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

Some patients may decline buprenorphine
medication assisted treatment ... In these cases, ... Use Treatment ( ... SHOUT) #Methadone ... #Comparison #Pain
Clinical Opioid Withdrawal Score (COWS)
 - Resting Pulse Rate: Record beats per minute after patient is
Clinical Opioid ... (COWS) - Resting ... patient was having pain ... attributed to opiate ... #diagnosis #addiction
Clinical Opioid Withdrawal Score (COWS)

Resting Pulse Rate: Record beats per minute after patient is sitting or
patient was having pain ... Use Treatment ( ... SHOUT) #COWS ... #Scale #Buprenorphine ... #Score #Diagnosis
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 ... Use Treatment ( ... SHOUT) #Methadone ... Management #Addiction #Opiate
Medications that Can Cause False Positives on Drug Tests

Urine drug screens (UDSs) are simple to use,
efavirenz (Sustiva) • Pain ... • Coca tea Buprenorphine ... • Verapamil Opioids ... and opiates false ... #differential #diagnosis
Quick Guide: Buprenorphine Initiation Algorithm
Adjunctive meds: 
The following can be prescribed PRN for symptoms of withdrawal
Quick Guide: Buprenorphine ... q 6 hours PRN nausea ... Support for Hospital Opioid ... SHOUT) #Buprenorphine ... Management #Addiction #Opiate