Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief 🇵🇭 🇺🇸 - 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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treatment inpatient addiction initiation opiate opioid prescribing withdrawal buprenorphine methadone alcohol bupropion cabcde cardiology cessation constipation covid19 crrt diagnosis dosing
COVID-19 Daily Rounding Checklist Consider the following with each patient: 1. COVID status 2. Exam - as clinically
COVID status 2. ... Exam - as clinically ... not required) 3. ... and order as indicated ... #management
Algorithm for Treating Constipation in Hospitalized Patients 1. Start with miralax daily, uptitrate to desired BM, consider
Start with miralax ... daily, uptitrate ... addition of senna as ... disimpaction 3. ... #management #treatment
Quick Guide: Methadone Starts in the Hospital Day 1: max daily dose 40 mg methadone First dose • Check
Guide: Methadone Starts ... dose from day 1 as ... oriented/tranquil 3. ... Methadone #Initiation #Algorithm ... #Treatment #Management
CA-Bridge Buprenorphine Hospital Quick Start Algorithm - Management of acute opiate withdrawal - Any prescriber
Hospital Quick Start ... Algorithm - Management ... continuation of methadone as ... Total initial daily ... peak 1 hr, steady state
MGH Status Epilepticus Treatment Protocol 1st line (seizures ongoing for 5-10 mins): - Lorazepam 4mg IV
MGH Status Epilepticus ... 100mg/min) 3) ... If no effect, can ... #Protocol #algorithm ... #neurology #management
Methadone Hospital Quick Start - Inpatient Initiation for Opioid Use Disorder and Withdrawal Initial Dosing: - Patients
Hospital Quick Start ... equivalent calculator as ... 3 - QTc ? ... Inpatient #Initiation #management ... opiate #opioid #algorithm
Alcohol Withdrawal Syndrome (AWS) - ICU OnePager Scoring Alcohol Withdrawal Syndrome (AWS): • PAWSS • CIWA-Ar •
Withdrawal Syndrome (AWS ... Withdrawal Syndrome (AWS ... • CIWA-Ar • AWS ... epilepticus occurs ... Withdrawal #Syndrome #AWS
HFpEF and CAD Management Algorithm 1. Consider revascularization based on current guidelines for CAD and HFpEF* 2. Statins:
HFpEF and CAD Management ... contraindicated 3. ... recent PCl or ACS ... pacemaker then start ... #Management #Algorithm
Pediatric Trauma Primary Survey: C-ABCDE C - Catastrophic Bleeding - Life-threatening hemorrhage • Apply direct pressure/compression bandage
10-20 mL/kg IV as ... rapidly as possible ... massive transfusion protocol ... and transport STAT ... tranexamic acid (TXA) as
Renal Replacement Therapy (RRT) - ICU One Pager Summary Indications (AIEOU): • A: Acidosis (usually severe metabolic)
altered mental status ... permanent (such as ... temporary (such as ... Intermittent HD): 3- ... low efficiency daily
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