Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief πŸ‡΅πŸ‡­ πŸ‡ΊπŸ‡Έ - Sign up for an account to like, bookmark and upload images to contribute to our community platform. Follow us on IG: https://www.instagram.com/grepmed/ | Twitter: https://twitter.com/grepmeded/
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Vasopressors and Inotropes - Pharmacology Summary
Vasopressors
Phenylephrine (alpha-1)
 β€’ Increases BP, SVR
 β€’ Risk of reflex bradycardia
β€’ Higher doses cause ... more alpha-effect ... V2 antidiuretic effect ... cAMP/cGMP β€’ Causes ... Pharmacology #Summary #management
Intern Pocket Cards - Inpatient Bowel Regimen Guide
Osmotic agents (draws water into bowel, thereby loosening stool
Bowel Regimen Guide ... Polyethylene glycol - Nausea ... Bowel #Regimen #Guide ... agents #internship #comparison
Vasopressors Table 
Rough properties by Target Receptor, Heart Rate/Inotropy, Systemic Vascular Resistance, Cardiac Output, Blood Pressure,
Resistance, Main Uses ... #Pharmacology #Effect ... #Management #Comparison
Cholinesterase Inhibitor (ChEl) and Memantine Deprescribing Algorithm 

To support health care professionals in employing the recommendations
Deprescribing Algorithm ... deprescribing algorithm ... This algorithm helps ... how to monitor effects ... #Management #Geriatrics
Nephritic vs Nephrotic Syndrome

Step 1: If the patient has hematuria and/or proteinuria, think about nephrotic/nephritic syndromes.
Step
hematuria (RBC casts ... Nephrotic #Syndrome #Comparison ... #Algorithm #Nephrology
Lactated Ringers (LR) vs Normal Saline (NS) - Comparison

Composition of LR:
 β€’ Sodium 130 mEq/L
 β€’
Saline (NS) - Comparison ... - Protective effects ... shift β€’ Saline Causes ... β€’ Saline May Cause ... #pharmacology #effects
Intern Pocket Cards - Pharmacologic Pain Management Options
Anti-inflammatory:
 β€’ Acetaminophen (24 hours: < 3-4g in healthy
Pharmacologic Pain Management ... agents #internship #guide ... #comparison
SSRI Initiation
How long before increasing dose?
 β€’ 4 wks. Initial response in 2-4 wks, max response
Side effects? ... transient Gl upset (nausea ... libido, sexual side effects ... psychiatry #treatment #management
Blood Culture Collection Algorithm - Adult Patients with Suspected Systemic Infection 

Pawlowicz et al evidenced based
Culture Collection Algorithm ... evidenced based algorithm ... to guide the decision ... Algorithm Source ... #Management #BloodCultures
COVID-19 - A Seattle Intensivist's One-Page Cheat-Sheet on COVID-19 v2.7 Updated March 26 2020

(v2.7) incorporating newer
v2.3) updated to reflect ... 31 β€’ First US case ... Cheatsheet #Diagnosis #Management