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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treatment inpatient internship electrolyte hyponatremia hypotension nephrology orthostatic pharmacology repletion siadh agents antibiogram antibiotics bloodpressure classification comparison daily disposition hematology
Intern Pocket Cards - Daily Rounding and Disposition Checklist Daily Checklist: • FEN/GI:
and Disposition Checklist ... Daily Checklist ... intubate Disposition Checklist ... #Disposition #Checklist ... #management #inpatient
Intern Pocket Cards - Pre-Rounding Guide - Daily Checklist Overnight Events: - Night float signout, nursing notes Interdisciplinary
Guide - Daily Checklist ... modified home meds can ... #PreRounding #Checklist ... #management #inpatient
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
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 ... 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
Intern Pocket Cards - Antibiogram and Susceptibilities VRE - MRSA - GRAM POSITIVES - GRAM NEGATIVES -
→ Can I de-escalate ... If on IV, can I ... Can I stop? ... #antibiotics #management
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