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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Buprenorphine-Naloxone and treatment of withdrawal symptoms

Prerequisites for starting Suboxone in the ED:

1. Patient has an opioid
treatment of withdrawal ... Patient has an opioid ... Patient gives informed ... Opioid #Withdrawal #Algorithm ... #Management #Addiction
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 ... suggests that the patient ... another problem in addition ... underlying disorder and ... #Management #Alcohol
β–Ί
Inpatient Management of Opioid Use Disorder: Methadone vs Buprenorphine - Comparison Table

Some patients may decline buprenorphine
Inpatient Management ... Buprenorphine - Comparison Table ... medication assisted treatment ... Comparison #Pain #Management ... #UseDisorder #Addiction
Treatment of Alcohol Use Disorder

Treatment options for AUD include psychosocial treatment and medications. Individualize based on
tolerated prior meds ... settings where meds ... FDA approved for AUD ... #UseDisorder #Addiction ... #Management #AUD
CA-Bridge Buprenorphine Hospital Quick Start Algorithm - Management of acute opiate withdrawal 
 - Any prescriber
- Management of ... opioid that is safe and ... - If patient is ... stable on methadone ... #Algorithm #Addiction
Weaning from the Ventilator - Algorithm
Setting up for extubation success
 β€’ Decrease demand β€” correct metabolic
mechanics - sit patient ... long lasting pain meds ... (including Mg and ... #Extubation #CriticalCare ... #Management
Suspected catheter-related bloodstream infection - Management Algorithm
 β€’ Temperature 37.8 C   β€’ Rigors
Algorithm β€’ Temperature ... Hemodynamically stable ... complicated CRBSI but patient ... after treatment ... #Algorithm #CRBSI
Atrial Fibrillation RVR - Medications
Diltiazem
 β€’ Preferred in patients with chronic lung such as Asthma and
unsure whether patient ... Cannot tolerate addition ... #Medications #management ... #treatment #comparison ... #table
Quick Guide: Methadone Starts in the Hospital
Day 1: max daily dose 40 mg methadone
First dose
β€’ Check
Hospital Opioid Use Treatment ... Methadone #Initiation #Algorithm ... #Treatment #Management ... #Addiction #Opiate ... #Prescribing #Inpatient
Quick Guide: Buprenorphine Initiation Algorithm
Adjunctive meds: 
The following can be prescribed PRN for symptoms of withdrawal
Adjunctive meds ... Hospital Opioid Use Treatment ... #Treatment #Management ... #Addiction #Opiate ... #Prescribing #Inpatient