8 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
Snout (Pout) Reflex on Physical Exam
The Snout reflex or a "Pout" is a pouting or pursing
Snout (Pout) Reflex ... reflex or a "Pout ... of the muscles causes ... present, is a sign ... PhysicalExam #clinical
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
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
• Gag reflex ... localizes, flexion withdrawal ... • Examine for signs ... Casey Albin MD @ ... caseyalbin #PhysicalExam
Stransky's Sign on Physical Exam - Babinski Equivalent
Stransky's sign is a clinical sign in which vigorous
which vigorous abduction ... the little toe causes ... extensor plantar reflex ... #Stranskys #Reflex ... #Sign #PhysicalExam
Stransky's Sign on Physical Exam - Babinski Equivalent
Stransky's sign is a clinical sign in which vigorous
which vigorous abduction ... the little toe causes ... extensor plantar reflex ... #Stranskys #Reflex ... #Sign #PhysicalExam
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
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