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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Transdermal Fentanyl require unique dosing conversions. For Adult and pediatric patients taking opiouds or doses not
require unique dosing ... For Adult and pediatric ... D, use the following ... Then using Table ... #Pharmacology #Pain
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 ... another problem in addition ... useful initially to gain ... phenobarbital use ... center that is using
β–Ί
CA-Bridge Buprenorphine Hospital Quick Start Algorithm - Management of acute opiate withdrawal 
 - Any prescriber
- Management of ... treating opioid use ... If patient is stable ... co-exisiting chronic pain ... #Addiction #Prescribing
Pearls for Treatment of Alcohol Use Disorder

First-line pharmacotherapies for moderate to severe AUD include naltrexone and
Treatment of Alcohol Use ... include abdominal pain ... #UseDisorder #Management ... Therapies #Screening #Addiction ... #Medications #Pharmacology
CRIES is a 10-point scale, using a physiologic basis similar to APGAR: Crying; Requires increased oxygen
1995) CRIES (Table ... ; to adapt its use ... assessing neonatal pain ... #Diagnosis #Peds ... #Pediatrics #PainScale
Inpatient Management of Opioid Use Disorder: Methadone vs Buprenorphine - Comparison Table

Some patients may decline buprenorphine
Inpatient Management ... Buprenorphine - Comparison Table ... Dosing usually begins ... Buprenorphine #Comparison #Pain ... #UseDisorder #Addiction
Alcohol Use Disorder - Maintenance Treatment
Naltrexone (first line) - First line for most people without contraindications
Alcohol Use Disorder ... if also chronic pain ... Maintenance #Treatment #management ... #pharmacology # ... table #addiction
Checklist for Treatment of Delirium in the ICU 

Remove causative factors 
 - 
Exclude hypoglycemia if
c deliriogenic meds ... if uncontrolled pain ... sleeping, administer pharmacologic ... the day - Use ... Delirium #Checklist #Management
Pediatric Trauma Primary Survey: C-ABCDE
C - Catastrophic Bleeding - Life-threatening hemorrhage
 β€’ Apply direct pressure/compression bandage
Pediatric Trauma ... massive transfusion protocol ... Use higher end dosing ... 8, Responds to pain ... Survey #CABCDE #management
Neonatal Infant Pain Scale (NIPS)

For infants less than one year of age, the Neonatal Infant Pain
Scale (NIPS) uses ... (Table 2). ... ; pharmacologic ... #Diagnosis #Peds ... #Pediatrics #PainScale