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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ED Opioid Stewardship Algorithm

Opioid Naive vs Opioid Tolerant

1. Patient Specific, Pain Syndrome-Targeted Approach
2. Combinations of Non-Pharmacologic
Algorithm Opioid ... Patient Specific ... Combinations of Non-Pharmacologic ... Medication Assisted Treatment ... #Management #Pain
CA-Bridge Buprenorphine Hospital Quick Start Algorithm - Management of acute opiate withdrawal 
 - Any prescriber
- Management of ... acute opiate withdrawal ... - If patient is ... co-exisiting chronic pain ... #Algorithm #Addiction
Inpatient Management of Opioid Use Disorder: Methadone vs Buprenorphine - Comparison Table

Some patients may decline buprenorphine
Inpatient Management ... Buprenorphine - Comparison Table ... Buprenorphine #Comparison #Pain ... #Management #Opioid ... #UseDisorder #Addiction
Quick Guide: Methadone Starts in the Hospital
Day 1: max daily dose 40 mg methadone
First dose
β€’ Check
Methadone #Initiation #Algorithm ... #Treatment #Management ... #Addiction #Opiate ... #Prescribing #Inpatient ... #opioid
Clinical Opioid Withdrawal Score (COWS)

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