6 results
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
CA-Bridge Buprenorphine Hospital Quick Start Algorithm - Management of acute opiate withdrawal 
 - Any prescriber
Management of acute opiate ... withdrawal - ... effective for treating ... - If patient is ... #Addiction #Prescribing
Quick Guide: Methadone Starts in the Hospital
Day 1: max daily dose 40 mg methadone
First dose
• Check
Use Treatment (SHOUT ... Methadone #Initiation #Algorithm ... Treatment #Management #Addiction ... #Opiate #Start ... #Prescribing #Inpatient
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
localizes, flexion withdrawal ... • Examine for signs ... ventilation and observe breathing ... Casey Albin MD @ ... caseyalbin #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
q 6 hours PRN nausea ... Use Treatment (SHOUT ... Treatment #Management #Addiction ... #Opiate #Start ... #Prescribing #Inpatient