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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Renal Replacement Therapy (RRT) - ICU One Pager Summary
Indications (AIEOU):
 β€’ A: Acidosis (usually severe metabolic)
U: Symptomatic Uremia ... altered mental status ... , uremic pericarditis ... in the ICU: β€’ IHD ... #managment #nephrology
True Hyponatremia Differential Algorithm

Instead (or in addition) of volume status examination, check urine sodium and serum
Hyponatremia Differential Algorithm ... addition) of volume status ... sodium and serum uric ... #Differential #Algorithm ... #Diagnosis #Nephrology
Renal Replacement Therapy (RRT) Modalities

RRT Modalities in the ICU:
 β€’ IHD (Intermittent HD):  3-5 hr
in the ICU: β€’ IHD ... machine CRRT ... Corrects uremia, ... Gently corrects uremia ... #managment #nephrology
Stages in the development of HF and recommended therapy by stage. ACEI indicates angiotensin-converting enzyme inhibitor;
Stages in the development ... artery disease; CRT ... hypertension; ICD ... HeartFailure #Staging #Stages ... #ACCAHA #Algorithm
Pruritus Treatment Algorithm for Hemodialysis Patients 

Non-PharmacoIogicaI Measures 
 β€’ Use gentle soap e.g. Dove
Pruritus Treatment Algorithm ... Pruritus #Treatment #Algorithm ... #Hemodialysis #Uremic ... #Uremia #Management ... #Nephrology #CKD
Emergency Treatment Algorithm for Convulsive Status Epilepticus
1. ABCDEFG (ABC's and Don't Ever Forget the Glucose)
2. Airway:
Emergency Treatment Algorithm ... for Convulsive Status ... epilepticus: - Propofol ... Epilepticus #Treatment #Algorithm ... #Management #Neurology
Emergency Treatment Algorithm for Convulsive Status Epilepticus 
 1. ABCDEFG (ABC's and Don't Ever Forget the
Emergency Treatment Algorithm ... β€’ Induction: propofol ... EPILEPTICUS β€’ Propofol ... Epilepticus #Treatment #Algorithm ... Convulsive #management #neurology
Hyponatremia Diagnostic Algorithm
1) Check serum osmolality
2) Check urine osmolality
3) ADH Dependent - Check volume status, urine
Hyponatremia Diagnostic Algorithm ... - Check volume status ... urine sodium, uric ... Hyponatremia #Diagnosis #Algorithm ... #hyponatremia #nephrology
MGH Status Epilepticus Treatment Protocol
1st line (seizures ongoing for 5-10 mins): 
 - Lorazepam 4mg IV
MGH Status Epilepticus ... Treatment Protocol ... mins) REFRACTORY STATUS ... 48hrs) #MGH #Status ... #algorithm #neurology
Management of Pruritus in Patients with Chronic Kidney Disease
Pruritus with no primary lesions - differential diagnosis:
β€’ Baby oil BID ... Pruritus #Treatment #Algorithm ... #Hemodialysis #Uremic ... #Uremia #Management ... #Nephrology #CKD