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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Pain Assessment and Management Initiative (PAMI) - Non-Opioid Analgesics - Agents and Dosing

#Management #Pain #Pharmacology #NonOpioid
Pain Assessment ... and Management Initiative ... #Pain #Pharmacology ... #Medications #Doses ... #Dosing #Table
Post-Intensive Care Syndrome (PICS)
Symptoms of PICS:
 - Physical Domain: Generalized weakness, Fatigue, Difficulty walking
 - Cognitive
sedation and/or analgesia ... guide targeted treatments ... CAM-ICU) - Pain ... Syndrome #PICS #diagnosis ... #management #criticalcare
Scleritis, Episcleritis Pearls
-Scleritis is characterized by significant pain, pain with eye movement, vision loss, and vessels
-Management of scleritis ... steroids +/- topical antibiotics ... self-limited and does ... require acute treatment ... #Diagnosis #Ophthalmology
Pain, Agitation, and Delirium (PAD) in the ICU
Addressing the ICU Triad (PAD) can be accomplished through
indicate inadequate analgesia ... Can also be dosed ... causes amnesia and analgesia ... Delirium #PAD #ICU #CriticalCare ... #diagnosis #management
Diabetic Myonecrosis (Diabetic Muscle Infarction)
 β€’ Spontaneous ischemic necrosis of skeletal muscle (anterior thigh or calf)
muscle swelling & pain ... β€’ Tx: rest, analgesia ... (low dose ASA & ... weeks with above treatment ... #management #diabetes
Acute Kidney Injury (AKI) - Management Principles
Prerenal - Correct hemodynamic derangements:
 β€’ If low preload β†’
Injury (AKI) - Management ... β€’ AIN β†’ Consider ... Foley β€’ UTI β†’ Antibiotics ... β†’ Stop meds β€’ ... #management
Pancreatitis management checklist 
Evaluation to guide etiology & management 
 - RUQ ultrasound 
 - Calcium
- Review of medication ... gram Q6hr) and pain-dose ... limit them as able ... Pancreatitis #Checklist #Diagnosis ... #Management #CriticalCare
Acute Pain Control In Patients On Medication Assisted Treatment (MAT)
Methadone - Β΅-opioid receptor agonist:
1) Continue maintenance
Acute Pain Control ... In Patients On Medication ... Assisted Treatment ... receptor Acute pain ... #PainControl #management
Inpatient Management of Opioid Use Disorder: Methadone vs Buprenorphine - Comparison Table

Some patients may decline buprenorphine
Inpatient Management ... Buprenorphine - Comparison Table ... interested in medication ... formulation, the dose ... Buprenorphine #Comparison #Pain
Checklist for Treatment of Delirium in the ICU 

Remove causative factors 
 - 
Exclude hypoglycemia if
- Review the medication ... c deliriogenic meds ... if uncontrolled pain ... Delirium #Checklist #Management ... #CriticalCare