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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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 stable ... #Addiction #Prescribing
Buprenorphine Algorithm for Uncomplicated Opioid Withdrawal - ACEP Opioids Clinical Policy

Assess Withdrawal Severity - Objective signs
Buprenorphine Algorithm ... Scale (COWS) Moderate ... Buprenorphine #Algorithm ... #management #addiction ... #management
Inpatient Management of Opioid Use Disorder: Methadone vs Buprenorphine - Comparison Table

Some patients may decline buprenorphine
Inpatient Management ... Buprenorphine - Comparison Table ... has completely withdrawn ... formulation, the dose ... #UseDisorder #Addiction
Methadone Hospital Quick Start - Inpatient Initiation for Opioid Use Disorder and Withdrawal
Initial Dosing:
 - Patients
Patients should be dosed ... Ramsay sedation scale ... disease - Medically unstable ... Inpatient #Initiation #management ... #opioid #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 ... Methadone #Initiation #Algorithm ... #Treatment #Management ... #Addiction #Opiate
Algorithm for the Management of Ventricular Tachycardia Electrical Storm
ES diagnosed (β‰₯ 3 episodes of VT/ICD therapies
Algorithm for the ... Management of Ventricular ... therapies in 24h) Does ... cardioversion Stable ... #Tachycardia #Algorithm
Opioid Use Disorder Medications - Pharmacokinetics

Buprenorphine is a partial mu-opioid receptor agonist with low intrinsic activity,
in which higher doses ... stages of the addiction ... antagonist, naltrexone does ... the sublingual tablet ... Pharmacokinetics #Comparison #Table
Quick Guide: Buprenorphine Initiation Algorithm
Adjunctive meds: 
The following can be prescribed PRN for symptoms of withdrawal
Buprenorphine Initiation Algorithm ... for symptoms of withdrawal ... to follow day 1 algorithm ... #Treatment #Management ... #Addiction #Opiate
Atrial Fibrillation RVR - Medications
Diltiazem
 β€’ Preferred in patients with chronic lung such as Asthma and
Cannot tolerate addition ... of or increased doses ... #Medications #management ... treatment #comparison #table
Alcohol Use Disorder - Maintenance Treatment
Naltrexone (first line) - First line for most people without contraindications
anxious, EtOH withdrawal ... Maintenance #Treatment #management ... #pharmacology #table ... #addiction