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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differential management medications toxidromes acute alcohol anticholinergics classes druglevels ekg hyperthermic hypnotics ingestion injury inopressors kidney monitoring nephrology opioids qrs
Common sodium channel blockers which cause QRS widening. Anticonvulsants: - Carbamazepine Antidysrhythmics: - Group
Antimalarial drugs ... QRS #widening #ECG ... #EKG #Pharmacology ... #Medications #Toxicology ... #Diagnosis #Differential
Toxic Alcohol Ingestion Alcoholic ketoacidosis - Methanol - Ethylene glycol - Isopropyl Alcohol • Metabolic Acidosis •
Urine Ketones • AKI ... Alcohol #Ingestion #diagnosis ... #toxicology #comparison ... #table
Medications causing Acute Kidney Injury (AKI) Prerenal: • Dehydration: Diuretics • Altered intrarenal autoregulation: ACEIs / ARBs,
Kidney Injury (AKI ... decongestants) • Any drug ... #Medications #Drugs ... #pharmacology # ... differential #diagnosis
Shock and Vasoactive Drugs 1) Determine type and etiology of shock • Distributive: Sepsis, Anaphylaxis, Neurogenic
pharmacology ... #pharmacology # ... inopressors #diagnosis ... #management #comparison ... #table
A toxidrome is a syndrome (set of symptoms) caused by specific medications or toxins. There are 5
barbituates, “Z-drugs ... antihistamines #Diagnosis ... #Toxicology #Toxidromes ... #Comparison #Table
Vancomycin Associated Acute Kidney Injury • Drug induced acute kidney injury is generally defined as a
Kidney Injury • Drug ... 24-72 hours of drug ... #Vancomycin #AKI ... #pharmacology # ... toxicology #diagnosis
Therapeutic Drug Level Monitoring Carbamazepine - Sample immediately before next dose (trough) Clozapine - Sample immediately
Therapeutic Drug ... Therapeutic #Ranges #Toxicology ... #Pharmacology # ... Diagnosis #Table
Hyperthermic Toxidromes Five toxidromes may present with overlapping features: hyperthermia, rhabdomyolysis, altered mental status/seizures. • Sympathomimetic -
dopamine blockers (e.g ... dopamine agonists (e.g ... Hyperthermic #Toxidromes #comparison ... #table #diagnosis ... #differential #toxicology
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