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 ... 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 has completely withdrawn ...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
Phenobarbital monotherapy algorithm for alcohol withdrawal

** EDIT - SEE UPDATED ALGORITHM HERE:
https://www.grepmed.com/images/4060/phenobarbital-monotherapy-withdrawal-management-algorithm-protocol-pulmcrit

-Phenobarbital monotherapy has numerous advantages
- SEE UPDATED ALGORITHM ... phenobarbital-monotherapy-withdrawal-management-algorithm-protocol-pulmcrit ... Alternative causes ... -If you work at ... center that is using
β–Ί
Causes of Secondary Hypertension - Differential Diagnosis and Screening Testing
Common causes: 
 β€’ Renal parenchymal disease
hypokalemia and withdrawal ... Oral sodium loading ... drugs) Response to withdrawal ... #Screening #Workup ... #table
Potassium-Binding Agents to Treat Hyperkalemia
Sodium zirconium cyclosilicate (Lokelma):
 β€’ Mechanism: Preferentially captures K in exchange for
and sodium β€’ Dosing ... 10 g QD (adjust dose ... binds magnesium β€’ Dosing ... and calcium β€’ Dosing ... #pharmacology #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
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 (β‰₯ 3 loose or liquid stools per day)
and Management Algorithm ... Malabsorption workup ... in case of chronic ... to CNI β€’ 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 ... see Box C for dose ... syndrome) β€’ Medical causes ... Diagnosis #Management #Workup