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 hematology blood product reactions bundle checklist criticalcare differential hyponatremia hypotonic icu leukostasis lysis medications nephrology pharmacology physiologic potassium prerounding
Potassium-Binding Agents to Treat Hyperkalemia Sodium zirconium cyclosilicate (Lokelma): • Mechanism: Preferentially captures K in exchange for
Potassium-Binding ... nonspecifically binds ... aspiration #Potassium #Binding ... #pharmacology #table ... #comparison #binders
Blood Product Transfusions One Pager Summary Type and screen - determines blood type and detects in recipient
Crossmatch - involves testing ... Hypocalcemia, Hyperkalemia ... Citrate in RBCs binds ... Hypothermia: Due to low ... #diagnosis #management
Blood Transfusion Reactions Immune Mediated: • Febrile Non-Hemolytic Transfusion Reaction (FNHTR): Most common immune reaction to transfusion.
Hypocalcemia, Hyperkalemia ... Citrate in RBCs binds ... Hypothermia: Due to low ... false negatives on testing ... #diagnosis #management
Leukostasis vs Tumor Lysis Syndrome Leukostasis: • Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
high WBC count cause ... Diuretics, PRBC transfusion ... , Elevated Cr, Low ... 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 ... Cerebral Salt Wasting ... : Hypovolemia, Hypervolemia ... differential #diagnosis #table
ICU Pre-Rounding Bundle Checklist VITALS: trends! • Important to know if the pt is getting better or
know if the pt is getting ... (drips, abx, transfusions ... + changes/new findings ... / TUBES: know gauges ... #CriticalCare #Management
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