#ecuimres transcript

Healthcare Social Media Transcript

From: Fri Feb 22 4:00:00 PST 2013
To: Fri Feb 22 7:15:00 PST 2013

What is #ecuimres? Who were the influencers during this time period? #ecuimres analytics


Healthcare Conference  - Healthcare Tweet Chats  -  Healthcare Analytics

ecuimchiefs
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Join #ecuimres for #grandrounds this morning: Steroid Therapy & Hyperglycemia in the Hospitalized Patient.
nephondemand
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#ecuimres #FOAMed: Steroid Tx & Hyperglycemia in the Hospitalized Patient by Mary Korytkowski of U Pitt; profile ... http://t.co/WKTwoD91Ml
nephondemand
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#FOAMed: today's #grandrounds part of Furth Lecture Series; very 1st Chair of #ecuimres 1976-96; intro by Dr F Cook
ecuimchiefs
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#ecuimres #grandrounds : Steroid Therapy & #Hyperglycemia in the hospitalized patient #meded #medicine #medstudent #endocrinology
nephondemand
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#ecuimres #grandrounds #FOAMed: not all steroids r = ; hydrocortisone:prednisone:methylprednisolone:dexameyhasone 1:4:5:30-40
nephondemand
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#ecuimres #grandrounds #FOAMed: risk factors 4 steroid induced #hyperglycema= advanced age, steroid duration, overweight/obese, prior h/o DM
ecuimchiefs
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#ecuimres #grandrounds Steroids& #hyperglycemia in hosp pt:not everyone gets steroid induced hyperglycemia #meded #medstudent #endocrinology
nephondemand
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#ecuimres #grandrounds #FOAMed: risk of hyperglycemia increases with dose almost exponentially: Arch of Int Med 1997
ecuimchiefs
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#ecuimres #grandrounds Even epidural steroid injections can lead to hyperglycemia
nephondemand
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#ecuimres #grandrounds #FOAMed: even epidural steroid injections can cause #hyperglycema -- mean A1c 7.03%: Spine 2012 37:e46
nephondemand
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#ecuimres #grandrounds #FOAMed: steroid-I duces #hyperglycemia is important: pregnant pts have higher risk 4 DKA; gr8er length of stay
nephondemand
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#ecuimres #grandrounds #FOAMed: post-kidney transplant blood glucoses Increase risk of rejection if > 150: Wallia Transplantation 2000 p222
nephondemand
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#ecuimres #grandrounds #FOAMed: non-insulin therapy 4 steroid-induced #hyperglycemia in hospitalized pts is not rec'd, but data is sparse
nephondemand
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#ecuimres #grandrounds #FOAMed: Recs 4 insulin therapy in steroid-induced #hyperglycemia w/NPH: Endocrine Practice 2009 15:469
nephondemand
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#ecuimres #grandrounds #FOAMed: NPH metabolism is similar 2 that of prednisone; use weight-based NPH dosing 4 pred-induced #hyperglycemia

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