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) - Opioid Prescribing and Equianalgesic Chart - Agents and Dosing

#Management
Pain Assessment ... (PAMI) - Opioid ... Prescribing and ... Pain #Pharmacology ... #Table #PAMI
The Acute Care Opioid Table - For Emergency Providers

There are a hundred opioid tables out there,
Morphine, IV/IM Buprenorphine ... , SL Buprenorphine ... #Pain #Dosing # ... Acute #Management ... #Table #Pharmacology
CA-Bridge Buprenorphine Hospital Quick Start Algorithm - Management of acute opiate withdrawal 
 - Any prescriber
If patient is stable ... Buprenorphine Dosing ... co-exisiting chronic pain ... Treatment #Algorithm #Addiction ... #Prescribing
Inpatient Management of Opioid Use Disorder: Methadone vs Buprenorphine - Comparison Table

Some patients may decline buprenorphine
- Comparison Table ... Dosing usually begins ... #Comparison #Pain ... #Management #Opioid ... #UseDisorder #Addiction
Buprenorphine Initiation for the Uninitiated
1) WAIT FOR MODERATE WITHDRAWAL SYMPTOMS
 - Precipitated withdrawal can be caused
displacing a full opioid ... begin initiation during ... COWS Score 6-10 ... Initiation #Prescribing ... #Addiction #Management
Clinical Opioid Withdrawal Score (COWS)

Resting Pulse Rate: Record beats per minute after patient is sitting or
Clinical Opioid ... Withdrawal Score (COWS ... patient was having pain ... Withdrawal #Scale #Buprenorphine ... Score #Diagnosis #Addiction
Alcohol Use Disorder - Maintenance Treatment
Naltrexone (first line) - First line for most people without contraindications
if also chronic pain ... by family, opioid ... Maintenance #Treatment #management ... #pharmacology # ... table #addiction
Quick Guide: Buprenorphine Initiation Algorithm
Adjunctive meds: 
The following can be prescribed PRN for symptoms of withdrawal
hold additional dosing ... Support for Hospital Opioid ... Algorithm #Treatment #Management ... #Addiction #Opiate ... #Start #Prescribing