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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Phenobarbital monotherapy algorithm for alcohol withdrawal

** EDIT - SEE UPDATED ALGORITHM HERE:
https://www.grepmed.com/images/4060/phenobarbital-monotherapy-withdrawal-management-algorithm-protocol-pulmcrit

-Phenobarbital monotherapy has numerous advantages
for alcohol withdrawal ... - SEE UPDATED ALGORITHM ... phenobarbital-monotherapy-withdrawal-management-algorithm-protocol-pulmcrit ... useful initially to gain ... #Management #Alcohol
β–Ί
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 ... received sufficient treatment ... for alcohol withdrawal ... #Management #Alcohol
Methadone Hospital Quick Start - Inpatient Initiation for Opioid Use Disorder and Withdrawal
Initial Dosing:
 - Patients
use adjunctive medications ... for withdrawal ... benzodiazepines, alcohol ... Inpatient #Initiation #management ... #opioid #algorithm
Inpatient Management of Opioid Use Disorder: Methadone vs Buprenorphine - Comparison Table

Some patients may decline buprenorphine
Inpatient Management ... Buprenorphine - Comparison Table ... interested in medication ... assisted treatment ... Buprenorphine #Comparison #Pain
CA-Bridge Buprenorphine Hospital Quick Start Algorithm - Management of acute opiate withdrawal 
 - Any prescriber
Hospital Quick Start Algorithm ... - Management of ... acute opiate withdrawal ... If patient is stable ... co-exisiting chronic pain
Pearls for Treatment of Alcohol Use Disorder

First-line pharmacotherapies for moderate to severe AUD include naltrexone and
Pearls for Treatment ... of Alcohol Use ... include abdominal pain ... #UseDisorder #Management ... Screening #Addiction #Medications
Shock - Differential Diagnosis by Classification
Reflex Syncope 
 - Vasovagal syncope
   β€’ Prolonged standing
Shock - Differential ... draw β€’ Severe pain ... depletion - Medication ... steal syndrome - Alcohol ... Classification #Table
Pain Assessment and Management Initiative (PAMI) - Nonpharmacologic Interventions (pediatric and adult)
Physical (Sensory) Interventions
 - Comfort
Pain Assessment ... and Management Initiative ... - Hot or Cold treatments ... techniques (breathing, meditation ... Interventions #Table
ED Opioid Stewardship Algorithm

Opioid Naive vs Opioid Tolerant

1. Patient Specific, Pain Syndrome-Targeted Approach
2. Combinations of Non-Pharmacologic
Opioid Stewardship Algorithm ... Patient Specific, Pain ... Medication Assisted ... Treatment (MAT) ... #Management #Pain
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... Failure, Toxins/Medications ... Dehydration Shock Treatment ... #criticalcare #algorithm ... #treatment #management