Dr. Gerald Diaz @GeraldMD
48.6M 14.2K 7.5K
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
If patient is stable ... as first-line treatment ... Buprenorphine Dosing ... chronic pain split dosing ... #Treatment #Algorithm
Inpatient Management of Opioid Use Disorder: Methadone vs Buprenorphine - Comparison Table

Some patients may decline buprenorphine
- Comparison Table ... interested in medication ... assisted treatment ... Dosing usually begins ... formulation, the dose
Acute Pain Control In Patients On Medication Assisted Treatment (MAT)
Methadone - Β΅-opioid receptor agonist:
1) Continue maintenance
In Patients On Medication ... Assisted Treatment ... or frequency of dosing ... or frequency of dosing ... of buprenorphine
Rybelsus (oral semaglutide) - First Oral GLP-1 Agonist
Dosing:
3 mg daily x 30 days, then 7 mg
GLP-1 Agonist Dosing ... semaglutide, the same medication ... drug to remain stable ... take any other medications ... have significant A1c
Atrial Fibrillation RVR - Medications
Diltiazem
 β€’ Preferred in patients with chronic lung such as Asthma and
Fibrillation RVR - Medications ... strongly consider using ... of or increased doses ... #management #treatment ... #comparison #table
IDSA Recommendations for Treating Cytomegalovirus Infections in HIV-AIDS
Preventing CMV Disease:
 β€’ CMV end-organ disease is best
Infections in HIV-AIDS Preventing ... best prevented by using ... ., concomitant medications ... systemic therapy in preventing ... injection) for 1–4 doses
Summary of Oncologic Emergencies

Neutropenic fever:
- Fever + ANC < 500 β†’ start cefepime Β± vancomycin (if
fever: - Fever + ANC ... afebrile 24-48 h and ANC ... rising > 500 β†’ ... weakness, urinary retention ... incontinence - High-dose
IDSA Recommendations for Preventing and Treating Disseminated Mycobacterium Avium Complex in HIV-AIDS
Preventing 1st Episode of Disseminated
Recommendations for Preventing ... Prophylaxis): Indications ... please refer to Table ... 5 for dosing recommendation ... #Treatment #management
IDSA Recommendations for Treating Mycobacterium Tuberculosis Infection and Disease in HIV-AIDS
Treating LTBI (to prevent TB disease)
Indications:
months or β€’ RFB (dose ... Please refer to the table ... below for TB drug dosing ... Guidelines for dosing ... Tuberculosis #TB #IDSA #Prevention
This is the bedside Echo of a critically ill young lady who was transferred in profound
intubated, and on high-dose ... on the brink of coding ... ahead of her was able ... EM_RESUS #Clinical #POCUS ... #Cardiac #A4C #
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