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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ED Opioid Stewardship Algorithm

Opioid Naive vs Opioid Tolerant

1. Patient Specific, Pain Syndrome-Targeted Approach
2. Combinations of Non-Pharmacologic
ED Opioid Stewardship ... Algorithm Opioid ... Combinations of Non-Pharmacologic ... Medication Assisted ... #ED
Acute Kidney Injury (AKI) - Differential Diagnosis Framework
Pre-Renal:
 β€’ Hypovolemia, Cardiorenal, Distributive Shock, HRS, Hypercalcemia, Renal
Injury (AKI) - Differential ... Pigment, Protein) β€’ AIN ... Kidney #Injury #Differential ... Diagnosis #nephrology #causes ... #algorithm
Common sodium channel blockers which cause QRS widening.

Anticonvulsants: 
 - Carbamazepine 
Antidysrhythmics:  
 - Group
widening #ECG #EKG #Pharmacology ... #Medications #Toxicology ... #Diagnosis #Differential ... #Drugs #Classes
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... Failure, Toxins/Medications ... Blood Loss, GI Losses ... #Diagnosis #criticalcare ... #algorithm #treatment
Checklist for Treatment of Delirium in the ICU 

Remove causative factors 
 - 
Exclude hypoglycemia if
- Review the medication ... if uncontrolled pain ... sleeping, administer pharmacologic ... Use patient's glasses ... Treatment #MICU #CriticalCare