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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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
Patient Specific, Pain ... Combinations of Non-Pharmacologic ... Medication Assisted ... Treatment (MAT) ... #Management #Pain
Inpatient Management of Opioid Use Disorder: Methadone vs Buprenorphine - Comparison Table

Some patients may decline buprenorphine
Inpatient Management ... Buprenorphine - Comparison Table ... interested in medication ... Buprenorphine #Comparison #Pain ... #UseDisorder #Addiction
Pharmacologic Options for Hypercalcemia Associated with Cancer
Rehydration with NS followed by loop diuretics
 β€’ IV normal
Pharmacologic Options ... - Enhances GFR and ... #management #drugs ... #treatment #pharmacology ... #table
Checklist for Treatment of Delirium in the ICU 

Remove causative factors 
 - 
Exclude hypoglycemia if
- Review the medication ... meds if possible ... if uncontrolled pain ... sleeping, administer pharmacologic ... Delirium #Checklist #Management
Acute Pain Control In Patients On Medication Assisted Treatment (MAT)
Methadone - Β΅-opioid receptor agonist:
1) Continue maintenance
In Patients On Medication ... Assisted Treatment ... #PainControl #management ... Buprenorphine #methadone #addiction ... #opiate
Quick Guide: Buprenorphine Initiation Algorithm
Adjunctive meds: 
The following can be prescribed PRN for symptoms of withdrawal
Buprenorphine Initiation Algorithm ... Adjunctive meds ... Hospital Opioid Use Treatment ... #Treatment #Management ... #Addiction #Opiate
Alcohol Use Disorder - Maintenance Treatment
Naltrexone (first line) - First line for most people without contraindications
if also chronic pain ... if neuropathic pain ... uptitrate) #AUD ... #management #pharmacology ... #table #addiction
IDSA Recommendations for Treating Mycobacterium Tuberculosis Infection and Disease in HIV-AIDS
Treating LTBI (to prevent TB disease)
Indications:
prevent TB disease) Indications ... Please refer to the table ... below for TB drug ... #management #opportunistic ... infections #HIVAIDS #pharmacology