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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Pain Assessment and Management Initiative (PAMI) - Opioid Prescribing and Equianalgesic Chart - Agents and Dosing

#Management
Chart - Agents and Dosing ... Pharmacology #Opioid #Opiate ... Equianalgesics #Conversion #Doses ... #Dosing #Table
Transdermal Fentanyl require unique dosing conversions. For Adult and pediatric patients taking opiouds or doses not
require unique dosing ... taking opiouds or doses ... using Table A ... Then using Table ... Pharmacology #Pain #Opiate
CA-Bridge Buprenorphine Hospital Quick Start Algorithm - Management of acute opiate withdrawal 
 - Any prescriber
Hospital Quick Start Algorithm ... Management of acute opiate ... If patient is stable ... Buprenorphine Dosing ... chronic pain split dosing
Methadone Hospital Quick Start - Inpatient Initiation for Opioid Use Disorder and Withdrawal
Initial Dosing:
 - Patients
Withdrawal Initial Dosing ... Patients should be dosed ... management #withdrawal #opiate ... #opioid #algorithm
Potassium-Binding Agents to Treat Hyperkalemia
Sodium zirconium cyclosilicate (Lokelma):
 β€’ Mechanism: Preferentially captures K in exchange for
and sodium β€’ Dosing ... 10 g QD (adjust dose ... binds magnesium β€’ Dosing ... and calcium β€’ Dosing ... #pharmacology #table
Hypomagnesemia - Etiologies by Mechanism

Decreased GI Uptake 
 - Poor dietary intake (particularly common in alcoholics)
/ IBD Renal Loses ... Low #Magnesium #Table ... #Classification ... #Causes #Workup
Intraoperative Hypertension - Guidelines for Crises in Anaesthesia
Hypertension is most commonly due to inappropriate depth of
reservoir bag moving ... ventilator bellows moving ... hypercarbia as causes ... see Box C for dose ... Diagnosis #Management #Workup
Inpatient Management of Opioid Use Disorder: Methadone vs Buprenorphine - Comparison Table

Some patients may decline buprenorphine
Buprenorphine - Comparison Table ... In these cases, ... Dosing usually begins ... formulation, the dose ... side effects are nausea
Mains Electricity Failure - Guidelines for Crises in Anaesthesia
Unexpected total power failure is rare and unpredictable.
Guidelines for Crises ... β€’ Consider moving ... until patient is stable ... Guidelines for crises ... Diagnosis #Management #Workup
Borrelia recurrentis on Peripheral Blood Smear
23M Somali refugee recently arrived w/severe abd pain, confusion and fever
relapsing fever caused ... settings with crowding ... TBRF is caused by ... The table below ... treated in a single dose