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 ... If patient is stable ... Buprenorphine Dosing ... chronic pain split dosing
Methadone Hospital Quick Start - Inpatient Initiation for Opioid Use Disorder and Withdrawal
Initial Dosing:
 - Patients
Withdrawal Initial Dosing ... Patients should be dosed ... use adjunctive medications ... management #withdrawal #opiate ... #opioid #algorithm
Potassium-Binding Agents to Treat Hyperkalemia
Sodium zirconium cyclosilicate (Lokelma):
 β€’ Mechanism: Preferentially captures K in exchange for
and sodium β€’ Dosing ... binds magnesium β€’ Dosing ... and calcium β€’ Dosing ... #Hyperkalemia #medications ... #pharmacology #table
Hypomagnesemia - Etiologies by Mechanism

Decreased GI Uptake 
 - Poor dietary intake (particularly common in alcoholics)
/ IBD Renal Loses ... - Medications ... Low #Magnesium #Table ... #Classification ... #Causes #Workup
Causes of Pleural Effusion - Differential Diagnosis Algorithm
Transudate - Hydrostatic
 β€’ Congestive heart failure
 β€’ Constrictive
Causes of Pleural ... Differential Diagnosis Algorithm ... syndrome β€’ Protein-losing ... Post-CABG β€’ Medication ... #Hepatology #causes
Inpatient Management of Opioid Use Disorder: Methadone vs Buprenorphine - Comparison Table

Some patients may decline buprenorphine
Buprenorphine - Comparison Table ... interested in medication ... In these cases, ... Dosing usually begins ... formulation, the dose
Taken from Dr Motov's work on a CERTA regime.
This is published in conjunction with the CERTA
superior analgesia by using ... medication and ... list and in all cases ... Pharmacology #NonOpioid #Opiate ... PainSyndromes #Pathways #Table
Borrelia recurrentis on Peripheral Blood Smear
23M Somali refugee recently arrived w/severe abd pain, confusion and fever
the body louse, causes ... Northeast Africa with cases ... Several cases have ... The table below ... treated in a single dose
Quick Guide: Buprenorphine Initiation Algorithm
Adjunctive meds: 
The following can be prescribed PRN for symptoms of withdrawal
Buprenorphine Initiation Algorithm ... q 6 hours PRN nausea ... to follow day 1 algorithm ... hold additional dosing ... Management #Addiction #Opiate