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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Status Epilepticus - Management
Seizure > 5 mins or two seizures without complete recovery between them
PEDS
Benzo Dose
Status Epilepticus ... β†’ Benzo Dose 2 ... Anti-epileptic #3 ... management #treatment #algorithm ... peds #pediatrics #neurology
Emergency Treatment Algorithm for Convulsive Status Epilepticus
1. ABCDEFG (ABC's and Don't Ever Forget the Glucose)
2. Airway:
Emergency Treatment Algorithm ... , 02, suction 3. ... epilepticus: - Propofol ... Ketamine: 0.5-3 ... #Management #Neurology
Renal Replacement Therapy (RRT) - ICU One Pager Summary
Indications (AIEOU):
 β€’ A: Acidosis (usually severe metabolic)
altered mental status ... in the ICU: β€’ IHD ... Intermittent HD): 3- ... HD machine β€’ CRRT ... #managment #nephrology
Emergency Treatment Algorithm for Convulsive Status Epilepticus 
 1. ABCDEFG (ABC's and Don't Ever Forget the
Emergency Treatment Algorithm ... 02, suction 3. ... β€’ Induction: propofol ... EPILEPTICUS β€’ Propofol ... Ketamine: 0.5-3
Status Epilepticus 
Continuous seizure activity > 5-10 min OR >= 2 seizures without full recovery
First line
Status Epilepticus ... infusion) β€’ Propofol ... (3-5 mg/kg bolus ... hr infusion #Status ... Epilepticus #Management #Neurology
Hypernatremia Diagnosis and Workup

Step 1 . Repeat the sodium concentration.
Step 2.  Check plasma osmolality.
NORMAL PLASMA
Step 2. ... administration Step 3. ... Assess volume status ... Diagnosis #Workup #Algorithm ... #Nephrology
Management of Convulsive Status Epilepticus in children
Stabilization Phase (Seizure 0-5 minutes):
 β€’ Check and maintain ABC
3 minutes, followed ... Sodium Loading dose 3 ... IV infusion of 3 ... seizure #Management #neurology ... pediatrics #peds #algorithm
Hyponatremia Diagnostic Algorithm
1) Check serum osmolality
2) Check urine osmolality
3) ADH Dependent - Check volume status, urine
Hyponatremia Diagnostic Algorithm ... serum osmolality 2) ... urine osmolality 3) ... - Check volume status ... #hyponatremia #nephrology
MGH Status Epilepticus Treatment Protocol
1st line (seizures ongoing for 5-10 mins): 
 - Lorazepam 4mg IV
MGH Status Epilepticus ... Treatment Protocol ... 100mg/min) 3) ... mg/kg/hr 2) Propofol ... #algorithm #neurology
Management of Pruritus in Patients with Chronic Kidney Disease
Pruritus with no primary lesions - differential diagnosis:
with hot water 2. ... itchy areas. 3. ... onset of action 2- ... Pruritus #Treatment #Algorithm ... Uremia #Management #Nephrology