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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Algorithm for the Treatment of Uremic Pruritus
Nonpharmacologic Treatments:
 β€’ Daily topical emollient
 β€’ Avoidance of extremes
Treatment of Uremic ... of Uremic Pruritus ... #Pruritus #uremia ... #Treatment #management ... #nephrology
Pruritus Treatment Algorithm for Hemodialysis Patients 

Non-PharmacoIogicaI Measures 
 β€’ Use gentle soap e.g. Dove
Pruritus Treatment ... Algorithm for Hemodialysis ... #Algorithm #Hemodialysis ... #Uremic #Uremia ... #Management #Nephrology
The rationale for aggressive treatment of generalized status epilepticus was described previously here.  In short,
for aggressive treatment ... it becomes to therapy ... #Management #Neurology ... #CriticalCare # ... #Algorithm #PulmCrit
Continuous Renal Replacement Therapy (CRRT) - Overview
Types of CRRT
 β€’ CVVHD - Continuous Veno-Venous hemodialysis -
refractory) U: uremia ... β€” most common, uremic ... bleeding. uremic ... #Indications #Nephrology ... #Management
Sequential Approach to the Uremic Patient with Pruritus 

Optimize dialysis adequacy 
Use biocompatible membranes for HD
Approach to the Uremic ... Pruritus #Uremic ... #Uremia #Pruritis ... #Management #Sequential ... #Algorithm #Nephrology
Acute ED Migraine Therapy and Preventative Therapy Algorithm:
Acute migraine
 β€’ IV NS IL bolus then infusion
Algorithm: Acute ... 20 mg/min -> Neurology ... #Migraine #management ... #algorithm #treatment ... #prophylaxis #neurology
Renal Replacement Therapy (RRT) - ICU One Pager Summary
Indications (AIEOU):
 β€’ A: Acidosis (usually severe metabolic)
U: Symptomatic Uremia ... mental status, uremic ... Corrects uremia, ... #RRT #managment ... #nephrology #CRRT
Management of Pruritus in Patients with Chronic Kidney Disease
Pruritus with no primary lesions - differential diagnosis:
Management of Pruritus ... Polycythemia vera) Management ... #Algorithm #Hemodialysis ... #Uremic #Uremia ... #Management #Nephrology
Algorithm for Management of Acute and Chronic Hyperkalemia
Acute Hyperkalemia:
 - IV calcium (10 mL of 10%)
Algorithm for Management ... bicarbonate, Diuretics, Hemodialysis ... #Management #Acute ... #Chronic #treatment ... #nephrology
Renal Replacement Therapy (RRT) Modalities

RRT Modalities in the ICU:
 β€’ IHD (Intermittent HD):  3-5 hr
Corrects uremia, ... Continuous venovenous hemodialysis ... Gently corrects uremia ... #RRT #managment ... #nephrology #CRRT