11 results
Metformin in Diabetic Kidney Disease
Immediate release:
 • Initial 500 mg or 850 mg once daily
 •
until maximum dose ... Initiate at half the dose ... #pharmacology #algorithm ... #management #kdigo ... #initiation #titration
Management of Diabetes Mellitus in Patients With CKD

1. Monitor for changes in BP, serum creatinine, &
within 2–4 weeks of initiation ... increase in the dose ... weeks following initiation ... an increase in dose ... ADA/KDIGO Consensus
Algorithm for Metformin Prescribing and Dosing in CKD
Dose Initiation - Immediate release:
 • Initial 500 mg
Algorithm for Metformin ... Dosing in CKD Dose ... Initiation - Immediate ... Dose Initiation ... #pharmacology #algorithm
A practical guide to starting levothyroxine therapy
Calculate full replacement dose: 1.6 mcg/kg/day
Young, otherwise healthy patient:
 •
full replacement dose ... full weight-based dose ... /4 anticipated dose ... synthroid #therapy #initiation ... starting #management #endocrinology
Hyperkalemia management algorithm 2023-2024 based on UKKA and KDIGO guidelines.

#hyperkalemia #electrolytes #algorithm #emergency #management

Notes:

(1) Up to
Hyperkalemia management algorithm ... based on UKKA and KDIGO ... #electrolytes #algorithm ... administered (5) Many algorithms ... Dialysis must be done
Cushing Syndrome Testing Algorithm
INDICATIONS FOR TESTING:
 • Suspected Cushing syndrome (central obesity, muscle weakness, refractory hypertension)
Testing:
Syndrome Testing Algorithm ... Saliva • Low dose ... Syndrome #diagnosis #algorithm ... #endocrinology
ACEI or ARB Initiation
Hyperkalemia:
 - Review concurrent drugs
 - Moderate potassium Intake
 - Consider: diuretics, sodium
ACEI or ARB Initiation ... #ACEI #ARB #Initiation ... #monitoring #algorithm ... #kdigo
Methadone Hospital Quick Start - Inpatient Initiation for Opioid Use Disorder and Withdrawal
Initial Dosing:
 - Patients
Start - Inpatient Initiation ... Patients should be dosed ... Hospital #Inpatient #Initiation ... opiate #opioid #algorithm
Quick Guide: Methadone Starts in the Hospital
Day 1: max daily dose 40 mg methadone
First dose
• Check
Day 1: max daily dose ... methadone First dose ... not at max daily dose ... ) #Methadone #Initiation ... #Algorithm #Treatment
Management of Hyponatremia
Hypertonic Saline - Only indicated if patient has severe symptoms + Na < 125
Give
(Max of 3 doses) ... symptomatic after 3 doses ... • Discuss with endocrinology ... — discuss with endocrinology ... Hyponatremia #Management #algorithm