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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hyponatremia management treatment diagnosis acs cardiology coronary hematology hypotension orthostatic siadh sodium syndrome chest chestpain classification emergency interpretation low pain
Volume Based Approach to Hyponatremia Hypovolemic, Serum uric acid >4 • Urine Na <20: Extra-renal losses •
Volume Based Approach ... Hypothyroidism, Low solute ... SatyaPatelMD #Volume ... #Hyponatremia #algorithm ... #sodium #low #nephrology
Modified Hyponatremia Algorithm Hypertonic Hyponatremia: Hyperglycemia, Mannitol, Urologic irrigants Hypotonic Hyponatremia: • ADH ON (UOsm > 100):
Modified Hyponatremia Algorithm ... polydipsia, Low solute ... #Hyponatremia #Algorithm ... diagnosis #sodium #nephrology
Algorithm for Evaluation for ACS In Patients with Chest Pain In The Emergency Department https://bit.ly/chestpainalgorithm #ACS #ChestPain #algorithm
Algorithm for Evaluation ... ACS #ChestPain #algorithm ... emergency #cardiology #acute
Orthostatic Hypotension Management Algorithm • Hypovolemic? Yes → Resuscitate • Volume Overloaded? No → Fludrocortisone
Hypotension Management Algorithm ... Resuscitate • Volume ... intravascular volume ... intravascular volume ... Hypotension #Management #Algorithm
Acute Coronary Syndrome (ACS) Algorithm Satya Patel, MD @SatyaPatelMD #Acute #Coronary #Syndrome #ACS #Algorithm #Chest #Pain #diagnosis #cardiology
Acute Coronary Syndrome ... (ACS) Algorithm ... SatyaPatelMD #Acute ... Syndrome #ACS #Algorithm
Orthostatic Hypotension - Management Algorithm Positive orthostatic vital signs defined as one of the following (within 3
Hypotension - Management Algorithm ... Resuscitate • Volume ... Hypotension #Management #Algorithm
Management of SIADH Treat underlying cause: • Causes can include pain, primary lung pathology, post-operative phenomenon, medications,
cause: • Causes can ... 1.5L per day • Can ... administered • Can ... cause volume overload ... #hyponatremia #nephrology
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
SIADH Treatment Options 1. Treat underlying cause of SIADH: Pain, Primary lung pathology, Post-operative phenomenon, Medications, Basically
administered • This can ... cause volume overload ... UNa + UK < 154, can ... #hyponatremia #nephrology
Thromboelastography (trademarked as TEG) • Graphical representation of the fibrin polymerization process • Point-of-care anti-coagulation monitoring
is needed (its value ... routine transfusion algorithms
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