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EMCrit Podcast 275 - Neurocritical Care with Neha

EMCrit Podcast

CHAPTER

How to Choose the Right Dose for Your Patient

For the emergency docs listening just get Kepra 60 per kg. An end stage renal disease patient patient who's on hemodialysis you want to give them about 20 or 30 milligrams per kg so give them a low low low stress. For patients with renal failure if you don't have Kepra go with Dilentine it's always a safe choice but just make sure that you're running it at less than 150milligrams per minute. When those serotics are coming in with with status epilepticus making sure that you know you've got you're stuck between a rock and a hard place because benzos are bad, propofol is bad, any GABA

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