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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CA-Bridge Buprenorphine Hospital Quick Start Algorithm - Management of acute opiate withdrawal 
 - Any prescriber
Hospital Quick Start Algorithm ... If patient is stable ... as first-line treatment ... Buprenorphine Dosing ... chronic pain split dosing
Eosinophil Disorders Testing Algorithm
INDICATIONS FOR TESTING:
 β€’ Peripheral blood eosinophilia/hypereosinophilia uncovered incidentally during medical evaluation or
Disorders Testing Algorithm ... uncovered incidentally during ... evaluation or workup ... 1,500 cells/Β΅L Workup ... glucocorticoid treatment
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
Flowchart to diuretic use in acute heart failure.

(A) Congestion with volume overload. 

(B) Treatment algorithm after
(B) Treatment algorithm ... loop diuretic dose ... Β°The maximal dose ... administration, once a day dosing ... Diuresis #CHF #Algorithm
Mild-to-Moderate Ulcerative Colitis - Management Algorithm
Curcumin:
 β€’ Natural phytochemical from turmeric
 β€’ 2g/day divided in 2-3
Colitis - Management Algorithm ... divided in 2-3 doses ... with long-term dosing ... consider decreased dosing ... #treatment #IBD
Inpatient Management of Opioid Use Disorder: Methadone vs Buprenorphine - Comparison Table

Some patients may decline buprenorphine
Buprenorphine - Comparison Table ... medication assisted treatment ... Dosing usually begins ... formulation, the dose ... Hospital Opioid Use Treatment
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
Intraoperative  Bradycardia - Guidelines for Crises in Anaesthesia
Bradycardia in theatre should not be treated as
remember to tailor treatment ... reservoir bag moving ... ventilator bellows moving ... Consider known drug causes ... Diagnosis #Management #Workup
Management of Hyponatremia
Hypertonic Saline - Only indicated if patient has severe symptoms + Na < 125
Give
(Max of 3 doses) ... symptomatic after 3 doses ... SIADH β€” look for cause ... Hyponatremia #Management #algorithm ... #treatment #sodium