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
Medications causing Acute Kidney Injury (AKI)
Prerenal:
 β€’ Dehydration: Diuretics
 β€’ Altered intrarenal autoregulation: ACEIs / ARBs,
Medications causing ... , tenofovir β€’ AIN ... sphincter tone: β€’ Opiates ... #Drugs #pharmacology ... #differential #diagnosis
CA-Bridge Buprenorphine Hospital Quick Start Algorithm - Management of acute opiate withdrawal 
 - Any prescriber
of acute opiate ... opioid that is safe and ... If patient is stable ... 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 ... interested in medication ... Buprenorphine #Comparison #Pain ... #UseDisorder #Addiction
Aortic Dissection Pearls
Aortic dissection is caused by a tear in the tunica intima, the innermost layer
Marfans, EDS ... deficit β€’ Shock Treatment ... : i.v. opiates ... Aortic #Dissection #diagnosis ... #management #vascular
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
Pancreatitis management checklist 
Evaluation to guide etiology & management 
 - RUQ ultrasound 
 - Calcium
- Review of medication ... potentially causative drugs ... Pain control - ... limit them as able ... Pancreatitis #Checklist #Diagnosis
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
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 ... Buprenorphine #Score #Diagnosis ... #Addiction #Nursing