Rupinder Sandhu @rjssandhu
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Methadone Hospital Quick Start - Inpatient Initiation for Opioid Use Disorder and Withdrawal
Initial Dosing:
 - Patients
Methadone Hospital Quick Start - Inpatient Initiation for Opioid Use Disorder and Withdrawal Initial Dosing: - Patients should be dosed according to tolerance. May use morphine equivalent calculator as a guide. Withdrawal severity is not well correlated with tolerance. - Can use adjunctive medications for withdrawal symptoms. - Order naloxone prn sedation/resp depression Complicating Factors: - Allergy to methadone - Respiratory depression - Ramsay sedation scale ?3 - QTc ?500 - Recent use of benzodiazepines, alcohol or other sedatives - Severe liver disease - Medically unstable - If RR <8 or sedated, do not give additional methadone #Methadone #Hospital #Inpatient #Initiation #management #withdrawal #opiate #opioid #algorithm
Diabetic Ketoacidosis (DKA) - Diagnosis and Management Summary

Symptoms:
• Abdominal pain
• Nausea
• Polyuria
• Polydipsia
• Vomiting
• Weight loss
•
Diabetic Ketoacidosis (DKA) - Diagnosis and Management Summary Symptoms: • Abdominal pain • Nausea • Polyuria • Polydipsia • Vomiting • Weight loss • Shortness of breath • May progress to lethargy, obtundation, and death DKA Resolution - 2 of 4 following criteria: 1) HCO3 > 18 mEq/L 2) pH > 7.3 3) AG < 12 4) Glucose < 200 mg/dL #DKA #Diabetic #Ketoacidosis #Diagnosis #Management #Endocrinology
Renal Tubular Acidosis #Diagnosis #Peds #Nephro #RTA #RenalTubularAcidosis #Algorithm #UrineAnionGap
Renal Tubular Acidosis #Diagnosis #Peds #Nephro #RTA #RenalTubularAcidosis #Algorithm #UrineAnionGap