34 results
Quick Guide: Methadone Starts in the Hospital
Day 1: max daily dose 40 mg methadone
First dose
• Check
Guide: Methadone Starts ... oriented/tranquil 3. ... Methadone #Initiation #Algorithm ... #Treatment #Management ... #Addiction #Opiate
Buprenorphine-Naloxone and treatment of withdrawal symptoms

Prerequisites for starting Suboxone in the ED:

1. Patient has an opioid
in the ED: 1. ... disorder (OUD) 2. ... informed consent 3. ... #Algorithm #Management ... #Addiction #Prescribing
CA-Bridge Buprenorphine Hospital Quick Start Algorithm - Management of acute opiate withdrawal 
 - Any prescriber
Algorithm - Management ... of acute opiate ... initial dose: Bup 2- ... onset 15 min, peak 1 ... #Addiction #Prescribing
Buprenorphine Initiation for the Uninitiated
1) WAIT FOR MODERATE WITHDRAWAL SYMPTOMS
 - Precipitated withdrawal can be caused
the Uninitiated 1) ... can be caused by ... for guidance. 2) ... day's doses. 3) ... #Management
Hypokalemia Differential Algorithm
Acidosis
 - RTA
 - Diarrhea
pH Normal 
 1. Decreased Mg 
 2. Intracellular Shift
Hypokalemia Differential ... Algorithm Acidosis ... discontinued) 3. ... #Causes #Workup ... #Nephrology
Causes of Hypokalemia - Differential Diagnosis Algorithm
Once pseudohypokalemia is ruled out, causes of hypokalemia can be
- Differential ... discrete buckets: 1. ... (low intake) 2. ... transcellular shift) 3. ... #nephrology
Algorithm for Treating Constipation in Hospitalized Patients
1. Start with miralax daily, uptitrate to desired BM, consider
Hospitalized Patients 1. ... Start with miralax ... desired BM, consider addition ... if on opioids 2. ... disimpaction 3.
Causes of Hypokalemia - Differential Diagnosis Algorithm
Defining the cause of hypokalemia starts by measuring urinary K
- Differential ... of hypokalemia starts ... acidosis (type 1 ... of 2), Ureterosigmoidostomy ... #causes #nephrology
Clinical Opioid Withdrawal Score (COWS)

Resting Pulse Rate: Record beats per minute after patient is sitting or
attributed to opiate ... - nausea or loose ... Use Treatment (SHOUT ... ) #COWS #Opiate ... Score #Diagnosis #Addiction
Quick Guide: Buprenorphine Initiation Algorithm
Adjunctive meds: 
The following can be prescribed PRN for symptoms of withdrawal
initially, then 2 ... • Melatonin 3 ... then day 2 start ... #Treatment #Management ... #Addiction #Opiate