Dr. Gerald Diaz @GeraldMD
49.8M 14.4K 7.6K
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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COVID-19 Daily Rounding Checklist 
Consider the following with each patient:
1. COVID status
2. Exam - as clinically
Checklist Consider ... COVID status 2. ... not required) 3. ... & Nutritional Status ... #management
Emergency Treatment Algorithm for Convulsive Status Epilepticus
1. ABCDEFG (ABC's and Don't Ever Forget the Glucose)
2. Airway:
Emergency Treatment Algorithm ... , 02, suction 3. ... - Propofol: 2-5 ... Ketamine: 0.5-3 ... #Algorithm #Management
Emergency Treatment Algorithm for Convulsive Status Epilepticus 
 1. ABCDEFG (ABC's and Don't Ever Forget the
Emergency Treatment Algorithm ... 02, suction 3. ... β€’ Induction: propofol ... Propofol: 2-5 mg ... Ketamine: 0.5-3
Management of Convulsive Status Epilepticus in children
Stabilization Phase (Seizure 0-5 minutes):
 β€’ Check and maintain ABC
Management of Convulsive ... Status Epilepticus ... Antiepileptic Drug (AED ... Early Status Epilepticus ... pediatrics #peds #algorithm
Algorithm for Treating Constipation in Hospitalized Patients
1. Start with miralax daily, uptitrate to desired BM, consider
Start with miralax ... daily, uptitrate ... if on opioids 2. ... disimpaction 3. ... #management #treatment
Quick Guide: Methadone Starts in the Hospital
Day 1: max daily dose 40 mg methadone
First dose
β€’ 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 ... initial dose: Bup 2- ... 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) ... mg/kg/hr 2) Propofol ... #Protocol #algorithm ... #neurology #management
Quick Guide: Buprenorphine Initiation Algorithm
Adjunctive meds: 
The following can be prescribed PRN for symptoms of withdrawal
mg PO q 6 hours daily ... initially, then 2 ... β€’ Melatonin 3 ... 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. ... CAD and HFpEF* 2. ... contraindicated 3. ... recent PCl or ACS ... pacemaker then start