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Una pregunta común es cuánto debemos esperar que aumente la concentración de glucosa en sangre después de la administración de dextrosa al 50% (D50). Afortunadamente, hay una respuesta de 3...
Bryan D. Hayes, PharmD, DABAT, FAACT, FASHP |
Background Urine drug tests are commonly sent for patients in the emergency department, however care should be taken when interpreting the results of these tests given their limitations. The American...
Bryan D. Hayes, PharmD, DABAT, FAACT, FASHP |
Background Acute agitation in the emergency department is a common issue that frequently requires the use of chemical sedation to preserve safety for patients and healthcare workers. A commonly employed...
Bryan D. Hayes, PharmD, DABAT, FAACT, FASHP |
Background Direct-acting oral anticoagulants (DOACs), including apixaban, rivaroxaban, edoxaban, and dabigatran, are widely used for various indications and considered first-line therapy for prevention of acute ischemic stroke in patients with...
Bryan D. Hayes, PharmD, DABAT, FAACT, FASHP |
Background An acute aortic dissection (AAD) can be a life-threatening emergency which frequently requires rapid and precise control of the patient’s heart rate and blood pressure. The 2010 guidelines for...
Mike O'Brien, PharmD |
Background Caring for a patient that is critically-ill secondary to a toxic ingestion is complicated and, in severe cases, extracorporeal treatments (ECTRs) may be considered. The most commonly used ECTRs...
Bryan D. Hayes, PharmD, DABAT, FAACT, FASHP |
Background Two new oral agents were given Emergency Use Authorization to be used in patients with mild-moderate COVID-19 at high risk of progression to severe infection, molnupiravir and nirmatrelvir/ritonavir (Paxlovid)...
Mike O'Brien, PharmD |
Background Many guidelines and treatment algorithms for diabetic ketoacidosis (DKA) recommend sodium chloride 0.9% as the replacement fluid of choice, though alternative fluids may be a better option [1-4]. Randomized...
Bryan D. Hayes, PharmD, DABAT, FAACT, FASHP |
Antecedentes Se recomiendan antibióticos tempranos para el tratamiento de muchas infecciones, incluidos pacientes con sepsis o shock séptico [1]. A los pacientes críticamente enfermos y a aquellos con sospecha de...
Bryan D. Hayes, PharmD, DABAT, FAACT, FASHP |
Background Treatment of digoxin toxicity can be quite complex and generally involves the use of digoxin immune Fab (DigiFab®) for symptomatic patients. The dosing of DigiFab can vary depending on...
Bryan D. Hayes, PharmD, DABAT, FAACT, FASHP |
Antecedentes El bicarbonato de sodio durante un paro cardíaco es ampliamente debatido y utilizado en muchos casos. En una publicación de PULMCrit de 2018, el Dr. Josh Farkas revisa muchos...
Mike O'Brien, PharmD |
Antecedentes Los pacientes con hemorragia o aquellos sometidos a procedimientos que tienen un alto riesgo de hemorragia pueden requerir la corrección de su INR. Se pueden utilizar múltiples productos para...
Mike O'Brien, PharmD |
Antecedentes La succinilcolina se utiliza con frecuencia en el servicio de urgencias para facilitar la intubación, pero en algunos casos puede evitarse debido al riesgo de hiperpotasemia. La fisiología subyacente...
Bryan D. Hayes, PharmD, DABAT, FAACT, FASHP |
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