Category: Pharmacology

Insulin in the ED

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 …

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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 …

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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 …

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