Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief 🇵🇭 🇺🇸 - 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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Pacemaker Coding Terminology
#Diagnosis #Cardiology #PPM #Pacemaker #LetterCode #Coding #Classification #Table #CoreEM
Pacemaker Coding ... PPM #Pacemaker #LetterCode ... #Coding #Classification ... #Table #CoreEM
The first three letters refer to chamber paced, chamber sensed, and response to sensed events. The
The fifth letter is ... PPM #Pacemaker #LetterCode ... #Coding #Classification ... #Table
Warfarin to DOAC and DOAC to Warfarin Transitions 

Here are a couple of charts to help
DOACs for easier dosing ... and monitoring. ... Rivaroxaban is < ... Edoxaban is <2.5 ... #Pharmacology #Table
Angiotensin Receptor Blockers 
Recommended Dose Conversions 

Valsartan 
Irbesartan 
Losartan 
Olmesartan 
Telmisartan 
Candesartan 
Azilsartan 
Eprosartan 

A few
this drug class is ... still going to ... refresher, important monitoring ... ARB #Conversion #Table ... #Dosing #Pharmacology
Approach to Selecting Respiratory Support:
-The role of noninvasive respiratory support is generally to reduce the patient's
respiratory support is ... practitioners is ... more useful than monitoring ... #Management #CriticalCare ... RespiratorySupport #Selection #Algorithm
Therapeutic Drug Level Monitoring 
Carbamazepine - Sample immediately before next dose (trough) 
Clozapine - Sample immediately
Therapeutic Drug Level Monitoring ... before next dose is ... - Intermittent dosing ... Pharmacology #Diagnosis #Table ... #Monitoring #Timing
Intra-Aortic Balloon Pump (IABP)

Intra-aortic balloon counter-pulsation is a method of invasive hemodynamic support. A catheter is
counter-pulsation is ... A catheter is placed ... the coronaries during ... Complications and Monitoring ... management #cardiology #criticalcare
EEG/Bispectral Index (BIS) Monitoring - Neuromuscular Blockade

 • Use EEG/BIS monitor to ensure sedation depth is
Bispectral Index (BIS ... that EEG monitoring ... titrate sedation during ... an algorithmic ... NMB #neurology #criticalcare
Proposed Respiratory Support Algorithm in COVID19

The ‘intubate early’ paradigm, where patients who “fail” low flow oxygen
Respiratory Support Algorithm ... lung disease are doing ... that intubation is ... management #schema #criticalcare ... hypoxia #failure #algorithm
Checklist for Treatment of Delirium in the ICU 

Remove causative factors 
 - 
Exclude hypoglycemia if
hypoglycemia if this is ... frequent Bp cuff monitoring ... especially if this is ... Reorientation during ... Treatment #MICU #CriticalCare