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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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 # ... #Management
Flowchart to diuretic use in acute heart failure.

(A) Congestion with volume overload. 

(B) Treatment algorithm after
(B) Treatment algorithm ... administration, once a day dosing ... Diuretic #Diuresis #CHF ... #Algorithm #Congestive ... HeartFailure #Cardiology #Management
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 ... TID/QID #Management
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,
See old algorithm ... phenobarbital-monotherapy-withdrawal-management-algorithm-pulmcrit-protocol ... phenobarbital dosing ... large cumulative dose ... #Management #Alcohol
Atrial Fibrillation RVR - Medications
Diltiazem
 β€’ Preferred in patients with chronic lung such as Asthma and
of or increased doses ... decompensated CHF ... #Medications #management ... #treatment #comparison ... #table
Inpatient Management of Opioid Use Disorder: Methadone vs Buprenorphine - Comparison Table

Some patients may decline buprenorphine
Inpatient Management ... Buprenorphine - Comparison ... Table Some patients ... Dosing usually begins ... formulation, the dose
MGH Status Epilepticus Treatment Protocol
1st line (seizures ongoing for 5-10 mins): 
 - Lorazepam 4mg IV
Epilepticus Treatment Protocol ... 20mg rectally (using ... give additional dose ... #algorithm #neurology ... #management
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