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

Assess Withdrawal Severity - Objective signs
Buprenorphine Algorithm ... Severity - Objective signs ... and Clinical Opiate ... Buprenorphine #Algorithm ... #management #addiction
Quick Guide: Methadone Starts in the Hospital
Day 1: max daily dose 40 mg methadone
First dose
• Check
• If endorsing withdrawal ... Use Treatment (SHOUT ... Methadone #Initiation #Algorithm ... Treatment #Management #Addiction ... #Opiate #Start
Clinical Opioid Withdrawal Score (COWS)

Resting Pulse Rate: Record beats per minute after patient is sitting or
attributed to opiate ... last ½ hour • 2 - nausea ... Use Treatment (SHOUT ... ) #COWS #Opiate ... Score #Diagnosis #Addiction
Transverse lines of the fingernails. (A) Beau’s lines (arrows) of the thumbnail. (B) Mees’ lines (arrowheads)
the nails can be caused ... are a typical sign ... arrest in nail plate ... Ridges #Clinical #PhysicalExam ... #Photo
Quick Guide: Buprenorphine Initiation Algorithm
Adjunctive meds: 
The following can be prescribed PRN for symptoms of withdrawal
for symptoms of withdrawal ... q 6 hours PRN nausea ... Use Treatment (SHOUT ... Treatment #Management #Addiction ... #Opiate #Start
Terry's Nails

Patient of about 70 years, HIV positive, transplanted kidney donor cadaver in the previous 6
see image), in addition ... to signs of malnutrition ... two-thirds of the nail plate ... Fingernails #Hands #PhysicalExam ... #Clinical #Photo