Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief 🇵🇭 🇺🇸 - 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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addiction prescribing opiate opioid initiation inpatient start assessment diagnosis emergency epilepticus methadone neurology nursing pediatric polymorphic scale score seizures status
Buprenorphine-Naloxone and treatment of withdrawal symptoms Prerequisites for starting Suboxone in the ED: 1. Patient has an opioid
and treatment of ... disorder (OUD) 2. ... informed consent 3. ... COWS is >12, AND ... #Algorithm #Management
CA-Bridge Buprenorphine Hospital Quick Start Algorithm - Management of acute opiate withdrawal - Any prescriber
- Management of ... acute opiate withdrawal ... If patient is stable ... initial dose: Bup 2- ... #Treatment #Algorithm
Status Epilepticus - Management Seizure > 5 mins or two seizures without complete recovery between them PEDS Benzo Dose
Epilepticus - Management ... between them PEDS ... Anti-epileptic #3 ... #treatment #algorithm ... #peds #pediatrics
Pediatric SVT - Management Algorithm Identify SVT: • HR not variable • Abrupt rate changes • Infants:
Management Algorithm ... AP Stable? ... 2 J/kg - Dr. ... #Algorithm #peds ... #Pediatric #treatment
Quick Guide: Methadone Starts in the Hospital Day 1: max daily dose 40 mg methadone First dose • Check
First dose • Check COWS ... in 1 hour Day 2: ... oriented/tranquil 3. ... Methadone #Initiation #Algorithm ... #Treatment #Management
Clinical Opioid Withdrawal Score (COWS) Resting Pulse Rate: Record beats per minute after patient is sitting or
Score (COWS) ... still, but is able ... Hospital Opioid Use Treatment ... (SHOUT) #COWS ... #Scale #Buprenorphine
Recurrent Polymorphic VT/Torsades de Pointes - Management Algorithm Drugs that prolong QT interval: • Class 1a (quinidine,
Algorithm Drugs ... flecainide) • Class 3 ... , sotalol) • Propofol ... Hypocalcemia (rarely) Treatment ... • Adult load: 2-
Quick Guide: Buprenorphine Initiation Algorithm Adjunctive meds: The following can be prescribed PRN for symptoms of withdrawal
Quick Guide: Buprenorphine ... Adjunctive meds ... initially, then 2 ... • Melatonin 3 ... #Treatment #Management
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