Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief ๐Ÿ‡ต๐Ÿ‡ญ ๐Ÿ‡บ๐Ÿ‡ธ - 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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Stress Dose Steroids - Indications and Dosing

SUPPRESSED HPA AXIS:
 prednisone >20mg/day x 3 weeks or more
Stress Dose Steroids ... - Indications and ... #Dosing #Endocrinology ... #Diagnosis #Management ... #Pharmacology
DPP4 Inhibitors - Normal and Renal Dosing

Increase Incretins (GLP-I & GIP) -> Stimulates Insulin, Inhibits Glucagon
different than other medications ... very tolerable medication ... Renal #Dosing #Pharmacology ... #Management #Diabetes ... #DM2 #Endocrinology
Asthma Maintenance Therapy - Stepwise Approach 

Low dose ICS 
-> Low dose ICS/LABA or Med/High dose
Here is a review ... nonpharmacologic management ... before increasing medication ... Stepwise #Therapy #Management ... #Pharmacology #
Pancreatitis management checklist 
Evaluation to guide etiology & management 
 - RUQ ultrasound 
 - Calcium
test panel - Review ... of medication list ... Q6hr) and pain-dose ... Pancreatitis #Checklist #Diagnosis ... #Management #CriticalCare
Checklist for Treatment of Delirium in the ICU 

Remove causative factors 
 - 
Exclude hypoglycemia if
possible - Review ... the medication ... sleeping, administer pharmacologic ... Delirium #Checklist #Management ... Treatment #MICU #CriticalCare
Diabetes Morning Hyperglycemia - Dawn Phenomenon vs Somogyi Effect 

When patients FBG's are elevated each morning
attempts at adjusting medication ... or decrease the medication ... evening insulin dose ... Hyperglycemia #Diagnosis ... #Management #Endocrinology
Pain, Agitation, and Delirium (PAD) in the ICU
Addressing the ICU Triad (PAD) can be accomplished through
Can also be dosed ... No pharmacologic ... (Haldol) - No pharmacologic ... Delirium #PAD #ICU #CriticalCare ... #diagnosis #management
IDSA Recommendations for Preventing and Treating Varicella Zoster Virus (VZV) Infections in HIV-AIDS
Pre-Exposure Prevention of VZV
Primary Infection Indications ... health-care provider diagnosis ... (Varivaxโ„ข), 2 doses ... Prevention #Treatment #management ... infections #HIVAIDS #pharmacology
IDSA Recommendations for Treating Mycobacterium Tuberculosis Infection and Disease in HIV-AIDS
Treating LTBI (to prevent TB disease)
Indications:
prevent TB disease) Indications ... months or โ€ข RFB (dose ... and molecular diagnostic ... Prevention #Treatment #management ... infections #HIVAIDS #pharmacology