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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Intern Pocket Cards - Electrolyte Repletion Guide
Electrolyte Repletion:
 - Potassium (ref range 3.5-4.5)
 - Magnesium (ref
Pocket Cards - Electrolyte ... Repletion Guide ... Electrolyte Repletion ... pocketcardset #Electrolyte ... #Repletion #Guide
Magnesium Electrolyte Repletion
Oral - Only do if patient does not tolerate IV
 • Magnesium oxide (can
Magnesium Electrolyte ... Magnesium protein complex ... #Magnesium #Electrolyte
Calcium Electrolyte Repletion
Always correct Ca for albumin before deciding if it is abnormal
Calcium Electrolyte ... SatyaPatelMD #Calcium #Electrolyte
Phosphate Electrolyte Repletion
Oral: Neutra-Phos, Neutra-Phos-K, K-Phos Neutral (Na and K Phos)
Intravenous: Potassium Phosphate, Sodium Phosphate

Satya Patel
Phosphate Electrolyte ... #Phosphate #Electrolyte
Potassium Electrolyte Repletion
If patient also has hypomagnesemia, replete magnesium before repleting potassium
Oral:
 • Pills (ask pharmacy
Potassium Electrolyte ... #Potassium #Electrolyte
Chest Pain / ACS Evaluation Algorithm
Algorithm that attempts to the use history taking (guided by LRs),
history taking (guided ... HEART score to guide
Intern Pocket Cards - Inpatient Bowel Regimen Guide
Osmotic agents (draws water into bowel, thereby loosening stool
Bowel Regimen Guide ... Bowel #Regimen #Guide
Intern Pocket Cards - Inpatient Anti-Emetics Guide
Serotonin antagonists:
 • Ondansetron (Zofran), Granisetron (Kytril, Sancuso) - Headache,
Inpatient Anti-Emetics Guide ... agents #internship #guide
Progression of EKG changes in Acute Coronary Syndrome (ACS)
Hyperacute T waves:
 • Broad-based and symmetrical, usually
0.02 sec or QS complex ... 0.1 mV deep QS complex
Modified Hyponatremia Algorithm
Hypertonic Hyponatremia: Hyperglycemia, Mannitol, Urologic irrigants
Hypotonic Hyponatremia: 
 • ADH ON (UOsm > 100):
Step-by-step Guide