Welcoem to posts!!
in the future - u will be able to do some more stuff here,,,!! like pat catgirl- i mean um yeah... for now u can only see others's posts :c
π±βπ Having a burning sensation down there after a weekend of high-risky behavior? Which antibiotics are used for chlamydia and gonorrhea? What options are available for pregnant women or true allergies for these sexually transmitted diseases? Check out the Chlamydia & Gonorrhea 2021 Antibiotic Update below! #idsa
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π₯ 54yoM (NKMA) presents with generalized weakness. Hx of ESRD, on hemodialysis. Potassium 7.2 mEq/L (high). Calcium gluconate, insulin/dextrose, sodium bicarbonate, and furosemide ordered. Which medication eliminates potassium?
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π 66yoF presents actively receiving CPR, found down and unresponsive by family. Monitor confirms pulseless electrical activity (PEA). Bedside iSTAT: Potassium 8.2 mEq/L. Which medication should immediately be given?
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π₯ Cardiac Arrest: Reversible Hs and Ts - #MEDSHED
π To increase the chances of a successful resuscitation for non-shockable rhythms (PEA and asystole), it is important to address the H's and T's. The H's cover Hypovolemia (fluids, blood), Hypoxia (oxygenation, ventilation), Hydrogen ions (acidosis correction), Hypo-Hyperkalemia (replacement, hyperkalemia treatment), and Hypothermia (management during resuscitation).
π’ The T's include Toxins (antidotes, elimination), Thrombosis Cardiac/Pulmonary (thrombolytics), Tension pneumothorax (needle decompression), and Cardiac tamponade (pericardiocentesis).
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Not medical advice. Educational purposes only. No relationships to report.
Reference
Van den Bempt S, Wauters L, Dewold P. Med Princ Pract. 2021 Jun; 30(3): 212β222.
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π΄ (1/2) Naloxone is one of the few true antidotes we have in medicine. Itβs an opioid antagonist and knocks off opioids from the receptor. The onset is rapid for IV, around 2 minutes IM, and roughly 5 minutes intranasal. The half life is around 1 hour with a duration of 30 to 120 minutes. Most prescribed opioids have a longer half-life than naloxone, and many patients will need repeat doses.
For more #PHARMFAX deposits in your drug bank, share the #RXSHORTS with a friend, check out another post on my page, and I hope you learned something new.
#pharmacist #pharmwyze #pharmfax #criticalcare #emergencymedicine #studentpharmacist #nursingstudent #medicalstudent #pharmacy #medicine #nursing #meded #shorts #rxshorts #medigram #thelab #medshed #foamed #emrx #pharmacology #pharmacokinetics #cardiology #neurology #infectiousdisease #mechanism #mechanismofaction #moa #drugs #ketamine #propofol #etomidate #fentanyl #calcium #mtp #massivetransfusion #ems #emergency #antibiotics #metabolism
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π§ 32yoM presents to unresponsive and cyanotic after being dropped off by friends in the ED lobby. Pinpoint pupils. ACLS measures initiated. Which medication should be given? #overdose #acls #naloxone
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π± Make sure to reel and deal those calcium salts during Massive Transfusion Protocol (MTP). Calcium salts are arguably the most important pharmacologic agent during MTP.
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Advanced Cardiac Life Support: Medications - #MEDSHED
π€ The ACLS algorithm recommends high-quality CPR throughout and epinephrine every 3 to 5 minutes for PEA and asystole.
β¨ Shockable rhythms are more likely to be survive as ACS is often the cause. Survival is less associated with nonshockable rhythms.
π Going through the H's and T's allows you the maximize the likelihood of a successful resuscitation. H's include Hypovolemia (fluids, blood), Hypoxia (oxygenate, ventilate), Hydrogen ions (underlying acidosis), Hypo-Hyperkalemia (replace, hyperK cocktail), and Hypothermia (prolonged resuscitation). T's consists of Toxins (antidotes, elimination), Thrombosis Cardiac/Pulmonary (systemic thrombolytics), Tension pneumonthorax (needle decompression), and Cardiac tamponade (pericardiocentesis).
π€ CPR is the mainstay of therapy for both shockable and nonshockable rhythms. Ventricular fibrillation (VF) and pulseless ventricular tachycardia (pVT) are shockable rhythms.
β¨ Defibrillation is the definitive treatment. High-quality CPR throughout and assessing for pulse/shockable rhythm every 2 minutes maximizes our chances for a successful resuscitation and maintains organ perfusion.
π Medications are only associated with improved rates of ROSC. Epinephrine 1 mg IV/IO every 3 to 5 minutes is given. Antiarryhtmics include amiodarone 300 mg, then 150 mg IV/IO OR lidocaine 1 - 1.5 mg/kg, then 0.5 - 0.75 mg/kg.
π Website: www.pharmwyze.com
Shop: www.pharmwyze.com/shop
Donate $5: www.pharmwyze.com//_paylink/AY78_L7r
Social Links: links.pharmwyze.com
Streaming Platforms: pharmwyze.hopp.to/podstreams
Patreon: www.patreon.com/pharmwyze
Paypal Donation: pharmwyze.hopp.to/paypaldonate
PHARMWYZE SITREP Newsletter: www.pharmwyze.com/sitrepnewsletter
Not medical advice. Educational purposes only. No relationships to report.
References
Panchal AR, Bartos JA, Cabanas JG, et al. Circulation. 2020 Oct 20;142(16_suppl_2):S366-S468.
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π’ 207,255 cases of syphilis in the United States in 2022; that is an 80% increase since 2018 per the CDC.
π₯Έ Full Video Link: https://www.youtube.com/watch?v=--8Fy...
1.6 million cases of chlamydia, 650 reports of gonorrohea, and to add to those syphilis numbers, 3800 cases of syphilis among newborns. What are we doing? Really, we've got to do better in removing the stigma behind STIs and make treatment more accessible.
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𫨠62yoM presents in supraventricular tachycardia (SVT). How much adenosine IV should be given initially? #cardiology
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Clinical pharmacotherapy content made for learners. Emergency Medicine Pharmacist. Check out my social media platforms here: links.pharmwyze.com