Could it be any more obvious evolocumab causes off target harm? @DavidDobiesMD @TotalCytopath @ZahcM @PharmRJ @DudzLightLime @aaromwilson

What is wrong with you @Drlipid @Lipoprotein @dmljmd ? Are you crooked, incompetent, or both?

Bempedoic acid is not a very good drug. The debate is whether it even has a place as a 3rd of 4th line antidyslipidemic which itself reveals it isn’t a good drug. The part that worries me is how selectively the results were presented by the authors + lipid people. They make tables with only the variables that best reflect on the drug

This is an interesting case. I’m interpreting these as the presenting labs. I think 1-1.5L of lactated ringers (w/o added KCL) is the best choice. LR has some K, K is not that low, the lactate will help shift K into cells by raising pH, and priority is volume.

https://twitter.com/MunerMohamed1/status/1633959436329910272

There’s so much going on here, but remember #nurse the priority intervention for DKA and HHS is to bolus w/ an isotonic solution to maintain adequate circulatory volume. Testable on the #nclex. The hypovolemia is even higher priority than these crazy labs