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Inpatient Management of Opioid Use Disorder: Methadone vs Buprenorphine - Comparison Table

Some patients may decline buprenorphine
Inpatient Management ... In these cases, ... Use Treatment (SHOUT ... #Comparison #Pain ... #UseDisorder #Addiction
Clinical Opioid Withdrawal Score (COWS)
 - Resting Pulse Rate: Record beats per minute after patient is
Clinical Opioid ... (COWS) - Resting ... was having pain ... attributed to opiate ... #diagnosis #addiction
Buprenorphine Initiation for the Uninitiated
1) WAIT FOR MODERATE WITHDRAWAL SYMPTOMS
 - Precipitated withdrawal can be caused
withdrawal can be caused ... displacing a full opioid ... COWS Score 6-10 ... or substantial patient ... #Prescribing #Addiction
Clinical Opioid Withdrawal Score (COWS)

Resting Pulse Rate: Record beats per minute after patient is sitting or
was having pain ... ) #COWS #Opiate ... Withdrawal #Scale #Buprenorphine ... #Score #Diagnosis ... #Addiction #Nursing
Quick Guide: Methadone Starts in the Hospital
Day 1: max daily dose 40 mg methadone
First dose
• Check
First dose • Check COWS ... Ramsay sedation score ... Treatment #Management #Addiction ... #Opiate #Start ... #Prescribing #Inpatient
Quick Guide: Buprenorphine Initiation Algorithm
Adjunctive meds: 
The following can be prescribed PRN for symptoms of withdrawal
Quick Guide: Buprenorphine ... Support for Hospital Opioid ... Treatment #Management #Addiction ... #Opiate #Start ... #Prescribing #Inpatient