Gerardo Hernandez @DrGerardoHernandez
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Interests: teaching, Community Medicine, underserved communities, mentorship
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Pediatric Severe Asthma Algorithm 

(For children age 2 12 months) 

#Asthma #Algorithm #Pediatrics #Peds #Severe
Pediatric Severe Asthma ... Algorithm (For ... 12 months) #Asthma ... #Algorithm #Pediatrics
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
220-440 >440 Asthma ... medium, or high dose ... 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 ... your patients asthma ... inhaler, then a low dose ... recommending low dose
DPP4 Inhibitors - Normal and Renal Dosing

Increase Incretins (GLP-I & GIP) -> Stimulates Insulin, Inhibits Glucagon
on the highest dose ... only use lower doses ... at the lowest dose ... effects or target doses ... make sure the dose
Loop diuretic PO --> IV conversions 

Furosemide 40 mg PO = Furosemide 20 mg IV =
Diuretics #Equivalent #Dose
Glucose-lowering medication in type 2 diabetes - Algorithm

#Diabetes #Medications #Algorithm #Pharmacology #Pharmacotherapy #Hypoglycemic #Management #Endocrinology
type 2 diabetes - Algorithm ... #Medications #Algorithm
Diabetes Morning Hyperglycemia - Dawn Phenomenon vs Somogyi Effect 

When patients FBG's are elevated each morning
patient actually does ... evening insulin dose
PECARN Pediatric Blunt Head Trauma Algorithm - Under Age 2 #Diagnosis #Management #Peds #Pediatrics #HeadTrauma #HeadCT
Blunt Head Trauma Algorithm ... HeadCT #PECARN #Algorithm
Global Alliance algorithm to improve outcomes in acne.
†With small nodules (>0.5–1 cm).
‡Consider physical removal of comedones.
§Second
Global Alliance algorithm ... Acne #Treatment #Algorithm
PECARN Pediatric Blunt Head Trauma Algorithm - Age 2 and Up #Diagnosis #Management #Peds #Pediatrics #HeadTrauma
Blunt Head Trauma Algorithm ... HeadCT #PECARN #Algorithm