Insulin in the ED: Adjusting home insulin dosing is uncommon for ED providers however it may be encountered due to patient lack of access to primary care. Types: There are several different types of insulin, rapid acting (Humalog, Apidra), regular insulin, long acting (NPH, Lantus, Levemir), and insulin combinations (70/30). Regular, NPH, 70/30, and Humalog …
Category: Pharmacology
Jun 13
CHF and Atrial Fibrillation
A lesson I learned caring for a recent patient: CHF exacerbation in Afib with RVR Clinical Question: What is the best way to rate control in decompensated heart failure? Our first instinct when we see patients with A-fib with RVR is to reach for diltiazem or our beta blocker of choice, however, these are not …
Jun 06
How to give thrombolytics
[notice]PHARMACOLOGY[/notice] A great question came up in the zones. We see and likely should be comfortable with the dosing of Alteplase for CVA. Grady is a renowned Stroke Center and I would certainly have any of my family members come to the Marcus Stroke and Neuroscience Center if they were having a stroke. The fact …