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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Pharmacology of diuretics

Acetazolamide, Loop diuretics, Thiazide‐like diuretics, MRA, Amiloride

Site of Action, Maximum Dose, Half-Life, Onset, Bioavailability,
Action, Maximum Dose ... Pharmacology #Comparison #Table ... #HalfLife #Dosing ... Loop #Thiazide #CHF
Flowchart to diuretic use in acute heart failure.

(A) Congestion with volume overload. 

(B) Treatment algorithm after
(B) Treatment algorithm ... loop diuretic dose ... administration, once a day dosing ... Diuretic #Diuresis #CHF ... #Algorithm #Congestive
FALLS protocol - POCUS evaluation in shock

The FALLS-protocol is an ultrasound evaluation of patients with acute
FALLS protocol - ... POCUS evaluation ... shock The FALLS-protocol ... and pericardium using ... #Shock #Algorithm
CA-Bridge Buprenorphine Hospital Quick Start Algorithm - Management of acute opiate withdrawal 
 - Any prescriber
Hospital Quick Start Algorithm ... If patient is stable ... Buprenorphine Dosing ... chronic pain split dosing ... Buprenorphine #Treatment #Algorithm
Updated phenobarbital alcohol withdrawal protocol

See old algorithm here: https://www.grepmed.com/images/1485/phenobarbital-monotherapy-withdrawal-management-algorithm-pulmcrit-protocol

The protocol was consequently modified as shown below,
See old algorithm ... phenobarbital-monotherapy-withdrawal-management-algorithm-pulmcrit-protocol ... phenobarbital dosing ... large cumulative dose ... #Monotherapy #Algorithm
Pediatric Trauma Primary Survey: C-ABCDE
C - Catastrophic Bleeding - Life-threatening hemorrhage
 • Apply direct pressure/compression bandage
intubation (See Drug Dosing ... Binder) • Use POCUS ... massive transfusion protocol ... Use higher end dosing ... assessment (warm
Ultrasound (POCUS) For Nerve Blocks
Nerve block sites, agents, dosing and duration
Infographic by Dr. David Cisewski @dhcisewski
#Management
Ultrasound (POCUS ... sites, agents, dosing ... #Anesthetics #Dosing ... #Doses #Table
Atrial Fibrillation RVR - Medications
Diltiazem
 • Preferred in patients with chronic lung such as Asthma and
strongly consider using ... of or increased doses ... decompensated CHF ... anyway to improve CHF ... treatment #comparison #table
Instructions for Proper Office Blood Pressure Measurement
Conditions
 • Quiet room with comfortable temperature.
 • Before measurements:
should talk before, during ... resting on table ... with mid-arm at ... the individual’s arm ... Protocol • At
Hypothermia - Protocol for ED
CORE TEMP < 34º
INITIAL THERAPY
 • Remove wet garments
 • Avoid rough
Hypothermia - Protocol ... Ventilate with warm ... interval between doses ... #Hypothermia #Protocol ... management #treatment #algorithm