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 ... If patient is stable ... Buprenorphine Dosing ... try Bup 0.3mg IV
Penicillin Allergy Pathway for Antibiotic Prescription in Patients With Penicillin Allergy
Mild Reaction - Itching, Minor rash
rash (mild type IV ... denies β€’ Use full-dose ... anemia β€’ Avoid using ... #Prescription #algorithm ... #management
Hypersensitivity Types and Their Mechanisms
Type I - lgE - Soluble antigen
 - Allergen-specific lgE antibodies bind
When the specific allergen ... blood types or during ... erythematosus Type IV ... Hypersensitivity #Types #Classification ... Diagnosis #Reactions #Table
Methadone Hospital Quick Start - Inpatient Initiation for Opioid Use Disorder and Withdrawal
Initial Dosing:
 - Patients
Withdrawal Initial Dosing ... Patients should be dosed ... Complicating Factors: - Allergy ... Inpatient #Initiation #management ... opiate #opioid #algorithm
Atrial Fibrillation RVR - Medications
Diltiazem
 β€’ Preferred in patients with chronic lung such as Asthma and
strongly consider using ... of or increased doses ... BB or IV CCB has ... #Medications #management ... treatment #comparison #table
Stepwise management of acute headache in the emergency department 

1) Metoclopramide 10 mg IV or prochlorperazine
Stepwise management ... relief: A second dose ... relief: A third dose ... therapy listed in Table ... #Stepwise #Algorithm
IDSA Recommendations for Treating Mycobacterium Tuberculosis Infection and Disease in HIV-AIDS
Treating LTBI (to prevent TB disease)
Indications:
months or β€’ RFB (dose ... Please refer to the table ... below for TB drug dosing ... Guidelines for dosing ... Prevention #Treatment #management
MGH Status Epilepticus Treatment Protocol
1st line (seizures ongoing for 5-10 mins): 
 - Lorazepam 4mg IV
20mg rectally (using ... give additional dose ... good choice if BP unstable ... Treatment #Protocol #algorithm ... #neurology #management