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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ED Opioid Stewardship Algorithm

Opioid Naive vs Opioid Tolerant

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

Some patients may decline buprenorphine
Inpatient Management ... interested in medication ... assisted treatment ... Buprenorphine #Comparison #Pain ... #UseDisorder #Addiction
CA-Bridge Buprenorphine Hospital Quick Start Algorithm - Management of acute opiate withdrawal 
 - Any prescriber
Hospital Quick Start Algorithm ... - Management of ... - If patient is ... co-exisiting chronic pain ... #Algorithm #Addiction
Phenobarbital monotherapy algorithm for alcohol withdrawal

** EDIT - SEE UPDATED ALGORITHM HERE:
https://www.grepmed.com/images/4060/phenobarbital-monotherapy-withdrawal-management-algorithm-protocol-pulmcrit

-Phenobarbital monotherapy has numerous advantages
phenobarbital-monotherapy-withdrawal-management-algorithm-protocol-pulmcrit ... suggests that the patient ... another problem in addition ... useful initially to gain ... -If you work at
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Atrial Fibrillation RVR - Medications
Diltiazem
 β€’ Preferred in patients with chronic lung such as Asthma and
Fibrillation RVR - Medications ... Cannot tolerate addition ... to 6-8 hours to work ... Fibrillation #AFib #RVR #Medications ... #management #treatment
Quick Guide: Acute Pain and Perioperative Management in Opioid Use Disorder

The following applies to patients already
Quick Guide: Acute Pain ... but are not on a medication ... Hospital Opioid Use Treatment ... Perioperative #Pain ... #UseDisorder #Addiction
IDSA - Approach to Treating a Patient With Diabetic Foot Osteomyelitis
When to consider a trial of
IDSA - Approach ... of nonsurgical treatment ... 48–72 h if on treatment ... #nonoperative #management ... #IDSA
IDSA Recommendations for Preventing and Treating Histoplasma Capsulatum Infections in HIV-AIDS
Indications for Initiating Primary Prophylaxis:
 β€’
IDSA Recommendations ... Histoplasma Capsulatum Infections ... in HIV-AIDS Indications ... #Prevention #Treatment ... #management #opportunistic
Quick Guide: Buprenorphine Initiation Algorithm
Adjunctive meds: 
The following can be prescribed PRN for symptoms of withdrawal
Buprenorphine Initiation Algorithm ... Hospital Opioid Use Treatment ... #Treatment #Management ... #Addiction #Opiate ... #Prescribing #Inpatient