11 results
Suggested Treatment Algorithms for the Management of Polymyalgia Rheumatica and Giant Cell Arteritis

#Management #Algorithm #GCA #PMR
Management #Algorithm #GCA ... Polymyalgia #Rheumatica #GiantCell ... Temporal #Arteritis #Steroid ... #Taper #Treatment
Giant cell arteritis (GCA)

Giant cell arteritis (GCA) definition: Most common systemic inflammatory vasculitis in older adults
morbidity of the steroid ... after initiating steroids ... followed by long slow taper ... Start steroids if ... #GiantCell #arteritis
Drug Reaction with Eosinophilia and Systemic Symptoms (DRESS) Syndrome Treatment
Stop offending agents:
 • List as allergies
Steroids for severe ... mg/kg with slow taper ... Skin: topical steroid
Eosinophilic Pneumonia
When to suspect Eosinophilic Pneumonia? Non-resolving pneumonia + BAL > 25% eosinophils + excluded more
Eosinophilia - Steroid ... with >6% eos) - Steroid ... requiring prolonged taper
COVID-19 - A Seattle Intensivist's One-Page Cheat-Sheet on COVID-19 v2.7 Updated March 26 2020

(v2.7) incorporating newer
COVID-19 - A Seattle ... Cheat-Sheet on COVID ... matthewarentz et al JAMA paper ... investigational therapies; steroids ... COVID-19 • Virus
Treatment Algorithm for Active Proliferative Lupus Nephritis (Class III/IV or Mixed Class III/IV + V)
Induction Therapy
corticosteroids) Steroid ... (max 80 mg/d), taper
Autoimmune Hepatitis

Clinical Presentation
 - Highly variable clinical presentation, from subclinical disease to acute liver failure.
 -
then gradually taper ... steroid.
ICU Pre-Rounding Bundle Checklist
VITALS: trends!
 • Important to know if the pt is getting better or
STEROIDS: day #? ... taper?
Perioperative IBD Pharmacotherapy Management 
Immunomodulators:
 • Stop MTX one week prior to elective surgery
 • Stop
undergoing colectomy Steroids ... surgery • Rapid taper
Management of Immune Checkpoint Inhibitor (ICI) Induced Cardiotoxicity
Problem - Immune checkpoint inhibitors (ICIs) are associated with
initiation of steroids ... days - Continue steroid ... baseline, then taper ... mofetil) - Continue steroid ... baseline, then taper