Dr. Satya Patel @SatyaPatelMD
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https://twitter.com/SatyaPatelMD | Hospitalist @LosAngelesVA | Anesthesiology Intern APD @UCLAHealth | Interested in medical education, curriculum design, and QI | https://bit.ly/pocketcardset
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electrolyte hyponatremia treatment diagnosis hypotension magnesium orthostatic potassium siadh sodium bloodpressure calcium cva guide hypertension hypocalcemia hypokalemia hypomagnesemia inpatient internship
Potassium Electrolyte Repletion If patient also has hypomagnesemia, replete magnesium before repleting potassium Oral: • Pills (ask pharmacy
Potassium Electrolyte Repletion ... magnesium before repleting ... #Electrolyte #Repletion ... #management #hypokalemia
Intern Pocket Cards - Electrolyte Repletion Guide Electrolyte Repletion: - Potassium (ref range 3.5-4.5) - Magnesium (ref
- Electrolyte Repletion ... Guide Electrolyte Repletion ... #Electrolyte #Repletion ... #Guide #management
Calcium Electrolyte Repletion Always correct Ca for albumin before deciding if it is abnormal
Calcium Electrolyte Repletion ... #Electrolyte #Repletion ... #management #hypocalcemia
Magnesium Electrolyte Repletion Oral - Only do if patient does not tolerate IV • Magnesium oxide (can
Magnesium Electrolyte Repletion ... #Electrolyte #Repletion ... #management #hypomagnesemia
Modified Hyponatremia Algorithm Hypertonic Hyponatremia: Hyperglycemia, Mannitol, Urologic irrigants Hypotonic Hyponatremia: • ADH ON (UOsm > 100):
Modified Hyponatremia Algorithm ... #Hyponatremia #Algorithm ... diagnosis #sodium #nephrology
Blood pressure management in acute ischemic stroke - Timeline Candidate for tPA: - Goal SBP <185 AND
Blood pressure management ... Bloodpressure #management ... ischemic #Timeline #neurology
Orthostatic Hypotension - Management Algorithm Positive orthostatic vital signs defined as one of the following (within 3
Hypotension - Management ... Algorithm Positive ... #Hypotension #Management ... #Algorithm #Treatment
Orthostatic Hypotension Management Algorithm • Hypovolemic? Yes → Resuscitate • Volume Overloaded? No → Fludrocortisone
Orthostatic Hypotension Management ... Algorithm • Hypovolemic ... Non-pharmacologic Management ... #Hypotension #Management ... #Algorithm #treatment
Volume Based Approach to Hyponatremia Hypovolemic, Serum uric acid >4 • Urine Na <20: Extra-renal losses •
#Hyponatremia #algorithm ... #sodium #low #nephrology
Management of SIADH Treat underlying cause: • Causes can include pain, primary lung pathology, post-operative phenomenon, medications,
Management of SIADH ... SatyaPatelMD #SIADH #Management ... #hyponatremia #nephrology
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