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 ... PAMI) - Opioid Prescribing ... #Pain #Pharmacology ... #Opioid #Opiate ... Doses #Dosing #Table
CA-Bridge Buprenorphine Hospital Quick Start Algorithm - Management of acute opiate withdrawal 
 - Any prescriber
of acute opiate ... treating opioid use ... co-exisiting chronic pain ... #Algorithm #Addiction ... #Prescribing
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 ... Therapies #Screening #Addiction ... #Medications #Pharmacology
Inpatient Management of Opioid Use Disorder: Methadone vs Buprenorphine - Comparison Table

Some patients may decline buprenorphine
Inpatient Management ... of Opioid Use Disorder ... Buprenorphine - Comparison Table ... Buprenorphine #Comparison #Pain ... #UseDisorder #Addiction
Quick Guide: Methadone Starts in the Hospital
Day 1: max daily dose 40 mg methadone
First dose
β€’ Check
Hospital Opioid Use ... Treatment (SHOUT ... #Management #Addiction ... #Opiate #Start ... #Prescribing #Inpatient
Checklist for Treatment of Delirium in the ICU 

Remove causative factors 
 - 
Exclude hypoglycemia if
c deliriogenic meds ... if uncontrolled pain ... sleeping, administer pharmacologic ... the day - Use ... Delirium #Checklist #Management
Quick Guide: Buprenorphine Initiation Algorithm
Adjunctive meds: 
The following can be prescribed PRN for symptoms of withdrawal
Algorithm Adjunctive meds ... Hospital Opioid Use ... #Management #Addiction ... #Opiate #Start ... #Prescribing #Inpatient
Alcohol Use Disorder - Maintenance Treatment
Naltrexone (first line) - First line for most people without contraindications
Alcohol Use Disorder ... if also chronic pain ... if neuropathic pain ... #management #pharmacology ... #table #addiction
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 ... Score #Diagnosis #Addiction
IDSA Recommendations for Preventing and Treating Histoplasma Capsulatum Infections in HIV-AIDS
Indications for Initiating Primary Prophylaxis:
 β€’
Prophylaxis: β€’ If used ... with ARV (see Table ... IDSA #Prevention #Treatment ... #infections #HIVAIDS ... #pharmacology