Rachel Malaby @rmalaby on GrepMed

Medications Used in Hypertensive Emergencies Vasodilators: Hydralazine, Nitroglycerin, Sodium nitroprusside Calcium Channel Blockers: Clevidipine, Nicardipine ß-Blockers: Esmolol, Labetalol, Metoprolol ACE Inhibitors: Enalaprilat Alpha-Antagonist: Phentolamine D1 Receptor Agonists: Fenoldopam #Hypertensive #Emergency #Emergencies #Hypertension #Medications #Management #Treatment #Pharmacology #Table

Oral anti-hypertensives with relative fast onset of action (Hypertensive Emergency) The key concern with oral antihypertensive agents is how rapidly they take effect. As in any other situation where you're up-titrating medications (e.g. procedural sedation), it's important to allow one dose of medication to take effect before you escalate the dose. The ideal oral antihypertensive will take effect in under ~2 hours. This allows for a fairly prompt up-titration of oral doses, which allows rapid weaning of the IV antihypertensive agent. #Oral #antihypertensives #medications #FastOnset #Hypertensive #Emergency #Management #Pharmacology #Table #BloodPressure

Useful Intravenous Antihypertensive Agents - Nicardipine - Clevidipine - Labetalol - Esmolol - Nitroglycerin Dr. Josh Farkas https://twitter.com/PulmCrit #Antihypertensive #Agents #Hypertensive #Emergency #Pharmacology #Table #Intravenous #IV #CriticalCare #BloodPressure #Management

Intern Pocket Cards - Inpatient Blood Pressure Management Guide ß-blockers: • Metoprolol, Carvedilol, Labetalol • Bradycardia, heart block, ADHF, COPD exacerbation ACEl/ARBs: • Captopril, Enalaprilat (IV), Lisinopril, Valsartan • AKI, hyperkalemia, angioedema Alpha-2 agonists: • Clonidine • Severe bradycardia Nitrates: • Isosorbide dinitrate • Severe AS, PDE inhibitor use Calcium Channel Blockers (CCBs): • Nifedipine ER, Diltiazem, Amlodipine • HFrEF, For non-dihydropyridines: Bradycardia, heart block Diuretics: • Chlorthalidone, Hydrochlorothiazide, Spironolactone • AKI, hypovolemia, difficulty with transferring to urinate Vasodilators: • Hydralazine • Can develop severe reflex tachycardia due to the unpredictable drop in SBP Non-selective alpha-blockers: • Phentolamine • Can develop severe reflex tachycardia due to the unpredictable drop in SBP Partial D1 agonists • Fenoldopam • Glaucoma Dr. Satya Patel @SatyaPatelMD Full Inpatient Pocket Cards Collection: https://bit.ly/pocketcardset #HTN #hypertension #BloodPressure #medications #Inpatient #pharmacology #table #agents #internship #comparison

Intern Pocket Cards - Inpatient Anti-Emetics Guide Serotonin antagonists: • Ondansetron (Zofran), Granisetron (Kytril, Sancuso) - Headache, constipation, drowsiness, diarrhea Dopamine antagonists (DA): • Metoclopramide (Reglan) -Drowsiness, EPS, do not use if increased GI motility • Olanzapine (Zyprexa) - EPS, hyperglycemia • Prochlorperazine (Compazine) - EPS, NMS • Haloperidol (Haldol) - EPS, constipation, dry mouth, blurred vision, somnolence • Chlorpromazine (Thorazine) - EPS, dry mouth Histamine antagonists: • Diphenhydramine (Benadryl) - Dizziness, drowsiness, paradoxical excitation ACh antagonists • Scopolamine - Bradycardia, flushing, thirst, xerostomia, urinary retention DA/Histamine/ACh antagonist: • Promethazine (Phenergan) - EPS, NMS, drowsiness, sedation, leukopenia, thrombocytopenia Neurokinin-1 receptor antagonists • Aprepitant (Emend) - Hiccups, bradycardia, neutropenia • Fosaprepitant (Ivemend) - Angioedema, bradycardia, neutropenia Centrally acting: • Dexamethasone - Leukocytosis, mood changes, adrenal suppression, hyperglycemia • Trimethobenzamide (Tigan) - EPS, disorientation, seizure • THC, dronabinol - Hyperemesis, tachycardia, nystagmus, ataxia • Lorazepam (Ativan) - Respiratory depression Dr. Satya Patel @SatyaPatelMD Full Inpatient Pocket Cards Collection: https://bit.ly/pocketcardset #nausea #antiemetics #vomiting #medications #pharmacology #table #agents #internship #guide

Intern Pocket Cards - Pharmacologic Pain Management Options Anti-inflammatory: • Acetaminophen (24 hours: < 3-4g in healthy adults, <3g in CKD, <2g in liver disease or cirrhosis) • Oral NSAIDs or IV ketorolac (avoid NSAIDs if CKD or >2 of the following risk factors: history of GI ulcer, age >60, on steroids, on ASA/anticoagulation) • Opioid: Hydrocodone, morphine, oxycodone, hydromorphone, fentanyl, tramadol, codeine • Topical: Lidocaine patch, menthol cream, lidocaine/prilocaine cream, capsaicin cream • Neuropathic agents: Gabapentin, pregabalin, SNRIs, TCAs • Anti-spasmodic: Baclofen, cyclobenzaprine, tizanidine Opioid Equianalgesia Conversion Table: • Morphine 10 IV, 25 PO • Hydromorphone 2 IV, 5 PO • Oxycodone 20 PO • Hydrocodone 25 PO • Codeine 100 IV, 200 PO • Fentanyl 0.15 IV • Tramadol 100 IV, 120 PO Dr. Satya Patel @SatyaPatelMD Full Inpatient Pocket Cards Collection: https://bit.ly/pocketcardset #Pain #Opioid #Conversion #Table #Ladder #medications #pharmacology #agents #internship #guide #comparison

Trauma Call Timeline #Trauma #Timeline #Emergency #Checklist #Assessment #Mnemonic #BMJ

Excellent reference chart of commonly used inhalers for anyone working in Emergency Medicine #Pharmacology #Inhalers #Devices #Lists #COPD #Asthma #Guide

High yield pharmacology notes #pharmacology #contraindication #medications #Pulmonology #asthma #copd

Pharmacologic treatment algorithms by Global Initiative for Chronic Obstructive Lung Disease grade. Highlighted boxes and arrows indicate preferred treatment pathways. In patients with a major discrepancy between the perceived level of symptoms and severity of airflow limitation, further evaluation is warranted. LAMA: long-acting muscarinic antagonist; LABA: long-acting β2-agonist; ICS: inhaled corticosteroid; FEV1: forced expiratory volume in 1 s. #Management #Pulmonary #COPD #GOLD2017 #LAMA #LABA #ICS #Guidelines