4 results
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
Differential Diagnosis ... localizes, flexion withdrawal ... • Examine for signs ... caseyalbin #PhysicalExam ... #diagnosis
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 ... Buprenorphine #Score #Diagnosis
Abnormalities in Rate and Rhythm of Breathing 
Normal 
The respiratory rate is about 14—20 per min
In the comatose ... patient, consider ... Occasional sighs ... Abnormalities #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