17 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
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-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
Hypernatremia Differential Diagnosis Algorithm - Diabetes Insipidus Workup

Step #1 - Consider the history
Step #2 - Assess
Hypernatremia Differential ... Workup Step #1 ... history Step #2 ... Uglucose Step #3 ... #Algorithm #Sodium
Hyponatremia Differential Diagnosis Algorithm - Utilizing Uric Acid 
ADH promotes Urea/uric acid excretion along with water
Diagnosis Algorithm ... water retention 1) ... Serum Osmolarity 2) ... Urine Osmolarity 3) ... #nephrology #sodium
Buprenorphine Initiation for the Uninitiated
1) WAIT FOR MODERATE WITHDRAWAL SYMPTOMS
 - Precipitated withdrawal can be caused
the Uninitiated 1) ... for guidance. 2) ... day's doses. 3) ... #Prescribing #Addiction ... #Management
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.
Clinical Opioid Withdrawal Score (COWS)

Resting Pulse Rate: Record beats per minute after patient is sitting or
Clinical Opioid Withdrawal ... attributed to opiate ... 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
Hypernatremia - Differential Diagnosis and Treatment
Hypernatremia is almost always due to unreplaced water loss (free water
, Dehydration: neurologic ... water unavailable 2) ... post-obstructive 3) ... • Start by calculating ... #nephrology #sodium