11 results
Buprenorphine Algorithm for Uncomplicated Opioid Withdrawal - ACEP Opioids Clinical Policy

Assess Withdrawal Severity - Objective signs
Uncomplicated Opioid ... Opioids Clinical ... signs and Clinical Opiate ... (COWS) Moderate ... to severe (COWS
COWS Clinical Opiate Withdrawal Scale
Score: 
5-12 mild; 13-24 moderate; 25-36 moderately severe; more than 36 =
COWS Clinical Opiate ... #Diagnosis ... #Addiction #COWS ... #Opiate #Withdrawal ... #Scale #Buprenorphine
Inpatient Management of Opioid Use Disorder: Methadone vs Buprenorphine - Comparison Table

Some patients may decline buprenorphine
In these cases, ... has completely withdrawn ... experience precipitated withdrawal ... Use Treatment (SHOUT ... #Comparison #Pain
Buprenorphine Initiation for the Uninitiated
1) WAIT FOR MODERATE WITHDRAWAL SYMPTOMS
 - Precipitated withdrawal can be caused
Buprenorphine Initiation ... can be caused by ... a full opioid agonist ... COWS Score 6-10 ... #Buprenorphine #
CA-Bridge Buprenorphine Hospital Quick Start Algorithm - Management of acute opiate withdrawal 
 - Any prescriber
Management of acute opiate ... withdrawal - ... partial agonist opioid ... co-exisiting chronic pain ... #Withdrawal #Emergency
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
Quick Guide: Methadone Starts in the Hospital
Day 1: max daily dose 40 mg methadone
First dose
• Check
First dose • Check COWS ... Support for Hospital Opioid ... Use Treatment (SHOUT ... Management #Addiction #Opiate ... Prescribing #Inpatient #opioid
Opioid Withdrawal: Clinical Findings and Complications
Note: Opioid withdrawal can be extremely uncomfortable, but is rarely life-threatening
Opioid Withdrawal ... withdrawal can ... Gastrointestinal distress (nausea ... #Withdrawal #Opiate ... Pathophysiology #Diagnosis
Clinical Opioid Withdrawal Score (COWS)

Resting Pulse Rate: Record beats per minute after patient is sitting or
Clinical Opioid ... patient was having pain ... ) #COWS #Opiate ... #Buprenorphine ... #Score #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 ... Use Treatment (SHOUT ... Management #Addiction #Opiate