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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Intravenous Lipid Emulsion (ILE) Therapy

ILE is a treatment for severe toxicity from local anesthetics. In addition,
Emulsion (ILE) Therapy ... In addition, it ... Emulsion #ILE #Therapy ... #Toxicology #Management ... #Pharmacology #
Smoking Cessation Management
Nicotine Replacement Therapy (NRT):
Long-Acting NRT:
 β€’ Patch: Wear for 24 hours at a time.
Smoking Cessation Management ... Nicotine Replacement Therapy ... Rechew when tingling ... #pharmacology # ... addition #tobacco
Invasive Candidiasis (IC)

Diagnosis:
Culture:
 β€’ Gold standard, but Slow (~2-3 days), 50% sensitivity
 β€’ Blood Sample
 β€’
AFST) to guide therapy ... intravenous or oral) Additional ... management: β€’ ... Diseases Consults β€’ Echocardiogram ... antifungal #diagnosis #management
Asthma Maintenance Therapy - Stepwise Approach 

Low dose ICS 
-> Low dose ICS/LABA or Med/High dose
Asthma Maintenance Therapy ... Here is a review ... nonpharmacologic management ... increasing medication therapy ... #Management #Pharmacology
Medical Treatment Algorithm for Chronic Obstructive Pulmonary Disease
Initial medical treatment of chronic obstructive pulmonary disease (COPD)
escalation in therapy ... Additional therapies ... optimal inhaled therapy ... Treatment #Algorithm #Management ... SABA #SAMA #ICS #Pharmacology
Checklist for Treatment of Delirium in the ICU 

Remove causative factors 
 - 
Exclude hypoglycemia if
possible - Review ... sleeping, administer pharmacologic ... therapy early in ... antipsychotic therapy ... Delirium #Checklist #Management
Atrial Fibrillation RVR - Medications
Diltiazem
 β€’ Preferred in patients with chronic lung such as Asthma and
Consider as initial therapy ... Cannot tolerate addition ... Consider as initial therapy ... #Medications #management ... #treatment #comparison
Opioid Use Disorder Medications - Pharmacokinetics

Buprenorphine is a partial mu-opioid receptor agonist with low intrinsic activity,
stages of the addiction ... combining with additional ... following naltrexone therapy ... Pharmacokinetics #Comparison ... #Table #Pharmacology
Complex Aortic Atheroma on Suprasternal Notch View 
Never forget the suprasternal view during standard TTE examination.

Would
Suprasternal Notch View ... the suprasternal view ... In addition, if ... sometimes w/o therapy ... Atheroma #aorta #SSN #Echocardiogram
β–Ί
Guideline-Directed Medical Therapy (GDMT) in HFrEF and CKD

 β€’ Class I pillars of HFrEF GDMT across
Guideline-Directed Medical Therapy ... β€’ Class II "additional ... Directed #Medical #Therapy ... GDMT #CKD #HFrEF #management ... #pharmacology #