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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buprenorphine management diagnosis prescribing cardiology opiate opioid start treatment withdrawal ankle antiarrhythmics antiepileptics aortic aorticstenosis aorticvalvearea assessment bloodsmear borrelia classes
Buprenorphine Initiation for the Uninitiated 1) WAIT FOR MODERATE WITHDRAWAL SYMPTOMS - Precipitated withdrawal can be caused
Buprenorphine Initiation ... withdrawal can be caused ... withdrawal, begin initiation ... during moderate ... #Prescribing #Addiction
CA-Bridge Buprenorphine Hospital Quick Start Algorithm - Management of acute opiate withdrawal - Any prescriber
Hospital Quick Start Algorithm ... If patient is stable ... Buprenorphine Dosing ... chronic pain split dosing ... #Addiction #Prescribing
Inpatient Management of Opioid Use Disorder: Methadone vs Buprenorphine - Comparison Table Some patients may decline buprenorphine
Buprenorphine - Comparison Table ... In these cases, ... Dosing usually begins ... side effects are nausea ... #UseDisorder #Addiction
Aortic Stenosis Grading on echocardiography The cut-offs for grading can be found in table 1. Discrepancies are
can be found in table ... and are usually caused ... In addition, there ... AorticStenosis #Classification
Antiarrhythmics Pharmacology Summary Cardiac Conduction Phases: Phase 0 - Ventricular Depolarization: • Na+ channels open leading to a
rapid Na+ influx initiating ... Transient K+ efflux moving ... depolarization occurs initiating ... Vaughan Williams Classification ... #Pharmacology #Classification
Borrelia recurrentis on Peripheral Blood Smear 23M Somali refugee recently arrived w/severe abd pain, confusion and fever
BP stable, HR 115 ... the body louse, causes ... LBRF was epidemic during ... The table below ... hypotension following initiation
Webber Ankle Injury Classification A: In a Supination-Adduction injury the fibula breaks first, with a fracture below
Webber Ankle Injury Classification ... In a Supination-Adduction ... appear to be a stable ... These injuries are caused ... Injury #Fracture #Classification
Do you start Anti-Epileptic Drugs (AEDs) on a first time seizure? SHINE Mnemonic: • first seizure occurred
seizure occurred during ... Remote Symptomatic Cause ... Remote Symptomatic Cause ... Seizure #FirstTime #Initiation ... #start #Algorithm
Quick Guide: Buprenorphine Initiation Algorithm Adjunctive meds: The following can be prescribed PRN for symptoms of withdrawal
Buprenorphine Initiation ... q 6 hours PRN nausea ... hold additional dosing ... Buprenorphine #Initiation ... #Management #Addiction
Clinical Opioid Withdrawal Score (COWS) Resting Pulse Rate: Record beats per minute after patient is sitting or
assessment • 0 - able ... still, but is able ... last ½ hour • 2 - nausea ... once or twice during ... Score #Diagnosis #Addiction
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