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Here are the six steps to improving doctor patient communication with the Universal Upset Patient Protocol.
the Universal Upset ... #Management #Upset
Potassium Repletion - Oral vs IV
Oral KCl 
 - 40mEq at a time, q2-4 hrs
Side Effect: GI upset
Alcohol Withdrawal Timeline
Minor withdrawal (6 to 36 hours) - Tremulousness, mild anxiety, headache, diaphoresis, palpitations, gastrointestinal
gastrointestinal upset
SSRI Initiation
How long before increasing dose?
 • 4 wks. Initial response in 2-4 wks, max response
: transient Gl upset
THE LIMPING OR NON-WEIGHT BEARING CHILD PATHWAY

RED FLAGS - In all cases there are specific
markers which
General - Systemic upset
Metformin: Biguanide
Metformin is the first-line medication for treatment of type 2 diabetes. It is very effective
effects is GI upset
SLUDGE Mnemonic for Cholinergic (Muscarinic) and Organophosphate Toxicity

S - Salivation - Stimulation of salivary glands
L -
Gastrointestinal upset
GLP-1 Agonists

Adlyxin (Lixisenatide) Daily
Bydureon (Exenatide ER) Weekly 
Ozempic (Semaglutide) Weekly 
Trulicity (Dulaglutide) Weekly 
Victoza (Liraglutide) Daily
effects include GI upset
Veltassa (Patiromer) 
MECHANISM: Potassium Binder 
INDICATION: Treatment of Hyperkalemia 
FORMULATION: Powder for oral suspension 
DOSING: 8.4
side effect is GI upset
Clinical Opioid Withdrawal Score (COWS)
 - Resting Pulse Rate: Record beats per minute after patient is
allergy - GI upset