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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Potassium-Binding Agents to Treat Hyperkalemia
Sodium zirconium cyclosilicate (Lokelma):
 β€’ Mechanism: Preferentially captures K in exchange for
calcium for K; also binds ... nonspecifically binds ... patients sensitive to high ... #pharmacology #table ... #comparison #binders
Potassium Binders for Management of Hyperkalemia
 β€’ SPS - Sodium polystyrene sulfonate
 β€’ Patiromer (veltassa)
 β€’
Potassium Binders ... for Management ... #Management #Hyperkalemia ... #pharmacology #table ... #comparison #nephrology
Adrenal Insufficiency Differential Diagnosis Algorithm
Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Differential Diagnosis Algorithm ... Weakness, fatigue, nausea ... hyponatremia, hyperkalemia ... , hypoglycemia Testing ... insufficiency likely: β€’ High
Hyperkalemia - Management Algorithm
 β€’ IV calcium
 β€’ IV insulin and glucose and/or salbutamolt
 β€’ Consider
Hyperkalemia - Management ... Algorithm β€’ IV ... β€’ 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 ... from other causes ... suggests extra-renal causes ... urinary losses: β€’ High ... #diagnosis #Algorithm
Vasopressors Table 
Rough properties by Target Receptor, Heart Rate/Inotropy, Systemic Vascular Resistance, Cardiac Output, Blood Pressure,
Vasopressors Table ... Resistance, Main Uses ... - Dopamine, high ... Pharmacology #Effect #Management ... #Comparison #Inotropes
Hyperkalemia Management Algorithm
 β€’ Treat the cause & optimize hemodynamics and ventilation
 β€’ Reconsider treatment leadingto
Hyperkalemia Management ... Algorithm β€’ Treat ... the cause & optimize ... #Management #Algorithm ... treatment #potassium #high
KDIGO Treatment algorithm for management of acute hyperkalemia in the emergency department
 β€’ Place on cardiac
for management ... of acute hyperkalemia ... β€’ 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
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