Gerardo Hernandez @DrGerardoHernandez
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Interests: teaching, Community Medicine, underserved communities, mentorship
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NSAID vs ACEI/ARB effects on the Kidneys

Remember that NSAIDs and ACEI/ARB therapy have opposing effects on
NSAID vs ACEI/ARB effects on the Kidneys Remember that NSAIDs and ACEI/ARB therapy have opposing effects on the kidneys. NSAIDs cause vasoconstriction of the afferent (arriving) arteriole, which may contribute to kidney damage. In patients with normal kidney function, NSAID use shouldn't cause damage, it's more of a concern if patients have CKD or additional risk factors. ACEI/ARB's are often used for their kidney protective benefits, since they dilate the efferent (exiting) arteriole. Jarred Prudencio, PharmD - https://www.instagram.com/ambcarerx #NSAIDs #Kidney #ACEIARB #Effects #Nephrology #Renal #Pathophysiology
Common Signs in Parkinson's Disease - SMART Mnemonic

Shuffling-Gait 
Mask-like Face 
Akinesia 
Rigidity 
Tremor 

#SMART #Mnemonic #Parkinsons
Common Signs in Parkinson's Disease - SMART Mnemonic Shuffling-Gait Mask-like Face Akinesia Rigidity Tremor #SMART #Mnemonic #Parkinsons #Signs #Diagnosis
Numerical Mnemonic for Salter Harris Fractures 
Imagine numbers drawn through the epiphyseal plate.

#Diagnosis #Ortho #SalterHarris #Fractures
Numerical Mnemonic for Salter Harris Fractures Imagine numbers drawn through the epiphyseal plate. #Diagnosis #Ortho #SalterHarris #Fractures #Classification #Types #Mnemonic #Numbers
Loop diuretic PO --> IV conversions 

Furosemide 40 mg PO = Furosemide 20 mg IV =
Loop diuretic PO --> IV conversions Furosemide 40 mg PO = Furosemide 20 mg IV = Torsemide 20 mg PO/IV = Bumetanide 1 mg PO/IV #Pharmacology #Cardiology #Loop #Diuretics #Equivalent #Dose #Conversion #Table #Furosemide #Torsemide #Bumex #Lasix #Bumetanide ** GrepMed Recommended Text: Clinical Pharmacology Made Ridiculously Simple - https://amzn.to/3cuD1am
Inhaled Corticosteroid Inhaler Strengths
Beclomethasone	Qvar	100-200	>200400	>400
Budesonide	Pulmicort	200-400	>400-800	>800
Ciclesonide	Alvesco	80-160	>160-320	>320
Fluticasone furoate	Arnuity Ellipta	100	n/a	200
Fluticasone dipropionate	Flovent	100-250	>250-500	>500
Mometasone fuorate	Asmanex	110-220	>220-440	>440

Asthma maintenance inhalers should always include an inhaled corticosteroid
Inhaled Corticosteroid Inhaler Strengths Beclomethasone Qvar 100-200 >200400 >400 Budesonide Pulmicort 200-400 >400-800 >800 Ciclesonide Alvesco 80-160 >160-320 >320 Fluticasone furoate Arnuity Ellipta 100 n/a 200 Fluticasone dipropionate Flovent 100-250 >250-500 >500 Mometasone fuorate Asmanex 110-220 >220-440 >440 Asthma maintenance inhalers should always include an inhaled corticosteroid (ICS), either at a low, medium, or high dose depending on what step of therapy is needed. Here's an overview of what ICS inhalers are available and what their respective dosing schedules are for the 3 different strength categories. Jarred Prudencio, PharmD - https://www.instagram.com/ambcarerx #Inhaled #Corticosteroid #ICS #Inhaler #Strengths #Doses #Pharmacology #Asthma
Asthma GINA Guidelines 2019 
If Asthma is uncontrolled, first assess for adherence and inhaler technique -Then,
Asthma GINA Guidelines 2019 If Asthma is uncontrolled, first assess for adherence and inhaler technique -Then, increase stepwise therapy: My last post talked about how to tell if your patients asthma is uncontrolled, now this one will talk about what to do if it is! First step is to assess patients adherence to maintenance inhalers (if any) and appropriate inhaler technique. Many times, appropriate teaching can help improve patients breathing. If it is still uncontrolled, you can increase patients inhaler regimen accordingly with these 5 steps. Start with just a rescue inhaler, then a low dose ICS, then step up to ICS/LABA combos and increase the strength of the ICS. Lastly we can use tiotropium or biologics if needed. One big thing to note here with 2019 guidelines is that they are now recommending low dose ICS+formoterol (i.e. Symbicort) as a rescue inhaler for Step 1 instead of a traditional albuterol! Jarred Prudencio, PharmD - https://www.instagram.com/ambcarerx #Asthma #Stepwise #Guidelines #Management #StepUp #Therapy
Pediatric Severe Asthma Algorithm 

(For children age 2 12 months) 

#Asthma #Algorithm #Pediatrics #Peds #Severe
Pediatric Severe Asthma Algorithm (For children age 2 12 months) #Asthma #Algorithm #Pediatrics #Peds #Severe
PECARN Pediatric Blunt Head Trauma Algorithm - Age 2 and Up #Diagnosis #Management #Peds #Pediatrics #HeadTrauma
PECARN Pediatric Blunt Head Trauma Algorithm - Age 2 and Up #Diagnosis #Management #Peds #Pediatrics #HeadTrauma #HeadCT #PECARN #Algorithm #Over2 #Older2 #ChoosingWisely
PECARN Pediatric Blunt Head Trauma Algorithm - Under Age 2 #Diagnosis #Management #Peds #Pediatrics #HeadTrauma #HeadCT
PECARN Pediatric Blunt Head Trauma Algorithm - Under Age 2 #Diagnosis #Management #Peds #Pediatrics #HeadTrauma #HeadCT #PECARN #Algorithm #Under2 #Younger2 #ChoosingWisely
CYSTITIS & ASYMPTOMATIC BACTERIURIA IN PREGNANCY 
Asymptomatic bacteriuria is treated in pregnant women because 30% may
CYSTITIS & ASYMPTOMATIC BACTERIURIA IN PREGNANCY Asymptomatic bacteriuria is treated in pregnant women because 30% may develop pyelonephritis if untreated Untreated can lead to maternal morbidity (bacteremia), premature labor #Management #Obstetrics #OBGyn #Antibiotics #Treatment #Cystitis #Asymptomatic #Bacteriuria #Pregnancy