21 results
OPIOID SWITCHING AND TAPERING.

Long term opioid use results in physical (and potentially psychological) dependence. Opioids should
OPIOID SWITCHING ... Long term opioid ... sweating, anxiety, nausea ... tapering #switching #pharmacology ... #conversion #management
Pain Assessment and Management Initiative (PAMI) - Opioid Prescribing and Equianalgesic Chart - Agents and Dosing

#Management
Assessment and Management ... Initiative (PAMI) - Opioid ... #Pain #Pharmacology ... #Opioid #Opiate ... Equianalgesics #Conversion
Cyanide Toxicity 
Treatment:
1) Hydroxocobalamin + Cyanide = Cyanocobalamin (nontoxic) 
   or 
2) Amyl nitrite
Amyl nitrite - causes ... thiosulfate enhances conversion ... Cyanide #Toxicity #Toxicology ... Pathophysiology #Management
Intern Pocket Cards - Pharmacologic Pain Management Options
Anti-inflammatory:
 • Acetaminophen (24 hours: < 3-4g in healthy
Pocket Cards - Pharmacologic ... Pain Management ... Equianalgesia Conversion ... #Conversion #Table ... #medications #pharmacology
Naloxone - Toxicology

Adult starting dose:
 - 0.4 mg IV/IM/IO/SQ for non-opioid dependent patients
 - 0.04 mg
Naloxone - Toxicology ... /IO/SQ for non-opioid ... search for other causes ... Naloxone #Narcan #Toxicology ... #Management #Pharmacology
Common sodium channel blockers which cause QRS widening.

Anticonvulsants: 
 - Carbamazepine 
Antidysrhythmics:  
 - Group
blockers which cause ... - Cocaine Opioids ... widening #ECG #EKG #Pharmacology ... #Medications #Toxicology ... Differential #Drugs #Classes
Naloxone for Clonidine Overdose
Indication: Altered mental status, CNS depression or respiratory depression due to clonidine overdose
Dosing:
increase endogenous opioid ... Endogenous opioids ... move on to other cares ... Clonidine #Overdose #toxicology ... #management
Salicylate Toxicity - Diagnosis and Management

Consider if:
1) Patient is hot and altered
2) You see tachypnea with
Diagnosis and Management ... no respiratory cause ... , Diaphoresis, Pulmonary ... Aspirin #Toxicity #Toxicology ... #diagnosis #management
Acute Atrial Fibrillation - Initial Options for Rate Control
Diltiazem IV
 •  Rapid onset and rapidly
ADHF • Risks conversion ... IV bolus can cause ... • Does not cause ... Rate #Control #pharmacology ... #management #cardiology
Pain, Agitation, and Delirium (PAD) in the ICU
Addressing the ICU Triad (PAD) can be accomplished through
Opioids: • Fentanyl ... Generally first line opioid ... dissociative drug, it causes ... No pharmacologic ... CriticalCare #diagnosis #management