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
Start Algorithm - Management ... of acute opiate ... 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 ... Buprenorphine #Comparison #Pain ... #Management #Opioid ... #UseDisorder #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
Quick Guide: Methadone Starts in the Hospital
Day 1: max daily dose 40 mg methadone
First dose
β€’ Check
Quick Guide: Methadone ... Hospital Opioid Use Treatment ... Initiation #Algorithm #Treatment ... #Management #Addiction ... #Opiate #Start
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 #
Acute Pain Control In Patients On Medication Assisted Treatment (MAT)
Methadone - Β΅-opioid receptor agonist:
1) Continue maintenance
Acute Pain Control ... Medication Assisted Treatment ... (MAT) Methadone ... #PainControl #management ... #addiction #opiate
Aortic Dissection Pearls
Aortic dissection is caused by a tear in the tunica intima, the innermost layer
chest/abd/back pain ... Marfans, EDS ... deficit β€’ Shock Treatment ... : i.v. opiates ... Dissection #diagnosis #management
Checklist for Treatment of Delirium in the ICU 

Remove causative factors 
 - 
Exclude hypoglycemia if
Checklist for Treatment ... c deliriogenic meds ... if uncontrolled pain ... sleeping, administer pharmacologic ... Delirium #Checklist #Management
Quick Guide: Acute Pain and Perioperative Management in Opioid Use Disorder

The following applies to patients already
Quick Guide: Acute Pain ... Methadone: Before ... Hospital Opioid Use Treatment ... Perioperative #Pain ... #UseDisorder #Addiction