Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief 🇵🇭 🇺🇸 - 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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management pharmacology vasopressors comparison criticalcare diagnosis summary cheatsheet chei cholinesterase coronavirus covid19 dementia deprescribing depression differential epinephrine geriatrics hyponatremia hypotonic
Vasopressors and Inotropes - Pharmacology Summary Vasopressors Phenylephrine (alpha-1) • Increases BP, SVR • Risk of reflex bradycardia
• Higher doses cause ... more alpha-effect ... V2 antidiuretic effect ... , less of a BP effect ... cAMP/cGMP • Causes
Vasopressors Table Rough properties by Target Receptor, Heart Rate/Inotropy, Systemic Vascular Resistance, Cardiac Output, Blood Pressure,
Vasopressors Table ... Receptor, Heart Rate/Inotropy ... Resistance, Main Uses ... - Dopamine, low ... #Pharmacology #Effect
Cholinesterase Inhibitor (ChEl) and Memantine Deprescribing Algorithm To support health care professionals in employing the recommendations
Deprescribing Algorithm ... This algorithm helps ... decide when and how ... memantine safely and how ... to monitor effects
SSRI Initiation How long before increasing dose? • 4 wks. Initial response in 2-4 wks, max response
SSRI Initiation How ... Side effects? ... transient Gl upset (nausea ... libido, sexual side effects
Lactated Ringers (LR) vs Normal Saline (NS) - Comparison Composition of LR: • Sodium 130 mEq/L •
- Protective effects ... shift • Saline Causes ... decreased renal blood flow ... • Saline May Cause ... #pharmacology #effects
Push Dose Pressors - Mixing Instructions. EPINEPHRINE Has alpha and beta 1/2 effects so it is an inopressor Do
alpha and beta 1/2 effects ... 100 mcg/ml) • Now ... so no intrinsic inotropy ... bag of NS • Now
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
time you have a case ... normal volume-based algorithm ... can be high or low ... Primary polydipsia), Low ... differential #diagnosis #table
COVID-19 - A Seattle Intensivist's One-Page Cheat-Sheet on COVID-19 v2.7 Updated March 26 2020 (v2.7) incorporating newer
COVID19 in the ICU, now ... (v2.5) It reflects ... v2.3) updated to reflect ... 31 • First US case
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