9 results
Clinical Opioid Withdrawal Score (COWS)
 - Resting Pulse Rate: Record beats per minute after patient is
Withdrawal Score ... attributed to opiate ... withdrawal is scored ... #Withdrawal #Score ... #diagnosis #addiction
Quick Guide: Methadone Starts in the Hospital
Day 1: max daily dose 40 mg methadone
First dose
• Check
Ramsay sedation score ... Support for Hospital Opioid ... Use Treatment (SHOUT ... Treatment #Management #Addiction ... #Opiate #Start
Drug-Induced Seizures - OTIS-CAMPBELL

O - Organophosphate, oral hypoglycemics, opioid
T - TCA, theophylline
I - Isoniazid, Insulin
S -
Drug-Induced Seizures ... hypoglycemics, opioid ... Medication #Causes #Differential ... #Pharmacology # ... Diagnosis #OTISCAMPBELL
Causes of Fatigue - Differential Diagnosis Algorithm
Endocrine
 • Hypo/Hyperthyroidism
 • Diabetes
 • Pituitary Insufficiency
 • Adrenal
Causes of Fatigue - Differential ... Diagnosis Algorithm ... Myasthenia Gravis Pharmacologic ... Withdrawal Psychogenic ... Addiction Idiopathic
Clinical Opioid Withdrawal Score (COWS)

Resting Pulse Rate: Record beats per minute after patient is sitting or
Clinical Opioid ... Withdrawal Score ... patient was having pain ... withdrawal is scored ... #Diagnosis #Addiction
Medications causing Acute Kidney Injury (AKI)
Prerenal:
 • Dehydration: Diuretics
 • Altered intrarenal autoregulation: ACEIs / ARBs,
, tenofovir • AIN ... sphincter tone: • Opiates ... #Medications #Drugs ... #pharmacology # ... differential #diagnosis
Quick Guide: Buprenorphine Initiation Algorithm
Adjunctive meds: 
The following can be prescribed PRN for symptoms of withdrawal
for symptoms of withdrawal ... Support for Hospital Opioid ... Use Treatment (SHOUT ... Treatment #Management #Addiction ... #Opiate #Start
Pain, Agitation, and Delirium (PAD) in the ICU
Addressing the ICU Triad (PAD) can be accomplished through
Total scores >2 ... Opioids: • Fentanyl ... A dissociative drug ... No pharmacologic ... #CriticalCare #diagnosis
Medications that Can Cause False Positives on Drug Tests

Urine drug screens (UDSs) are simple to use,
efavirenz (Sustiva) • Pain ... • Verapamil Opioids ... and opiates false ... #tests #differential ... #diagnosis #toxicology