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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Myasthenic Crisis Checklist - Myasthenia Gravis

Evaluation 
 - Chest X-ray and lung ultrasound (exclude other lung
Myasthenic Crisis ... Checklist - Myasthenia ... - Infectious workup ... main ones) - Antibiotics ... #Management #CriticalCare
COVID-19 Intubation Checklist

Personal protective equipment (PPE)
 β€’ Standard PPE
   β€’ N95 or PAPR.
-19 Intubation Checklist ... Medications & pre-planned ... depth β€’ High dose ... #SARSCoV2 #Management ... #CriticalCare #
Pancreatitis management checklist 
Evaluation to guide etiology & management 
 - RUQ ultrasound 
 - Calcium
checklist Evaluation ... - Review of medication ... pain-dose ketamine ... limit them as able ... #CriticalCare
Mains Electricity Failure - Guidelines for Crises in Anaesthesia
Unexpected total power failure is rare and unpredictable.
Guidelines for Crises ... β€’ Consider moving ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup
Checklist for Treatment of Delirium in the ICU 

Remove causative factors 
 - 
Exclude hypoglycemia if
Checklist for Treatment ... - Review the medication ... meds if possible ... #Management #Treatment ... #MICU #CriticalCare
Local Anaesthetic Toxicity - Guidelines for Crises in Anaesthesia
Signs of severe toxicity:
 β€’ Sudden alteration in
Guidelines for Crises ... small incremental dose ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup
Intraoperative Hypertension - Guidelines for Crises in Anaesthesia
Hypertension is most commonly due to inappropriate depth of
Guidelines for Crises ... see Box C for dose ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup
Rybelsus (oral semaglutide) - First Oral GLP-1 Agonist
Dosing:
3 mg daily x 30 days, then 7 mg
GLP-1 Agonist Dosing ... semaglutide, the same medication ... Otherwise, it works ... drug to remain stable ... patients to take meds
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia
β€’ Unexplained hypotension
β€’ Unexplained bronchospasm (wheeze may be absent
Guidelines for Crises ... Important culprits: antibiotics ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup
Atrial Fibrillation RVR - Medications
Diltiazem
 β€’ Preferred in patients with chronic lung such as Asthma and
Fibrillation RVR - Medications ... of or increased doses ... to 6-8 hours to work ... #management #treatment ... #comparison #table