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 electrolyte hyponatremia hypotension inpatient internship nephrology orthostatic pharmacology repletion siadh acs agents angina antibiogram antibiotics bloodpressure cardiology checklist chestpain
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 ... #classification
Chest Pain / ACS Evaluation Algorithm Algorithm that attempts to the use history taking (guided by LRs),
ACS Evaluation Algorithm ... Algorithm that ... Diamond-Forrester classification ... Evaluation #diagnosis #Algorithm
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
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
SIADH Treatment Options 1. Treat underlying cause of SIADH: Pain, Primary lung pathology, Post-operative phenomenon, Medications, Basically
administered • This can ... UNa + UK < 154, can ... SatyaPatelMD #SIADH #Management
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