6 results
Buprenorphine-Naloxone and treatment of withdrawal symptoms

Prerequisites for starting Suboxone in the ED:

1. Patient has an opioid
Patient has an opioid ... COWS is >12, AND ... #Opioid #Withdrawal ... #Algorithm #Management ... #Addiction #Prescribing
Clinical Opioid Withdrawal Score (COWS)
 - Resting Pulse Rate: Record beats per minute after patient is
Withdrawal Score ... attributed to opiate ... withdrawal is scored ... #Withdrawal #Score ... #diagnosis #addiction
Quick Guide: Methadone Starts in the Hospital
Day 1: max daily dose 40 mg methadone
First dose
• Check
First dose • Check COWS ... Ramsay sedation score ... Algorithm #Treatment #Management ... #Addiction #Opiate ... #Prescribing #Inpatient
Buprenorphine Initiation for the Uninitiated
1) WAIT FOR MODERATE WITHDRAWAL SYMPTOMS
 - Precipitated withdrawal can be caused
displacing a full opioid ... COWS Score 6-10 ... or substantial patient ... #Prescribing #Addiction ... #Management
Clinical Opioid Withdrawal Score (COWS)

Resting Pulse Rate: Record beats per minute after patient is sitting or
Clinical Opioid ... Withdrawal Score ... withdrawal is scored ... ) #COWS #Opiate ... #Diagnosis #Addiction
Quick Guide: Buprenorphine Initiation Algorithm
Adjunctive meds: 
The following can be prescribed PRN for symptoms of withdrawal
Support for Hospital Opioid ... Use Treatment (SHOUT ... Algorithm #Treatment #Management ... #Addiction #Opiate ... #Prescribing #Inpatient