11 results
Metformin 
Current Renal Dose Adjustments due to Risk of Lactic Acidosis 
> 60 No adjustment 
45-60
Metformin Current ... 45-60 Monitor eGFR ... already taking metformin ... dose decrease, Do not ... #Renal #Dosing
Metformin in Diabetic Kidney Disease
Immediate release:
 • Initial 500 mg or 850 mg once daily
 •
Metformin in Diabetic ... maximum dose eGFR ... recommended dose eGFR ... ; do not initiate ... metformin Monitor
Metformin Pharmacology Summary
Mechanisms of Action:
 • Suppresses gluconeogenesis by the liver
 • Increases insulin-mediated glucose utilization
Metformin Pharmacology ... agent • Does not ... initiate if eGFR ... continue if eGFR ... EricsMedicalLectures/ #Metformin
Management of Diabetes Mellitus in Patients With CKD

1. Monitor for changes in BP, serum creatinine, &
FDA recommends, metformin ... should NOT be used ... T2D, CKD, & an eGFR ... CKD #ADA #KDIGO #eGFR ... #Insulin #metformin
ID Ddx: Diarrhea in a transplant recipient
- Bacterial: C.diff, Campy, Salmonella, Aeromonas, E.coli
- Viral: CMV, noro,
ID Ddx: Diarrhea ... Entamoeba - Non-ID ... Sara Dong @swinndong ... febrilepodcast.com] #ID ... Transplant #TxID #SOT
Fungal Biomarkers: Beta-D-Glucan and Aspergillus Galactomannan
Beta-D-Glucan:
 • Polysaccharide cell wall component of many fungi
 • Pathogens:
e.g. amox-clav, not ... now and should not ... non-neutropenic pts, SOT ... setting of GVHD) ID ... Sara Dong #Fungal
Renal Replacement Therapy (RRT) - ICU One Pager Summary
Indications (AIEOU):
 • A: Acidosis (usually severe metabolic)
carbamazepine, metformin ... Circuit & Parameters Set ... 3-5 hr session using ... ~12 hr session using ... clearance and does not
By Dr. Sara Dong @swinndong via Febrile [febrilepodcast.com  @febrilepodcast]
#ID  #InfectiousDiseases  #Infections
#HIV #transplant #SOT
Sara Dong @swinndong ... febrilepodcast] #ID ... HIV #transplant #SOT
Adenovirus in solid organ transplant recipients
- Micro/Epi
- Definitions
- Clinical 
- Treatment

By Dr. Sara Dong @swinndong via
Sara Dong @swinndong ... febrilepodcast.com] #ID ... TxID #Transplant #SOT
Pre-Transplant Infectious Diseases Evaluation
- Screening for infections
- Counsel for safe living after transplant
- Address antibiotic allergies
-
Sara Dong @swinndong ... febrilepodcast.com] #ID ... Transplant #TxID #SOT