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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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,
old algorithm here ... phenobarbital-monotherapy-withdrawal-management-algorithm-pulmcrit-protocol ... Any residual delirium ... #Management #Alcohol ... #EtOH #Withdrawal
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
phenobarbital-monotherapy-withdrawal-management-algorithm-protocol-pulmcrit ... Alternative causes of delirium ... #Management #Alcohol ... #EtOH #Withdrawal ... #Protocol #PulmCrit
β–Ί
CA-Bridge Buprenorphine Hospital Quick Start Algorithm - Management of acute opiate withdrawal 
 - Any prescriber
- Management of ... acute opiate withdrawal ... If patient is stable ... #Opioid #Withdrawal ... #Addiction #Prescribing
Pain, Agitation, and Delirium (PAD) in the ICU
Addressing the ICU Triad (PAD) can be accomplished through
Opioids: β€’ Fentanyl ... Non-Benzos): β€’ Propofol ... Propofol infusion ... non-intubated patients (ie EtOH ... CriticalCare #diagnosis #management
Quick Guide: Methadone Starts in the Hospital
Day 1: max daily dose 40 mg methadone
First dose
β€’ Check
dose from day 1 as ... Methadone #Initiation #Algorithm ... #Treatment #Management ... Opiate #Start #Prescribing ... #Inpatient #opioid
Alcohol Withdrawal Syndrome (AWS) - ICU OnePager

Scoring Alcohol Withdrawal Syndrome (AWS):
 β€’ PAWSS
 β€’ CIWA-Ar
 β€’
Syndrome (AWS) ... vital signs β€’ Delirium ... Barbituates β€’ Propofol ... diagnosis #treatment #management ... #etoh #timeline
Quick Guide: Buprenorphine Initiation Algorithm
Adjunctive meds: 
The following can be prescribed PRN for symptoms of withdrawal
Adjunctive meds ... from previous day as ... Support for Hospital Opioid ... #Treatment #Management ... Opiate #Start #Prescribing