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Quick Guide: Methadone Starts in the Hospital
Day 1: max daily dose 40 mg methadone
First dose
• Check
First dose • Check COWS ... Use Treatment ( ... SHOUT) #Methadone ... #Initiation #Algorithm ... #Addiction #Opiate
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: Buprenorphine Initiation Algorithm
Adjunctive meds: 
The following can be prescribed PRN for symptoms of withdrawal
Quick Guide: Buprenorphine ... Initiation Algorithm ... Support for Hospital Opioid ... SHOUT) #Buprenorphine ... #Addiction #Opiate