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
Pain Assessment ... PAMI) - Opioid Prescribing ... #Pharmacology # ... Opioid #Opiate # ... #Table #PAMI
Transdermal Fentanyl require unique dosing conversions. For Adult and pediatric patients taking opiouds or doses not
require unique dosing ... morphine dose using ... Then using Table ... #Pharmacology #Pain ... #Opiate #Opioid
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 ... co-exisiting chronic pain ... #Prescribing
CERTA Opioid Alternatives

Opioid Alternatives for Abdominal Pain (traumatic, non-traumatic), Back Pain, Burns, Renal Colic, Dental Pain,
for Abdominal Pain ... Caution with using ... consider a PPI when prescribing ... #Alternatives #Opiate ... #Pharmacology #
Pearls for Treatment of Alcohol Use Disorder

First-line pharmacotherapies for moderate to severe AUD include naltrexone and
include abdominal pain ... who are actively using ... high risk for using ... opiates Second-line ... #Medications #Pharmacology
Clinical Opioid Withdrawal Score (COWS)

Resting Pulse Rate: Record beats per minute after patient is sitting or
Restlessness: Observation during ... patient was having pain ... Yawning: Observation during ... once or twice during ... or more times during
Checklist for Treatment of Delirium in the ICU 

Remove causative factors 
 - 
Exclude hypoglycemia if
if uncontrolled pain ... sleeping, administer pharmacologic ... dexmedetomidine during ... Reorientation during ... #MICU #CriticalCare
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
Alcohol Use Disorder - Maintenance Treatment
Naltrexone (first line) - First line for most people without contraindications
Consider if also using ... if also chronic pain ... if neuropathic pain ... #management #pharmacology ... #table #addiction
Quick Guide: Buprenorphine Initiation Algorithm
Adjunctive meds: 
The following can be prescribed PRN for symptoms of withdrawal
hold additional dosing ... Hospital Opioid Use Treatment ... #Treatment #Management ... #Addiction #Opiate ... #Start #Prescribing