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 addiction inpatient prescribing buprenorphine initiation opiate opioid withdrawal alcohol cabcde cad cardiology constipation covid19 diagnosis emergency etoh hfpef methadone
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
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
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
Quick Guide: Buprenorphine Initiation Algorithm Adjunctive meds: The following can be prescribed PRN for symptoms of withdrawal
mg PO q 6 hours daily ... • Melatonin 3 ... Administer total daily ... from previous day as ... #Treatment #Management
HFpEF and CAD Management Algorithm 1. Consider revascularization based on current guidelines for CAD and HFpEF* 2. Statins:
Algorithm 1. ... Statins: all patients ... contraindicated 3. ... recent PCl or ACS ... pacemaker then start
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