5 results
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 ... #Management #Addiction ... #Opiate #Start
Clinical Opioid Withdrawal Score (COWS)
 - Resting Pulse Rate: Record beats per minute after patient is
Clinical Opioid ... patient was having pain ... attributed to opiate ... Withdrawal #Score #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 ... Buprenorphine #Score #Diagnosis ... #Addiction #Nursing
Pain, Agitation, and Delirium (PAD) in the ICU
Addressing the ICU Triad (PAD) can be accomplished through
Opioids: • Fentanyl ... be dosed PO • Hydromorphone ... A dissociative drug ... No pharmacologic ... #CriticalCare #diagnosis
Quick Guide: Buprenorphine Initiation Algorithm
Adjunctive meds: 
The following can be prescribed PRN for symptoms of withdrawal
Support for Hospital Opioid ... Use Treatment ( ... SHOUT) #Buprenorphine ... #Management #Addiction ... #Opiate #Start