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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Pharmacology of diuretics

Acetazolamide, Loop diuretics, Thiazide‐like diuretics, MRA, Amiloride

Site of Action, Maximum Dose, Half-Life, Onset, Bioavailability,
Action, Maximum Dose ... Pharmacology #Comparison #Table ... #HalfLife #Dosing ... Loop #Thiazide #CHF
FALLS protocol - POCUS evaluation in shock

The FALLS-protocol is an ultrasound evaluation of patients with acute
FALLS protocol - ... POCUS evaluation ... shock The FALLS-protocol ... and pericardium using ... #Shock #Algorithm
Flowchart to diuretic use in acute heart failure.

(A) Congestion with volume overload. 

(B) Treatment algorithm after
(B) Treatment algorithm ... loop diuretic dose ... administration, once a day dosing ... Diuretic #Diuresis #CHF ... #Algorithm #Congestive
Updated phenobarbital alcohol withdrawal protocol

See old algorithm here: https://www.grepmed.com/images/1485/phenobarbital-monotherapy-withdrawal-management-algorithm-pulmcrit-protocol

The protocol was consequently modified as shown below,
See old algorithm ... phenobarbital-monotherapy-withdrawal-management-algorithm-pulmcrit-protocol ... phenobarbital dosing ... large cumulative dose ... #Monotherapy #Algorithm
CA-Bridge Buprenorphine Hospital Quick Start Algorithm - Management of acute opiate withdrawal 
 - Any prescriber
Hospital Quick Start Algorithm ... If patient is stable ... Buprenorphine Dosing ... chronic pain split dosing ... Buprenorphine #Treatment #Algorithm
Ultrasound (POCUS) For Nerve Blocks
Nerve block sites, agents, dosing and duration
Infographic by Dr. David Cisewski @dhcisewski
#Management
Ultrasound (POCUS ... sites, agents, dosing ... #Anesthetics #Dosing ... #Doses #Table
Atrial Fibrillation RVR - Medications
Diltiazem
 β€’ Preferred in patients with chronic lung such as Asthma and
strongly consider using ... of or increased doses ... decompensated CHF ... anyway to improve CHF ... treatment #comparison #table
Pediatric Trauma Primary Survey: C-ABCDE
C - Catastrophic Bleeding - Life-threatening hemorrhage
 β€’ Apply direct pressure/compression bandage
intubation (See Drug Dosing ... Binder) β€’ Use POCUS ... massive transfusion protocol ... Use higher end dosing ... IV (MAX 250 mL/dose
MGH Status Epilepticus Treatment Protocol
1st line (seizures ongoing for 5-10 mins): 
 - Lorazepam 4mg IV
Epilepticus Treatment Protocol ... 20mg rectally (using ... give additional dose ... 2 mg/kg/hr 2) Propofol ... #algorithm #neurology
Stepwise management of acute headache in the emergency department 

1) Metoclopramide 10 mg IV or prochlorperazine
especially if using ... relief: A second dose ... relief: A third dose ... therapy listed in Table ... Management #Stepwise #Algorithm