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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Pain Assessment and Management Initiative (PAMI) - Opioid Prescribing and Equianalgesic Chart - Agents and Dosing

#Management
PAMI) - Opioid Prescribing ... Chart - Agents and Dosing ... Management #Pain #Pharmacology ... #Opioid #Opiate ... #Table #PAMI
CA-Bridge Buprenorphine Hospital Quick Start Algorithm - Management of acute opiate withdrawal 
 - Any prescriber
Hospital Quick Start Algorithm ... Management of acute opiate ... - If patient is ... stable on methadone ... #Prescribing
Quick Guide: Methadone Starts in the Hospital
Day 1: max daily dose 40 mg methadone
First dose
β€’ Check
Methadone #Initiation #Algorithm ... #Treatment #Management ... #Addiction #Opiate ... #Start #Prescribing ... #Inpatient #opioid
Long-Acting Injectable (LAI) - Atypical Antipsychotics 
INVEGA TRINZA 3 MONTHS 
ARISTADA 2 MONTHS 
INVEGA 1 MONTH
SUSTENNA
are used in the treatment ... tough for any patient ... which requires dosing ... Pharmacists are able ... Antipsychotics #Pharmacology
Taken from Dr Motov's work on a CERTA regime.
This is published in conjunction with the CERTA
superior analgesia by using ... This is NOT a prescribing ... #Management #Pharmacology ... #NonOpioid #Opiate ... PainSyndromes #Pathways #Table
Clinical Opioid Withdrawal Score (COWS)

Resting Pulse Rate: Record beats per minute after patient is sitting or
assessment β€’ 0 - able ... still, but is able ... attributed to opiate ... Hospital Opioid Use Treatment ... SHOUT) #COWS #Opiate
Perioperative Management of DOACs
Problem:
 βœ– Each year approximately 250,000 patients on chronic anticoagulation in North America
clearance (calculated using ... interruption per treatment ... table ... βœ” Assess patient-specific ... #pharmacology #
Daliresp (Roflumilast) 
Indication: Reduce risk of COPD exacerbations 
Drug Class: Selective Phosphodiesterase-4 (PDE4) Inhibitor 
GOLD 2019
Eosinophils < 100 Dosing ... : 250 mcg tablet ... recommendations for the treatment ... First if patient ... #Indications #Pharmacology
Quick Guide: Buprenorphine Initiation Algorithm
Adjunctive meds: 
The following can be prescribed PRN for symptoms of withdrawal
hold additional dosing ... #Treatment #Management ... #Addiction #Opiate ... #Start #Prescribing ... #Inpatient