Journal of Clinical Medicine (JCM) MDPI’s Post

Daily Critical Care Pearls #172: Heparin-induced Thrombocytopenia - Part 2 📌 For a patient diagnosed with HIT who has just begun warfarin, you can give full dose anticoagulation with an appropriate agent and hold the warfarin and reverse it with vitamin K. 📌 For a patient with obesity, it is preferred to use argatroban as the chosen anticoagulant for managing HIT. Monitoring aPTT 2 or 3 hours after the rate change is appropriate based on the half-life, but consider extending this in patients with hepatic dysfunction to account for the longer half-life in such patients. #criticalcare #clinicalpharmacy #medicine #pearls

Final results from the prevalence phase of our phase IV clinical trial study of hypercortisolism (Cushing’s syndrome) in patients with difficult-to-control type 2 diabetes were presented today at the American Diabetes Association 84th Scientific Sessions. Read more: https://lnkd.in/g_SbwHCT #CortisolModulation #Diabetes #Type2Diabetes #ADASciSessions #Hypercortisolism

Exploring the potential benefits of CBG for individuals grappling with Inflammatory Bowel Disease (IBD). As we delve into the intricacies of CBG, emerging research suggests that it may hold promise in addressing certain aspects of IBD. While it's crucial to note that individual responses can vary, the interaction between CBG and the endocannabinoid system sparks interest in how it may modulate inflammation, offering a potential avenue for further investigation and understanding. Learn more about the evolving landscape of CBG and its potential implications for patients suffering from IBD at https://bit.ly/3HiFWUE. #IBD #GITrouble #crohns #cannabigerol #cannabinoids #cbg #health #wellness #naturalmedicine #Formula30A

🎯 Is it time for Diabetic Patients to take additional Tests? As per the new report in ETHealthWorld, Insulin resistance significantly contributes to #NAFLD among Indians. This means that diabetic patients may have to take additional tests such as 🎯 Lipid Profile 🎯 Liver Function Test 🎯 Triglycerides 🎯 CT Scan for early #diagnosis and prevent #FattyLiver disease. Ofcourse, Please #consult the medical practitioner before taking these tests. Consult the doctor from https://lnkd.in/g469r7a5 and have peace of mind. Email: wellness@raphacure.com #doctoroncall #diabetes #FattyLiverDisease #Telemedicine #labtest #Triglycerides #LipidProfile #LiverFunctionTest #raphacure #PeaceOfMind source: https://lnkd.in/gsCvVxEM

When it comes to hypernatraemia: The Systematized Nomenclature of Medicine Clinical Terminology February 2024 edition renamed diabetes insipidus as arginine vasopressin-related polyuria with two specific subtypes: arginine vasopressin deficiency and arginine vasopressin resistance. One of the reasons for this was shown in a recent survey of 1034 patients with central Diabetes Insipidus (CDI), 823 (80%) patients encountered a situation where a healthcare professional confused CDI with diabetes mellitus, and 884 (85%) patients supported renaming the disease https://lnkd.in/eQw5_kif #Nephrohealth #Nephrohealth_KA

Today is #WorldKidneyDay 💜 It is important for GPs to carry out simple blood and urine tests if a patient presents with potential risk factors for Chronic Kidney Disease (CKD). Making patients aware of the risk factors for developing CKD is crucial, as it often shows no signs or symptoms. Working in community pharmacy, you can also help to flag these risk factors if you have patients who come to you for medication for other conditions such as diabetes, high blood pressure or heart disease. Check out Irish Kidney Association at https://lnkd.in/eKBccK5g for more info. #WorldKidneyDay #KidneyDisease #ChronicKidneyDisease #CKD #Pharmacy #CommunityPharmacy #AHealthierHappierYou #MakingPharmacyEasier

May's focus is on Rybelsus and Jardiance, two medications used in type 2 diabetes management: Rybelsus (Semaglutide Oral): - The first oral GLP-1 receptor agonist for type 2 diabetes. - Helps lower blood sugar and may aid in weight loss. - Taken once daily in pill form. Jardiance (Empagliflozin): - A medication from the SGLT2 inhibitor class. - Helps the kidneys remove glucose from the bloodstream. - Also reduces the risk of heart-related death in type 2 diabetes patients. Both medications have unique mechanisms and benefits. Consult your healthcare provider to determine which is more suited to your health needs. The Rx Advocates can assist in accessing these medications affordably. Contact us today to see if you qualify for medication assistance: 844-559-8331 #DiabetesManagement #RybelsusVsJardiance #Type2Diabetes

In the OP setting, which antibiotics are recommended for empiric treatment of CAP in adults⁉️ (As per ATS/IDSA Guidelines(2019)) ✅️Previously healthy with low risk for resistance: Amoxicillin 1g TID Doxycycline 100mg BID Azithromycin (macrolides assuming low community pneumococcal resistance, <25%). ✅️With comorbid diseases of heart, lung, liver, kidney, malignancy, or asplenia: Amoxiclav+ macrolide or doxycycline Another option is cepodoxime or cefuroxime + macrolide or doxycycline; OR monotherapy with a respiratory fluoroquinolone More on CAP treatment coming soon‼️ #clinicalpharmacy #clinicalpharmacology #study #learn #CAP

Metformin should be dose-reduced in patients with an eGFR between 30-44 mL/min/1.73 m2. Read more about managing diabetes with concomitant CKD in our guideline summary https://lnkd.in/e9VnfkAs #metformin #kidneydisease #medical #primarycare

In patients with #gout, the initiation of sodium-glucose cotransporter type 2 inhibitors is associated with a significant reduction in serum #urate compared with the initiation of sulfonylurea, including among those patients on urate-lowering therapy or diuretic use and presence of diabetes, chronic kidney disease, or heart failure. 🔗https://lnkd.in/eDwscstt