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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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 ... Therapies #Screening #Addiction ... #Medications #Pharmacology
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
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 #
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
Checklist for Treatment of Delirium in the ICU 

Remove causative factors 
 - 
Exclude hypoglycemia if
- Review the medication ... c deliriogenic meds ... if uncontrolled pain ... sleeping, administer pharmacologic ... Delirium #Checklist #Management
Complex Regional Pain Syndrome (CRPS) - Treatment
Non-Pharmacologic:
 β€’ Education
 β€’ Physical & occupational therapy
 β€’ Psychology
Complex Regional Pain ... Non-Pharmacologic ... behavioral therapy) Medications ... alendronate) β€’ Opiates ... #Management
Quick Guide: Buprenorphine Initiation Algorithm
Adjunctive meds: 
The following can be prescribed PRN for symptoms of withdrawal
Algorithm Adjunctive meds ... Hospital Opioid Use Treatment ... Initiation #Algorithm #Treatment ... #Management #Addiction ... #Opiate #Start
Alcohol Use Disorder - Maintenance Treatment
Naltrexone (first line) - First line for most people without contraindications
if also chronic pain ... if neuropathic pain ... anxious, EtOH withdrawal ... #management #pharmacology ... #table #addiction
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