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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Blood pressure management in acute ischemic stroke - Timeline
Candidate for tPA:
 - Goal SBP <185 AND
Blood pressure management ... Bloodpressure #management
Orthostatic Hypotension Management Algorithm
 • Hypovolemic?  Yes → Resuscitate
 • Volume Overloaded? No → Fludrocortisone
Orthostatic Hypotension Management ... Non-pharmacologic Management ... #Hypotension #Management
Orthostatic Hypotension - Management Algorithm
Positive orthostatic vital signs defined as one of the following (within 3
Hypotension - Management ... #Hypotension #Management
Calcium Electrolyte Repletion
Always correct Ca for albumin before deciding if it is abnormal
Electrolyte #Repletion #management
Antibiotic Options for Treating MRSA Infections

PO: Doxycycline, Clindamycin, TMP-SMX, Linezolid
IV: Linezolid, Vancomycin, Ceftaroline, Daptomycin, Tigecycline

By Dr.
#pharmacology #management
Intern Pocket Cards - Electrolyte Repletion Guide
Electrolyte Repletion:
 - Potassium (ref range 3.5-4.5)
 - Magnesium (ref
Repletion #Guide #management
Management of SIADH
Treat underlying cause:
 • Causes can include pain, primary lung pathology, post-operative phenomenon, medications,
Management of SIADH ... SatyaPatelMD #SIADH #Management
Magnesium Electrolyte Repletion
Oral - Only do if patient does not tolerate IV
 • Magnesium oxide (can
Electrolyte #Repletion #management
Potassium Electrolyte Repletion
If patient also has hypomagnesemia, replete magnesium before repleting potassium
Oral:
 • Pills (ask pharmacy
Electrolyte #Repletion #management
Intern Pocket Cards - Antibiogram and Susceptibilities
VRE - MRSA - GRAM POSITIVES - GRAM NEGATIVES -
#antibiotics #management