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
Start Algorithm - Management ... If patient is stable ... Buprenorphine Dosing ... TID/QID #Management ... Treatment #Algorithm #Addiction
Inpatient Management of Opioid Use Disorder: Methadone vs Buprenorphine - Comparison Table

Some patients may decline buprenorphine
Inpatient Management ... - Comparison Table ... interested in medication ... Dosing usually begins ... #UseDisorder #Addiction
Acute Pain Control In Patients On Medication Assisted Treatment (MAT)
Methadone - Β΅-opioid receptor agonist:
1) Continue maintenance
In Patients On Medication ... or frequency of dosing ... or frequency of dosing ... #PainControl #management ... #methadone #addiction
Atrial Fibrillation RVR - Medications
Diltiazem
 β€’ Preferred in patients with chronic lung such as Asthma and
Fibrillation RVR - Medications ... strongly consider using ... Cannot tolerate addition ... #management #treatment ... #comparison #table
Clinical Opioid Withdrawal Score (COWS)

Resting Pulse Rate: Record beats per minute after patient is sitting or
Clinical Opioid ... assessment β€’ 0 - able ... still, but is able ... Withdrawal #Scale #Buprenorphine ... Score #Diagnosis #Addiction
Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with
shifts left In addition ... appears to be coming ... Echocardiogram #clinical ... #pocus #a4c #intrapulmonary
β–Ί
This is the bedside Echo of a critically ill young lady who was transferred in profound
on the brink of coding ... this Echo in this clinical ... ahead of her was able ... #POCUS #Cardiac ... #A4C #MassivePE
β–Ί
IDSA Recommendations for Treating Mycobacterium Tuberculosis Infection and Disease in HIV-AIDS
Treating LTBI (to prevent TB disease)
Indications:
HIV-infected persons with clinical ... Please refer to the table ... below for TB drug dosing ... Guidelines for dosing ... Prevention #Treatment #management
IDSA Recommendations for Preventing and Treating Disseminated Mycobacterium Avium Complex in HIV-AIDS
Preventing 1st Episode of Disseminated
Prophylaxis): Indications ... disease based on clinical ... please refer to Table ... 5 for dosing recommendation ... Prevention #Treatment #management