📋 PK/PD: Inotropes - #MEDSHED

💉 Inotropes are pharmacologic agents that increase cardiac output and contractility in the setting of acute heart failure with hypoperfusion. #pharmacy #medicine #nursing #pharmwyze

💥 Atrial Fibrillation: Rate Control - #MEDSHED

Atrial Fibrillation with Rapid Ventricular Rate (AF with RVR) can rapidly detiorate into cardiocirculatory arrest. Rate control is the primary strategy for AF with RVR in patients who have been symptomatic for more than 48 hours or unknown. Agents to consider for rate control would be metoprolol, diltiazem, and digoxin (commonly used medications). #medicine #pharmacy #pharmwyze

🤖 [Explanation] Patient Case CC: Flank Pain, Fevers (Monotherapy IV Antibiotic for Pseudomonas and Enterococcus Sp?) - #MEDIGRAM

🔍 Enteroccocus species are inherently resistant against cephalosporin antibiotics, leaving us only piperacillin-tazobactam and meropenem. These are aminopenicillins and carbapenems, respectively. Both antibiotics would cover Pseudomonas. #pharmacy #medicine

🤢 Extended-Spectrum Beta-Lactamses (ESBL) - #MEDSHED

Extended-spectrum beta-lactamase organisms hydrolyze penicillins, cephalosporins, and aztreonam. Bacteria with ESBL are defined by resistance to expanded-spectrum cephalosporins. #antibiotics #infectiousdisease #pharmacy

🥵 GDMT has proven to reduce mortality and morbidity in HFrEF patients.

👹However, several factors contribute to nonadherence, including patient-specific conditions, health care system, and provider practice. #medicine #pharmacy #nursing #clinicalpearls

🍬6yoM presents lethargic with vomiting x 3 days. Looks ill-appearing and dehydrated. BG 320 mg/dL, pH 7.1, (+) BOH, (+) urine ketones. Dx: Pediatric DKA. Fluids initiated and insulin therapy ordered. #MedEd #medicine #pharmacy #nursing

🗣️ Which intervention should be done?

🍧 Diabetic Ketoacidosis (DKA) and Hyperosmolar Hyperglycemic Syndrome (HHS) are a result of uncontrolled hyperglycemia. Elevated glucose in the serum leads to osmotic diuresis. Common symptoms are dehydration, extreme thirst, and excessive urination.

#medicine #nursing #pharmacy

💀 Adrenal Crisis - #MEDSHED

🌊 Adrenal crisis is a life-threatening medical emergency secondary to adrenal insufficiency (lack of gluco- or mineralcorticoid secretion from adrenal cortex)

#medicine #pharmacy #nursing #foamed #meded

🐱🚀🐱🚀 Antimicrobials: Pseudomonas Aeruginosa - #MEDSHED

😈 Pseudomonas species are multi-drug resistant, opportunistic bacteria that cause a wide spectrum of infections. These organisms can get pretty scary given their ability to rapidly produce resistance mechanisms and biofilms. They’re known to be hospital-acquired organisms and find their way to the immunocompromised.

#medicine #pharmacy #nursing