Maya Chilbert (Holsen)
@mayaholsen
Clinical Assistant Professor University at Buffalo School of Pharmacy β’ Cardiac ICU Pharmacist Buffalo General β’ BCCP
ID: 958166316669722624
30-01-2018 02:33:46
321 Tweet
424 Followers
228 Following
So proud of all of our residents and students showcasing their research! Lauren Lacoursiere Olivia Denny Chelsea Barvian
Is anyone else worried about cardiogenic shock when initiating a BB after ACS? Our study found low rates after PCI, even in those with anterior MI! Watch for elevated troponin as a potential risk factor for shock development. So proud of Lauren Lacoursiere for her hard work! @UBPharm
For patients with heart block (HB) medications that may be causing it should be removed (BB, CCB, digoxin, etc.) If the HB is irreversible a pacemaker (PM) may need to be placed in the patient and heparin should be held 24 hrs before + 48 hrs after PM placement Maya Chilbert (Holsen) #OTILT
To treat ventricular tachycardia (VT) acutely treatment options can include lidocaine and amiodarone. Lidocaine is lipophilic and can cross the blood brain barrier. Amiodarone causes iodine deposits that can be of concern when used chronically. Maya Chilbert (Holsen) #OTILTW
Hypervolemic hyponatremia can occur due to SIADH. The usual treatment includes fluid restriction, IV furosemide, and 3% NS. If the serum sodium is less than 125 use of vasopressin antagonists can be considered such as Tolvaptan and Conivaptan. Maya Chilbert (Holsen) #OTILTW
Listen to your heart β€ π΅ What to do when a patient doesn't make it to PCI in 2 hours. Don't miss this #TeachingTuesday review of thrombolytics by Lyndsi Roland and her mentor Rachel Klosko
We hope everyone can join a webinar with @VCUDPOSChair, Kate Cabral, Nishant R. Shah, MD MPH and Dr. Larry Sperling to discuss trials from AHA including SELECT, ESPRIT, and VERVE-1 TOMORROW Thursday January 18th from 3-4 PM! unc.zoom.us/j/95388169426