Hypoglycemia in adult patients with no Diabetes

Clinic A/P, adults, Clinic A/P, Peds, Hospital A/P, Adults, Hospital A/P, Peds

*Admit pts with ingestion of a long-acting hypoglycemic agent, recurrent hypoglycemia during observation, and those unable to eat. Admit to intermediate care. Blood glucose Insulin, Proinsulin, C-peptide, Beta-hydroxybutyrate (BHOB), Screen for oral hypoglycemic...

Hyperkalemia with ECG changes

Hospital A/P, Adults

Pt with diastolic heart failure and CKD stage 3 and CHF. Potassium 7. What is the best initial management to reduce his potassium level? Answer: Intravenous insulin and glucose. Potassium of 7 is severe hyperkalemia. You want to urgently bring down the potassium. IV...

Polysubstance abuse with OD on Heroin, Methamphetamines, and Marijuana

Hospital A/P, Adults

Dx: Polysubstance abuse UDS positive for amph, methamph, opiates, and THC. Watch for withdrawal. Morphine 2mg IV q 3hrs prn only for withdrawal symptoms. Consult Psychiatrist – Dr. Levinson Sitter    

Major depressive d/o

Hospital A/P, Adults

-no SI or HI -cont citalopram

Hypertension, Chronic

Hospital A/P, Adults

-cont home meds -hydralazine PRN SBP > 160

Polysubstance abuse and medication non-compliance, no current OD

Hospital A/P, Adults

Polysubstance abuse and medication non-compliance -lifestyle modification advised -chemical dependency programs outpatient.