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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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 has completely withdrawn ... Dosing usually begins ... #UseDisorder #Addiction
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 ... another problem in addition ... center that is using ... #Management #Alcohol
Methadone Hospital Quick Start - Inpatient Initiation for Opioid Use Disorder and Withdrawal
Initial Dosing:
 - Patients
Initial Dosing: ... Ramsay sedation scale ... disease - Medically unstable ... Inpatient #Initiation #management ... #opioid #algorithm
Alcohol Use Disorder - Maintenance Treatment
Naltrexone (first line) - First line for most people without contraindications
overweight - Dosing ... anxious, EtOH withdrawal ... Maintenance #Treatment #management ... #pharmacology #table ... #addiction
Clinical Opioid Withdrawal Score (COWS)

Resting Pulse Rate: Record beats per minute after patient is sitting or
Clinical Opioid Withdrawal ... assessment • 0 - able ... still, but is able ... #COWS #Opiate #Withdrawal ... Score #Diagnosis #Addiction
Atrial Fibrillation RVR - Medications
Diltiazem
 • Preferred in patients with chronic lung such as Asthma and
strongly consider using ... Cannot tolerate addition ... #Medications #management ... treatment #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 ... hold additional dosing ... #Treatment #Management ... #Addiction #Opiate
Drug Abuse Screening Test (DAST‐10) Questionnaire and Interpretation
1. Have you used drugs other than those required
Are you always able ... to stop using drugs ... ever experienced withdrawal ... Questionnaire #diagnosis #addiction