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 ... #Pain #Pharmacology ... #Opioid #Opiate ... Doses #Dosing #Table
Alternatives to opioids for pain management in the emergency department decreases opioid usage and maintains patient
Alternatives to opioids ... for pain management ... and maintains patient ... #Pharmacology # ... Indications #Pathways #Table
ED Opioid Stewardship Algorithm

Opioid Naive vs Opioid Tolerant

1. Patient Specific, Pain Syndrome-Targeted Approach
2. Combinations of Non-Pharmacologic
Patient Specific ... Combinations of Non-Pharmacologic ... Medication Assisted Treatment ... Stewardship #Algorithm #Management ... #Pain #ED
Inpatient Management of Opioid Use Disorder: Methadone vs Buprenorphine - Comparison Table

Some patients may decline buprenorphine
Inpatient Management ... Buprenorphine - Comparison ... Table Some patients ... Use Treatment ( ... #Pain #Management
CA-Bridge Buprenorphine Hospital Quick Start Algorithm - Management of acute opiate withdrawal 
 - Any prescriber
Start Algorithm - Management ... of acute opiate ... - If patient is ... stable on methadone ... co-exisiting chronic pain
In 2018, opioid withdrawal should be considered a buprenorphine deficiency. Otherwise, a multitude of comparatively ineffective
In 2018, opioid ... comparatively ineffective treatments ... @emupdates #Management ... #Pharmacology # ... Pain #NonOpioid
Aortic Dissection Pearls
Aortic dissection is caused by a tear in the tunica intima, the innermost layer
dissection in any patient ... Marfans, EDS ... deficit β€’ Shock Treatment ... : i.v. opiates ... Dissection #diagnosis #management
Clinical Opioid Withdrawal Score (COWS)

Resting Pulse Rate: Record beats per minute after patient is sitting or
Clinical Opioid ... was having pain ... attributed to opiate ... Use Treatment ( ... SHOUT) #COWS #Opiate
Quick Guide: Buprenorphine Initiation Algorithm
Adjunctive meds: 
The following can be prescribed PRN for symptoms of withdrawal
Algorithm Adjunctive meds ... Support for Hospital Opioid ... #Management #Addiction ... #Opiate #Start ... #Prescribing #Inpatient
Alcohol Use Disorder - Maintenance Treatment
Naltrexone (first line) - First line for most people without contraindications
if also chronic pain ... if neuropathic pain ... dosing by family, opioid ... #management #pharmacology ... #table #addiction