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
CA-Bridge Buprenorphine Hospital Quick Start Algorithm - Management of acute opiate withdrawal 
 - Any prescriber
of acute opiate ... withdrawal - ... If patient is stable ... co-exisiting chronic pain ... #Algorithm #Addiction
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
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
β€’ If endorsing withdrawal ... Hospital Opioid Use Treatment ... Initiation #Algorithm #Treatment ... #Management #Addiction ... #Opiate #Start
Smoking Cessation Management
Nicotine Replacement Therapy (NRT):
Long-Acting NRT:
 β€’ Patch: Wear for 24 hours at a time.
Smoking Cessation Management ... withdrawal. ... after FDA-approved treatments ... #pharmacology # ... addition #tobacco
Opioid Use Disorder Medications - Pharmacokinetics

Buprenorphine is a partial mu-opioid receptor agonist with low intrinsic activity,
stages of the addiction ... effects from illicit opiates ... margin of safety in pharmacology ... the sublingual tablet ... #Pharmacology #
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
Optic Neuritis - Diagnosis and Management
 β€’ Epidemiology: Female (75%), 18-50 years,
caucasian
 β€’ Symptoms: Moderate visual
Neuritis - Diagnosis and ... Management β€’ ... Moderate orbital pain ... deterioration after withdrawal ... Immunosuppressive drugs
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