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 treatment inpatient internship hyponatremia hypotension magnesium nephrology orthostatic pharmacology potassium siadh agents antibiogram antibiotics bloodpressure calcium checklist classification comparison
Potassium Electrolyte Repletion If patient also has hypomagnesemia, replete magnesium before repleting potassium Oral: • Pills (ask pharmacy
Potassium Electrolyte Repletion ... magnesium before repleting ... Intravenous (can ... #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
Magnesium Electrolyte Repletion Oral - Only do if patient does not tolerate IV • Magnesium oxide (can
Magnesium Electrolyte Repletion ... Magnesium oxide (can ... #Electrolyte #Repletion ... #management #hypomagnesemia
Calcium Electrolyte Repletion Always correct Ca for albumin before deciding if it is abnormal
Calcium Electrolyte Repletion ... Always correct Ca ... = Measured Ca + ... #Electrolyte #Repletion ... #management #hypocalcemia
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
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
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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