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 ... and Management Initiative ... #Pain #Pharmacology ... #Opioid #Opiate ... Doses #Dosing #Table
Pearls for Treatment of Alcohol Use Disorder

First-line pharmacotherapies for moderate to severe AUD include naltrexone and
include abdominal pain ... risk for using opiates ... #UseDisorder #Management ... #Treatment #AUD ... #Medications #Pharmacology
CA-Bridge Buprenorphine Hospital Quick Start Algorithm - Management of acute opiate withdrawal 
 - Any prescriber
- Management of ... acute opiate withdrawal ... If patient is stable ... co-exisiting chronic pain ... #Algorithm #Addiction
ED Opioid Stewardship Algorithm

Opioid Naive vs Opioid Tolerant

1. Patient Specific, Pain Syndrome-Targeted Approach
2. Combinations of Non-Pharmacologic
Opioid Stewardship Algorithm ... Patient Specific, Pain ... Combinations of Non-Pharmacologic ... Medication Assisted Treatment ... #Management #Pain
Aortic Dissection Pearls
Aortic dissection is caused by a tear in the tunica intima, the innermost layer
/back pain that ... Marfans, EDS ... deficit β€’ Shock Treatment ... : i.v. opiates ... Dissection #diagnosis #management
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
dose β€’ Check COWS and ... Hospital Opioid Use Treatment ... Methadone #Initiation #Algorithm ... #Treatment #Management ... #Addiction #Opiate
Checklist for Treatment of Delirium in the ICU 

Remove causative factors 
 - 
Exclude hypoglycemia if
Checklist for Treatment ... c deliriogenic meds ... if uncontrolled pain ... sleeping, administer pharmacologic ... Delirium #Checklist #Management
Clinical Opioid Withdrawal Score (COWS)

Resting Pulse Rate: Record beats per minute after patient is sitting or
patient was having pain ... attributed to opiate ... Hospital Opioid Use Treatment ... SHOUT) #COWS #Opiate ... Score #Diagnosis #Addiction
Pharmacologic Options for Hypercalcemia Associated with Cancer
Rehydration with NS followed by loop diuretics
 β€’ IV normal
Pharmacologic Options ... - Enhances GFR and ... #medications #management ... #drugs #treatment ... table