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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Methadone Hospital Quick Start - Inpatient Initiation for Opioid Use Disorder and Withdrawal
Initial Dosing:
 - Patients
Methadone Hospital ... Quick Start - Inpatient ... #Inpatient #Initiation ... #management #withdrawal ... opiate #opioid #algorithm
Alcohol Withdrawal Management Algorithm

Mild vs Moderate/Severe

#Management #Alcohol #Withdrawal #EtOH #Protocol #Algorithm #Phenobarbital #Diazepam #Valium
Alcohol Withdrawal ... Management Algorithm ... Moderate/Severe #Management ... #Alcohol #Withdrawal ... #EtOH #Protocol
Buprenorphine-Naloxone and treatment of withdrawal symptoms

Prerequisites for starting Suboxone in the ED:

1. Patient has an opioid
and treatment of withdrawal ... Patient has an opioid ... acting), >72hr (methadone ... Suboxone #Opioid #Withdrawal ... #Algorithm #Management
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,
old algorithm here ... phenobarbital-monotherapy-withdrawal-management-algorithm-pulmcrit-protocol ... After the patient ... #Management #Alcohol ... #Monotherapy #Algorithm
Inpatient Management of Opioid Use Disorder: Methadone vs Buprenorphine - Comparison Table

Some patients may decline buprenorphine
Inpatient Management ... Use Disorder: Methadone ... has completely withdrawn ... experience precipitated withdrawal ... Comparison #Pain #Management
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
- SEE UPDATED ALGORITHM ... phenobarbital-monotherapy-withdrawal-management-algorithm-protocol-pulmcrit ... suggests that the patient ... #Management #Alcohol ... #Protocol #PulmCrit
β–Ί
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 ... #Opioid #Withdrawal
ZSFG Inpatient Management of Opioid Use Disorder: Buprenorphine
#Management #Addiction #Buprenorphine #Inpatient #Opioid #Withdrawal #COWS #Algorithm
ZSFG Inpatient Management ... Buprenorphine #Management ... Buprenorphine #Inpatient ... #Opioid #Withdrawal ... #COWS #Algorithm
Quick Guide: Methadone Starts in the Hospital
Day 1: max daily dose 40 mg methadone
First dose
β€’ Check
β€’ If endorsing withdrawal ... β€’ If endorsing withdrawal ... #Initiation #Algorithm ... #Treatment #Management ... #Prescribing #Inpatient
Recurrent Polymorphic VT/Torsades de Pointes - Management Algorithm
Drugs that prolong QT interval:
 β€’ Class 1a (quinidine,
Torsades de Pointes - Management ... Algorithm Drugs ... , sotalol) β€’ Propofol ... β€’ Cocaine β€’ Methadone ... #Algorithm