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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Pain Assessment and Management Initiative (PAMI) - Opioid Prescribing and Equianalgesic Chart - Agents and Dosing

#Management
Assessment and Management ... Chart - Agents and Dosing ... #Management # ... Pharmacology #Opioid #Opiate ... #Table #PAMI
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 ... Buprenorphine Dosing
Methadone Hospital Quick Start - Inpatient Initiation for Opioid Use Disorder and Withdrawal
Initial Dosing:
 - Patients
Initial Dosing: ... Ramsay sedation scale ... Inpatient #Initiation #management ... #withdrawal #opiate ... #opioid #algorithm
Buprenorphine Algorithm for Uncomplicated Opioid Withdrawal - ACEP Opioids Clinical Policy

Assess Withdrawal Severity - Objective signs
Buprenorphine Algorithm ... signs and Clinical Opiate ... Withdrawal Scale ... #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 has completely withdrawn ...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 ... Comparison #Pain #Management
Clinical Opioid Withdrawal Score (COWS)

Resting Pulse Rate: Record beats per minute after patient is sitting or
assessment β€’ 0 - able ... still, but is able ... attributed to opiate ... SHOUT) #COWS #Opiate ... #Withdrawal #Scale
Alcohol Use Disorder - Maintenance Treatment
Naltrexone (first line) - First line for most people without contraindications
contraindications - Dosing ... overweight - Dosing ... anxious, EtOH withdrawal ... Maintenance #Treatment #management ... #pharmacology #table
Taken from Dr Motov's work on a CERTA regime.
This is published in conjunction with the CERTA
superior analgesia by using ... @Gas_Craic #Management ... Pharmacology #NonOpioid #Opiate ... PainSyndromes #Pathways #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
Stepwise management of acute headache in the emergency department 

1) Metoclopramide 10 mg IV or prochlorperazine
Stepwise management ... especially if using ... therapy listed in Table ... #Headache #Management ... #Stepwise #Algorithm