Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief ๐Ÿ‡ต๐Ÿ‡ญ ๐Ÿ‡บ๐Ÿ‡ธ - 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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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,
www.grepmed.com/images/1485/phenobarbital-monotherapy-withdrawal-management-algorithm-pulmcrit-protocol ... (30 mg/kg), additional ... received sufficient treatment ... Any residual delirium ... #Management #Alcohol
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
www.grepmed.com/images/4060/phenobarbital-monotherapy-withdrawal-management-algorithm-protocol-pulmcrit ... -If 15 mg/kg phenobarbital ... Alternative causes of delirium ... dexmedetomidine can ... #Management #Alcohol
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Pediatric SVT - Management Algorithm
Identify SVT:
 โ€ข HR not variable
 โ€ข Abrupt rate changes
 โ€ข Infants:
Pediatric SVT - Management ... Algorithm Identify ... AP Stable? ... #Algorithm #peds ... #Pediatric #treatment
Medication Protocol for Management of Delirium in Older Adults - Always start low and go slow
Olanzapine
Medication Protocol ... for Management ... of Delirium in Older ... #Geriatrics #Treatment ... #Pharmacology #Table
Emergency Treatment Algorithm for Convulsive Status Epilepticus
1. ABCDEFG (ABC's and Don't Ever Forget the Glucose)
2. Airway:
Emergency Treatment ... Algorithm for Convulsive ... epilepticus: - Propofol ... q12h PO/IV - Phenobaribital ... #Algorithm #Management
Emergency Treatment Algorithm for Convulsive Status Epilepticus 
 1. ABCDEFG (ABC's and Don't Ever Forget the
Emergency Treatment ... Algorithm for Convulsive ... โ€ข Induction: propofol ... EPILEPTICUS โ€ข Propofol ... q12h PO/IV โ€ข Phenobaribital
Inpatient Management of Opioid Use Disorder: Methadone vs Buprenorphine - Comparison Table

Some patients may decline buprenorphine
Inpatient Management ... Buprenorphine - Comparison Table ... medication assisted treatment ... Naltrexone can only ... has completely withdrawn
CA-Bridge Buprenorphine Hospital Quick Start Algorithm - Management of acute opiate withdrawal 
 - Any prescriber
Hospital Quick Start Algorithm ... - Management of ... acute opiate withdrawal ... If patient is stable ... #Opioid #Withdrawal
โ€œStep by Stepโ€ โ€“ the new kid on the block โ€“ aims to risk stratify this
investigations and treatments ... <10,000/mm3 - CRP ... < 20 mg/L #Diagnosis ... #Management #Pediatrics ... #Peds #Febrile
MGH Status Epilepticus Treatment Protocol
1st line (seizures ongoing for 5-10 mins): 
 - Lorazepam 4mg IV
Treatment Protocol ... 100mg/min) 3) Phenobarbital ... If no effect, can ... #Protocol #algorithm ... #neurology #management