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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diagnosis treatment potassium differential nephrology pharmacology addiction hematology blood buprenorphine hypokalemia medications opioid product reactions usedisorder adrenal alcohol antifungals binding
Potassium-Binding Agents to Treat Hyperkalemia Sodium zirconium cyclosilicate (Lokelma): • Mechanism: Preferentially captures K in exchange for
calcium for K; also binds ... nonspecifically binds ... patients sensitive to high ... #pharmacology #table ... #comparison #binders
Adrenal Insufficiency Differential Diagnosis Algorithm Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Weakness, fatigue, nausea ... hyponatremia, hyperkalemia ... , hypoglycemia Testing ... stimulation test AND ... insufficiency likely: • High
Hyperkalemia - Management Algorithm • IV calcium • IV insulin and glucose and/or salbutamolt • Consider
Hyperkalemia - Management ... Algorithm • IV ... • Consider K+ binder ... #potassium #high ... #algorithm #treatment
Hypokalemia Evaluation Algorithm Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
Algorithm Before ... as arrhythmias and ... from other causes ... urinary losses: • High ... #diagnosis #Algorithm
Hyperkalemia Management Algorithm • Treat the cause & optimize hemodynamics and ventilation • Reconsider treatment leadingto
Hyperkalemia Management ... Algorithm • Treat ... the cause & optimize ... #Management #Algorithm ... treatment #potassium #high
Pearls for Treatment of Alcohol Use Disorder First-line pharmacotherapies for moderate to severe AUD include naltrexone and
abdominal pain, nausea ... actively using or at high ... achieve efficacy may hinder ... the outpatient setting ... #UseDisorder #Management
KDIGO Treatment algorithm for management of acute hyperkalemia in the emergency department • Place on cardiac
for management ... of acute hyperkalemia ... • Consider K+ binder ... #management #algorithm ... treatment #potassium #high
Inpatient Management of Opioid Use Disorder: Methadone vs Buprenorphine - Comparison Table Some patients may decline buprenorphine
Inpatient Management ... Buprenorphine - Comparison ... Table Some patients ... shown to have very high ... #Pain #Management
Leukostasis vs Tumor Lysis Syndrome Leukostasis: • Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
high WBC count ... cause hyperviscosity ... hydration - Hyperkalemia ... Non calcium phos binders ... TLS #diagnosis #management
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 ... diuresis can be high ... : Hypovolemia, Hypervolemia ... differential #diagnosis #table
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