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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Pharmacology of diuretics

Acetazolamide, Loop diuretics, Thiazide‐like diuretics, MRA, Amiloride

Site of Action, Maximum Dose, Half-Life, Onset, Bioavailability,
Action, Maximum Dose ... #Pharmacology #Comparison ... #Table #HalfLife ... #Dosing #Loop #
CA-Bridge Buprenorphine Hospital Quick Start Algorithm - Management of acute opiate withdrawal 
 - Any prescriber
of acute opiate withdrawal ... If patient is stable ... Buprenorphine Dosing ... sublingual (SL) are ... chronic pain split dosing
Inpatient Management of Opioid Use Disorder: Methadone vs Buprenorphine - Comparison Table

Some patients may decline buprenorphine
Buprenorphine - Comparison ... Table Some patients ... Dosing usually begins ... formulation, the dose ... common side effects are
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
Angiotensin Receptor Blockers 
Recommended Dose Conversions 

Valsartan 
Irbesartan 
Losartan 
Olmesartan 
Telmisartan 
Candesartan 
Azilsartan 
Eprosartan 

A few
class is still going ... initiating an ARB ... Receptor #Blockers #ARB ... #Conversion #Table ... #Dosing #Pharmacology
Angiotensin II Receptor Blocker (ARB) - Comparable Dose Chart 
 - Valsartan (Diovan®) 40 mg daily
Receptor Blocker (ARB ... ) - Comparable Dose ... 20 mg daily #ARB ... Equivalent #Conversion #Dosing ... #Doseage #Table
Potassium-Binding Agents to Treat Hyperkalemia
Sodium zirconium cyclosilicate (Lokelma):
 • Mechanism: Preferentially captures K in exchange for
and sodium • Dosing ... binds magnesium • Dosing ... and calcium • Dosing ... #pharmacology #table ... #comparison #binders
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
Warfarin to DOAC and DOAC to Warfarin Transitions 

Here are a couple of charts to help
DOACs for easier dosing ... and dabigatran are ... two DOAC's that are ... dosed BID, and ... #Pharmacology #Table
Naloxone Dosing Algorithm

Empirical trials are needed to determine the effective dose of naloxone. Patients who do
Naloxone Dosing ... Algorithm Empirical ... trials are needed ... Naloxone #Narcan #Dosing ... #Algorithm #Management