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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Alternatives to opioids for pain management in the emergency department decreases opioid usage and maintains patient
Alternatives to ... emergency department ... #Pharmacology # ... PainSyndromes #Indications ... #Pathways #Table
CERTA Opioid Alternatives

Opioid Alternatives for Abdominal Pain (traumatic, non-traumatic), Back Pain, Burns, Renal Colic, Dental Pain,
CERTA Opioid Alternatives ... Opioid Alternatives ... indicate a surgical emergency ... #Opiate #Pain # ... Medications #Pharmacology
Medications Used in Hypertensive Emergencies
Vasodilators: Hydralazine, Nitroglycerin, Sodium nitroprusside 
Calcium Channel Blockers: Clevidipine, Nicardipine
ß-Blockers: Esmolol, Labetalol,
Medications Used ... #Hypertensive #Emergency ... #Management #Treatment ... #Pharmacology # ... Table
Glaucoma - Emergency Department Management
- All patients should get emergency ophthalmologic consultation
- Start with eye drops
Glaucoma - Emergency ... Department Management ... blocker) - Topical meds ... is < 40 mmHg #Pharmacology ... #Table
ED Opioid Stewardship Algorithm

Opioid Naive vs Opioid Tolerant

1. Patient Specific, Pain Syndrome-Targeted Approach
2. Combinations of Non-Pharmacologic
Combinations of Non-Pharmacologic ... Medication Assisted ... Treatment (MAT) ... Mahlaqa Butt #Emergency ... Stewardship #Algorithm #Management
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 ... Screening #Addiction #Medications ... #Pharmacology
IDSA Recommendations for Treating Mucosal Candidiasis in HIV-AIDS
Oropharyngeal Candidiasis: Initial Episodes (Duration of Therapy: 7–14 days)
Preferred
IDSA Recommendations ... daily (AI), or Alternative ... chew, or crush tablet ... #management #opportunistic ... infections #HIVAIDS #pharmacology
Taken from Dr Motov's work on a CERTA regime.
This is published in conjunction with the CERTA
@Gas_Craic #Management ... #Pharmacology # ... NonOpioid #Opiate ... #Alternatives # ... PainSyndromes #Pathways #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 ... Opioid #Withdrawal #Emergency
IDSA Recommendations for Preventing and Treating Toxoplasma gondii Encephalitis in HIV-AIDS
Indications for Initiating Primary Prophylaxis:
 β€’
IDSA Recommendations ... DS PO daily Alternative ... #Prevention #Treatment ... infections #HIVAIDS #management ... pharmacology