🩺 Overview of GERD (Gastroesophageal Reflux Disease): GERD is a chronic condition characterized by stomach acid flowing back into the esophagus, leading to symptoms like heartburn and regurgitation. 🔍 Dx (diagnosis) — Sx (Sympto…
Managing DAPT around 🏥 surgery post-stent placement is all about balancing 🩸 bleeding vs. 🧱 thrombosis risk. Let’s break down the essentials: ➡️ ACC guidelines: Recommend ⏱️ 6-12 mos of DAPT after most stents, but shorter dura…
🩺🔑 As a critical care pharmacist, it's essential to identify patients who need venous thromboembolism (VTE) prophylaxis and those who should avoid it. Per CHEST Guidelines, prophylaxis is recommended for acutely ill hospitalized patients at hi…
Folic acid = synthetic folate (B9), essential for 📈 cellular growth & division. Critical for fetal 🍼 development & maternal health. Mechanism: 🚨 Key for DNA synthesis & repair. 💥 Supports rapid cell growth, especiall…
👩⚕️ PCOS is the most common endocrine disorder in young women, affecting up to 10% of reproductive-age women. It’s often linked to insulin resistance and high androgen levels, causing irregular periods, infertility, obesity, and hirsutism. 🤔 …
💡 Managing chronic hypertension (HTN) in pregnancy is increasingly important due to rising maternal age, obesity, etc. Severe HTN (≥160/110 mm Hg) requires immediate treatment, but what about nonsevere cases (140/90+)? 🤔 📊 New data sugge…
🩸 Oral iron supplements can be tricky to compare. While efficacy and tolerability are similar at equal doses of elemental iron, the percentage of elemental iron varies between products. Here's the breakdown.. Start wit…
As a clinical pharmacist (💊), you’ll hear mixed opinions on how long bisphosphonates (e.g., alendronate) should be used for 🦴 osteoporosis. 🕒 Some patients remain on them indefinitely, but long-term use can pose risks like jaw osteonecrosis (🦷) …
Assessment 👂 Acute Otitis Media (AOM) in Adults is rare but can lead to serious complications. Diagnosis is clinical, and treatment focuses on appropriate antibiotics. Referral to an ENT is essential for recurrent or severe cases. Here's a q…
Intro 🌟 Peptic ulcers can be effectively treated with medications that reduce acid production, eradicate H. pylori , and protect the stomach lining. Here's a quick guide to first-line and second-line treatments, with key precautions and cons…
Wegovy (semaglutide) 💉 is a GLP-1 agonist, similar to Ozempic (0.25 mg-1 mg) but titrated to 2.4 mg weekly for weight loss. Patients can lose ~10-12% more weight than with placebo (~9 kg for a 90 kg pt). Double the weight loss of Saxenda (liragluti…
💊 Methotrexate (MTX) is 1st-line for RA, often as effective as biologics & safer. Starting at 10-15 mg/wk, escalate by 5 mg every 2-4 wks up to 20-30 mg/wk based on response. Switch to parenteral if needed for intolerance or poor response. …
Muscle Pain in Statin Patients? Here’s What to Do... Up to 30% of patients on statins may experience muscle pain 🦵, cramps, or weakness, usually in larger muscles like the thighs. Lowering 🔻 the dose can help reduce symptoms. …
🩺 As an NSP (Nutrition Support Pharmacist), many ask if they should take MORE Vitamin D and LESS Calcium . Here’s the latest... Vitamin D recommendations.. Experts suggest 1000 IU/day instead of 400 IU/day . More critical than cal…
💊⚕️ New buzz in cardiology – Colchicine (Lodoco) 0.5 mg/day 💥 for chronic coronary disease (CCD). Why? Anti-inflammatory effects 📉 reducing CV risk. 🔍 Evidence suggests adding colchicine to standard care (antiplatelets, statins, etc.…
🧠💡 New data raises 🔍 about the optimal use of short-term dual antiplatelet therapy (DAPT) after ischemic stroke or TIA.. 🩹 Key points.. Short-term DAPT (aspirin + clopidogrel for 21 days) 🕐 reduces recurrent stroke risk 🎯, especiall…
How can we optimize gestational diabetes management effectively and safely? Let's start.. 🩺🤰 As a pharmacist, focus on lifestyle for gestational diabetes (GD). Rates ↑, likely due to obesity, worsened by pandemic. Risk…
Unlocking insights on statins: efficacy, dosage, adverse effects, and management... Mechanism ⚙️: Statins inhibit HMG-CoA reductase, reducing cholesterol synthesis in hepatocytes. They also increase LDL receptors and act on VL…
MedTweetorial on CCBs! 👩⚕️ Dive into dihydropyridines vs. NONdihydropyridines.. A quick guide! 💊 DHPs (amlodipine, nifedipine) = 💪 potent vasodilators, may ⬆️HR.. NON-DHPs (diltiazem, verapamil) = ⬇️HR. HTN 💨? Consider amlodipine …
Let's dive into some hypertension (HTN) medication combos' discussion! 👨⚕️🚨 Most HTN pts need ≥ 2 meds for BP goals 🎯. Comorbidities often guide med combos. Eg, post-MI pts might get ACEI/ARB + BB. Avoid BP med adjustments for as…
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