia #Monitoring #Algorithm #Sulfonylurea #Octreotide #Charcoal #Ddxof
#Sulfonylurea #Octreotide
Intubation Confirmation on POCUS

See the round, shadowing structures?
1. ET Tube in Trachea
2. NG Tube in Esophagus

-
Confirmation on POCUS ... 1. ... #Confirmation #POCUS
Approach to Thyroid Function Tests in the Evaluation of Hyperthyroidism
 • Low TSH, Low normal T4
dopamine agonists/octreotide