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Inpatient Management of Opioid Use Disorder: Methadone vs Buprenorphine - Comparison Table

Some patients may decline buprenorphine
Inpatient Management ... Table Some patients ... naloxone as a trial ... Use Treatment (SHOUT ... #Opioid #UseDisorder
CA-Bridge Buprenorphine Hospital Quick Start Algorithm - Management of acute opiate withdrawal 
 - Any prescriber
of acute opiate ... withdrawal - ... high-affinity, partial ... - If patient is ... stable on methadone
Opioid Use Disorder Medications - Pharmacokinetics

Buprenorphine is a partial mu-opioid receptor agonist with low intrinsic activity,
effects from illicit opiates ... the sublingual tablet ... #Opioid #UseDisorder ... Pharmacokinetics #Comparison ... #Table #Pharmacology
Quick Guide: Methadone Starts in the Hospital
Day 1: max daily dose 40 mg methadone
First dose
• Check
• If endorsing withdrawal ... Use Treatment (SHOUT ... Algorithm #Treatment #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 ... still, but is able ... attributed to opiate ... Use Treatment (SHOUT ... ) #COWS #Opiate
Intern Pocket Cards - Inpatient Blood Pressure Management Guide
ß-blockers:
 • Metoprolol, Carvedilol, Labetalol
 • Bradycardia, heart
Pocket Cards - Inpatient ... Blood Pressure Management ... unpredictable drop in SBP Partial ... #pharmacology #table ... agents #internship #comparison
Atrial Fibrillation RVR - Medications
Diltiazem
 • Preferred in patients with chronic lung such as Asthma and
Atrial Fibrillation ... #Atrial #Fibrillation ... #Medications #management ... #treatment #comparison ... #table
Orthopedic Dressing Materials
1. Opsite - semi-permeable-thin, adhesive transparent polyurethrane film 
 • Indications: Superficial wounds as
Opsite - semi-permeable-thin ... draining wound partial ... Dressings #Materials #management ... #wound #comparison ... #table
Quick Guide: Buprenorphine Initiation Algorithm
Adjunctive meds: 
The following can be prescribed PRN for symptoms of withdrawal
for symptoms of withdrawal ... Use Treatment (SHOUT ... Algorithm #Treatment #Management ... #Addiction #Opiate ... #Prescribing #Inpatient
Diets and Inflammatory Bowel Disease (IBD)
Diet affects IBD by 3 mechanisms
1. Microbiome ( ↓ diversity)
2. Mucosal
therapy CD > UC • Patient ... balanced, nutritious Table ... ingredients of EEN Partial ... IBD #Nutrition #comparison ... #table #management