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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Orthostatic Hypotension - Management Algorithm
Positive orthostatic vital signs defined as one of the following (within 3
Orthostatic Hypotension ... - Management Algorithm ... Positive orthostatic ... #Hypotension #Management ... #Algorithm #Treatment
Orthostatic Hypotension Management Algorithm
 • Hypovolemic?  Yes → Resuscitate
 • Volume Overloaded? No → Fludrocortisone
Orthostatic Hypotension ... Management Algorithm ... Non-pharmacologic Management ... SatyaPatelMD #Orthostatic ... #Algorithm #treatment
Intern Pocket Cards - Electrolyte Repletion Guide
Electrolyte Repletion:
 - Potassium (ref range 3.5-4.5)
 - Magnesium (ref
Pocket Cards - Electrolyte ... Repletion Guide Electrolyte ... pocketcardset #Electrolyte ... Repletion #Guide #management
Calcium Electrolyte Repletion
Always correct Ca for albumin before deciding if it is abnormal
Calcium Electrolyte ... SatyaPatelMD #Calcium #Electrolyte ... #Repletion #management
Magnesium Electrolyte Repletion
Oral - Only do if patient does not tolerate IV
 • Magnesium oxide (can
Magnesium Electrolyte ... #Magnesium #Electrolyte ... #Repletion #management
Potassium Electrolyte Repletion
If patient also has hypomagnesemia, replete magnesium before repleting potassium
Oral:
 • Pills (ask pharmacy
Potassium Electrolyte ... #Potassium #Electrolyte ... #Repletion #management
SIADH Treatment Options
1. Treat underlying cause of SIADH: Pain, Primary lung pathology, Post-operative phenomenon, Medications, Basically
food has water • Electrolyte ... SatyaPatelMD #SIADH #Management