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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Algorithm for Evaluation for ACS In Patients with Chest Pain In The Emergency Department

https://bit.ly/chestpainalgorithm

#ACS #ChestPain #algorithm
Algorithm for Evaluation ... for ACS In Patients ... chestpainalgorithm #ACS ... #ChestPain #algorithm
Acute Coronary Syndrome (ACS) Algorithm

Satya Patel, MD @SatyaPatelMD

#Acute #Coronary #Syndrome #ACS #Algorithm #Chest #Pain #diagnosis #cardiology
Coronary Syndrome (ACS ... ) Algorithm Satya ... Coronary #Syndrome #ACS ... #Algorithm #Chest
Chest Pain / ACS Evaluation Algorithm
Algorithm that attempts to the use history taking (guided by LRs),
Chest Pain / ACS ... Evaluation Algorithm ... Algorithm that ... to identifying ACS ... #ChestPain #ACS
Orthostatic Hypotension - Management Algorithm
Positive orthostatic vital signs defined as one of the following (within 3
Hypotension - Management ... Algorithm Positive ... signs defined as ... #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
Management of SIADH
Treat underlying cause:
 • Causes can include pain, primary lung pathology, post-operative phenomenon, medications,
Management of SIADH ... cause: • Causes can ... 1.5L per day • Can ... administered • Can ... SatyaPatelMD #SIADH #Management
Potassium Electrolyte Repletion
If patient also has hypomagnesemia, replete magnesium before repleting potassium
Oral:
 • Pills (ask pharmacy
Intravenous (can ... • Peripheral (can ... ) • Central (can ... Electrolyte #Repletion #management
Subtypes of Serum Proteins

Pre-albumin (Transthyretin)
Albumin
Globulins
 • Alpha-1: Alpha-1 antitrypsin, Serum amyloid A, Ceruloplasmin, Corticosteroid-binding globulin (Transcortin),
IgG, IgA, RF, CRP ... Proteins #Subtypes #algorithm
Intern Pocket Cards - Inpatient Blood Pressure Management Guide
ß-blockers:
 • Metoprolol, Carvedilol, Labetalol
 • Bradycardia, heart
Blood Pressure Management ... dinitrate • Severe AS ... Hydralazine • Can ... Phentolamine • Can
Magnesium Electrolyte Repletion
Oral - Only do if patient does not tolerate IV
 • Magnesium oxide (can
Magnesium oxide (can ... Electrolyte #Repletion #management