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
PAMI) - Opioid Prescribing ... Chart - Agents and Dosing ... Equianalgesics #Conversion #Doses ... #Dosing #Table
Algorithm for Metformin Prescribing and Dosing in CKD
Dose Initiation - Immediate release:
 β€’ Initial 500 mg
Algorithm for Metformin ... Prescribing and ... Dosing in CKD Dose ... #Metformin #Prescribing ... #algorithm #diabetes
CA-Bridge Buprenorphine Hospital Quick Start Algorithm - Management of acute opiate withdrawal 
 - Any prescriber
Hospital Quick Start Algorithm ... If patient is stable ... Buprenorphine Dosing ... chronic pain split dosing ... #Addiction #Prescribing
FALLS protocol - POCUS evaluation in shock

The FALLS-protocol is an ultrasound evaluation of patients with acute
FALLS protocol - ... POCUS evaluation ... shock The FALLS-protocol ... and pericardium using ... #Shock #Algorithm
Updated phenobarbital alcohol withdrawal protocol

See old algorithm here: https://www.grepmed.com/images/1485/phenobarbital-monotherapy-withdrawal-management-algorithm-pulmcrit-protocol

The protocol was consequently modified as shown below,
See old algorithm ... phenobarbital-monotherapy-withdrawal-management-algorithm-pulmcrit-protocol ... phenobarbital dosing ... large cumulative dose ... #Monotherapy #Algorithm
Ultrasound (POCUS) For Nerve Blocks
Nerve block sites, agents, dosing and duration
Infographic by Dr. David Cisewski @dhcisewski
#Management
Ultrasound (POCUS ... sites, agents, dosing ... #Anesthetics #Dosing ... #Doses #Table
Pediatric Trauma Primary Survey: C-ABCDE
C - Catastrophic Bleeding - Life-threatening hemorrhage
 β€’ Apply direct pressure/compression bandage
intubation (See Drug Dosing ... Binder) β€’ Use POCUS ... massive transfusion protocol ... Use higher end dosing ... IV (MAX 250 mL/dose
Taken from Dr Motov's work on a CERTA regime.
This is published in conjunction with the CERTA
superior analgesia by using ... local policies and protocols ... This is NOT a prescribing ... PainSyndromes #Pathways #Table
Quick Guide: Buprenorphine Initiation Algorithm
Adjunctive meds: 
The following can be prescribed PRN for symptoms of withdrawal
Buprenorphine Initiation Algorithm ... to follow day 1 algorithm ... hold additional dosing ... Buprenorphine #Initiation #Algorithm ... Opiate #Start #Prescribing
MGH Status Epilepticus Treatment Protocol
1st line (seizures ongoing for 5-10 mins): 
 - Lorazepam 4mg IV
Epilepticus Treatment Protocol ... 20mg rectally (using ... give additional dose ... 2 mg/kg/hr 2) Propofol ... #algorithm #neurology