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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19 results
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
A practical guide to starting levothyroxine therapy
Calculate full replacement dose: 1.6 mcg/kg/day
Young, otherwise healthy patient:
 β€’
full replacement dose ... /4 anticipated dose ... initiation #starting #management ... #endocrinology ... #pharmacology #hypothyroidism
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
Asthma Maintenance Therapy ... Here is a review ... nonpharmacologic management ... before increasing medication ... #Management #Pharmacology
Biologic therapy for eosinophilic asthma 
β€’ Mepolizumab (Nucala) 
  β€’ Anti-lL-5, 100 mg SQ q4
Biologic therapy ... SQ q4 weeks x3 doses ... asthma #Biologic #therapy ... #Medications #pharmacology ... #pulmonary #management
Lyrica (Pregabalin) 
Indications: Neuropathy (diabetic, postherpetic neuralgia, fibromyalgia, & spinal cord injury), Adjunctive therapy for partial-onset
injury), Adjunctive therapy ... generic, let's review ... as adjunctive therapy ... to be renally dose ... Lyrica #Pregabalin #Pharmacology
Hepatorenal Syndrome - Diagnosis and Management Summary
Who gets HRS?
 β€’ Decompensated cirrhosis
 β€’ Typically with existing
Hepatorenal Syndrome - Diagnosis ... and Management ... a precipitant: Medications ... is vasoactive therapy ... #Management #treatment
Vancomycin Associated Acute Kidney Injury

 β€’ Drug induced acute kidney injury is generally defined as a
nephrotoxic agents, the dose ... , cessation of therapy ... Vancomycin #AKI #pharmacology ... #toxicology #diagnosis ... #management #nephrology
Checklist for Treatment of Delirium in the ICU 

Remove causative factors 
 - 
Exclude hypoglycemia if
possible - Review ... the medication ... sleeping, administer pharmacologic ... therapy early in ... Delirium #Checklist #Management
Heart Failure (HFrEF) Treatment - GDMT for stage C 

For patients with Heart Failure with REDUCED
Guideline-Directed Medical Therapy ... getting patients on medication ... to the target dose ... HeartFailure #HFrEF #Pharmacology ... #Management #Treatment