Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief πŸ‡΅πŸ‡­ πŸ‡ΊπŸ‡Έ - Sign up for an account to like, bookmark and upload images to contribute to our community platform. Follow us on IG: https://www.instagram.com/grepmed/ | Twitter: https://twitter.com/grepmeded/
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Intern Pocket Cards - Pharmacologic Pain Management Options
Anti-inflammatory:
 β€’ Acetaminophen (24 hours: < 3-4g in healthy
Pharmacologic Pain Management ... Equianalgesia Conversion ... Table: β€’ Morphine ... #Pain #Opioid #Conversion ... #Table #Ladder
Vasopressors Table 
Rough properties by Target Receptor, Heart Rate/Inotropy, Systemic Vascular Resistance, Cardiac Output, Blood Pressure,
Vasopressors Table ... Resistance, Main Uses ... Vasopressors #Properties #Table ... #Pharmacology #Effect ... #Management #Comparison
Vasopressors and Inotropes - Pharmacology Summary
Vasopressors
Phenylephrine (alpha-1)
 β€’ Increases BP, SVR
 β€’ Risk of reflex bradycardia
β€’ Higher doses cause ... more alpha-effect ... V2 antidiuretic effect ... cAMP/cGMP β€’ Causes ... Pharmacology #Summary #management
Cholinesterase Inhibitor (ChEl) and Memantine Deprescribing Algorithm 

To support health care professionals in employing the recommendations
Deprescribing Algorithm ... deprescribing algorithm ... This algorithm helps ... how to monitor effects ... #Management #Geriatrics
ETT depth may be predicted based on the patient’s height.  This has been validated among
A height-based algorithm ... by attaching a table ... This table may simultaneously ... #Management #CriticalCare ... #TidalVolumes #Table
SSRI Initiation
How long before increasing dose?
 β€’ 4 wks. Initial response in 2-4 wks, max response
Side effects? ... transient Gl upset (nausea ... libido, sexual side effects ... psychiatry #treatment #management
Modified Valsalva Maneuver Insturctions

- 43% vs 17% response compared to the standard valsalva maneuver

Per ACLS and
treatment for stable ... demonstrated successful conversion ... to treat of 3 #Management
CA-Bridge Buprenorphine Hospital Quick Start Algorithm - Management of acute opiate withdrawal 
 - Any prescriber
Hospital Quick Start Algorithm ... - Management of ... If patient is stable ... dosing TID/QID #Management ... Buprenorphine #Treatment #Algorithm
Physiologic Approach to Hypotonic Hyponatremia
The next time you have a case of hypotonic hyponatremia, give the
time you have a case ... normal volume-based algorithm ... differential #diagnosis #table
Cold Snare Polypectomy - Tips and Tricks
 - Before initiating cold snare polypectomy, it is important
fold and in the management ... In most cases, this ... the polypectomy defect ... #Tips #Tricks#management