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Tag Archives: medications
Treatment of Status Epilepticus
Most of us know to give benzos followed by phenytoin or fosphenyotin for status epilepticus, but how much benzos should we give? If benzos and fosphenytoin don’t work, then what? All of the reviews I read recommended lorezepam (Ativan) as … Continue reading
Posted in Medications, Neurology
Tagged medications, Neurology
Hyperglycemic Hyperosmolar State Treatment
Hyperglycemic hyperosmolar state (HHS) is known by many other names, but the main principle is elevated blood glucose in a patient with diabetes (usually type 2) with dehydration and usually a lack of ketosis. There is a significant amount of … Continue reading
Posted in Medical
Tagged endocrinology, medications
Insulin Bolus in Adults with DKA
The literature from the pediatric world showed for years that insulin bolus prior to a drip is not only helpful, but it can also be harmful, resulting in cerebral edema. The data from the adult world has been lacking, and … Continue reading
Posted in Endocrinology, Medications
Tagged endocrinology, medications
Bicarbonate use in children with DKA
It’s commonly accepted now that bicarb should not be given in DKA (especially in children), unless they are continuing to clinically deteriorate, but what is the reasoning behind this? Theoretically it makes sense to give bicarbonate to a patient in … Continue reading
Posted in Medical
Tagged endocrine, medications, pediatrics