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 ... #Management # ... Pain #Pharmacology ... #Opioid #Opiate ... #Table #PAMI
Pearls for Treatment of Alcohol Use Disorder

First-line pharmacotherapies for moderate to severe AUD include naltrexone and
include abdominal pain ... opiates Second-line ... #UseDisorder #Management ... Therapies #Screening #Addiction ... #Medications #Pharmacology
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 ... Table Some patients ... Dosing usually begins ... #Pain #Management ... #UseDisorder #Addiction
Alcohol Use Disorder - Maintenance Treatment
Naltrexone (first line) - First line for most people without contraindications
- Maintenance Treatment ... if also chronic pain ... if neuropathic pain ... #management #pharmacology ... #table #addiction
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
Acute Pain Control In Patients On Medication Assisted Treatment (MAT)
Methadone - Β΅-opioid receptor agonist:
1) Continue maintenance
Acute Pain Control ... 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 ... SHOUT) #COWS #Opiate ... Score #Diagnosis #Addiction
Atrial Fibrillation RVR - Medications
Diltiazem
 β€’ Preferred in patients with chronic lung such as Asthma and
strongly consider using ... Cannot tolerate addition ... #Medications #management ... #treatment #comparison ... #table
Quick Guide: Buprenorphine Initiation Algorithm
Adjunctive meds: 
The following can be prescribed PRN for symptoms of withdrawal
Algorithm Adjunctive meds ... hold additional dosing ... Hospital Opioid Use Treatment ... #Management #Addiction ... #Opiate #Start