5 results
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 ... Management #Addiction #Opiate ... #Prescribing #Inpatient
Clinical Opioid Withdrawal Score (COWS)

Resting Pulse Rate: Record beats per minute after patient is sitting or
Clinical Opioid Withdrawal ... attributed to opiate ... last ½ hour • 2 - nausea ... Use Treatment (SHOUT ... ) #COWS #Opiate
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
Evaluation of a Comatose ... localizes, flexion withdrawal ... • Examine for signs ... Casey Albin MD @ ... caseyalbin #PhysicalExam
Abnormalities in Rate and Rhythm of Breathing 
Normal 
The respiratory rate is about 14—20 per min
In the comatose ... patient, consider ... punctuated by frequent sighs ... Occasional sighs ... Abnormal #Diagnosis #PhysicalExam
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 ... Management #Addiction #Opiate ... #Prescribing #Inpatient