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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management diagnosis addiction buprenorphine opioid anesthesia anesthesiology checklist comparison differential hypertension initiation inpatient intraoperative methadone opiate pharmacology prescribing treatment alcohol
CA-Bridge Buprenorphine Hospital Quick Start Algorithm - Management of acute opiate withdrawal - Any prescriber
Hospital Quick Start Algorithm ... of acute opiate withdrawal ... 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
Use Disorder and Withdrawal ... Initial Dosing: ... Patients should be dosed ... Withdrawal severity ... opiate #opioid #algorithm
Inpatient Management of Opioid Use Disorder: Methadone vs Buprenorphine - Comparison Table Some patients may decline buprenorphine
Buprenorphine - Comparison Table ... has completely withdrawn ... experience precipitated withdrawal ... Dosing usually begins ... formulation, the dose
Causes of Secondary Hypertension - Differential Diagnosis and Screening Testing Common causes: • Renal parenchymal disease
hypokalemia and withdrawal ... Oral sodium loading ... drugs) Response to withdrawal ... #Screening #Workup ... #table
Updated phenobarbital alcohol withdrawal protocol See old algorithm here: https://www.grepmed.com/images/1485/phenobarbital-monotherapy-withdrawal-management-algorithm-pulmcrit-protocol The protocol was consequently modified as shown below,
protocol See old algorithm ... phenobarbital-monotherapy-withdrawal-management-algorithm-pulmcrit-protocol ... phenobarbital dosing ... large cumulative dose ... #Monotherapy #Algorithm
Potassium-Binding Agents to Treat Hyperkalemia Sodium zirconium cyclosilicate (Lokelma): • Mechanism: Preferentially captures K in exchange for
and sodium • Dosing ... 10 g QD (adjust dose ... binds magnesium • Dosing ... and calcium • Dosing ... #pharmacology #table
Hypomagnesemia - Etiologies by Mechanism Decreased GI Uptake - Poor dietary intake (particularly common in alcoholics)
/ IBD Renal Loses ... Low #Magnesium #Table ... #Classification ... #Causes #Workup
Post-Transplant Diarrhea - Diagnosis and Management Algorithm Post-transplant diarrhea (≥ 3 loose or liquid stools per day)
and Management Algorithm ... Malabsorption workup ... in case of chronic ... to CNI • CNI withdrawal ... Diagnosis #Management #Algorithm
Intraoperative Hypertension - Guidelines for Crises in Anaesthesia Hypertension is most commonly due to inappropriate depth of
reservoir bag moving ... ventilator bellows moving ... hypercarbia as causes ... see Box C for dose ... Diagnosis #Management #Workup
Quick Guide: Buprenorphine Initiation Algorithm Adjunctive meds: The following can be prescribed PRN for symptoms of withdrawal
Buprenorphine Initiation Algorithm ... for symptoms of withdrawal ... q 6 hours PRN nausea ... to follow day 1 algorithm ... hold additional dosing
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