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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11 results
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
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
UCSF COVID-19 Adult Clinical Evaluation Guide - Updated April 10 2020

Clinical Presentation
β€’ Fever: hospitalized pts but
Clinical Evaluation Guide ... be only symptom 3- ... UCSF COVID-19 ID ... #Diagnosis #Algorithm ... #Protocol #SARSCoV2
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
Quick Guide: Methadone Starts in the Hospital
Day 1: max daily dose 40 mg methadone
First dose
β€’ Check
Quick Guide: Methadone ... Starts in the Hospital ... in 1 hour Day 2: ... oriented/tranquil 3. ... Methadone #Initiation #Algorithm