7 results
Buprenorphine Algorithm for Uncomplicated Opioid Withdrawal - ACEP Opioids Clinical Policy

Assess Withdrawal Severity - Objective signs
Buprenorphine Algorithm ... Severity - Objective signs ... and Clinical Opiate ... (COWS) Moderate ... to severe (COWS
Methadone Hospital Quick Start - Inpatient Initiation for Opioid Use Disorder and Withdrawal
Initial Dosing:
 - Patients
Withdrawal severity ... symptoms ... benzodiazepines, alcohol ... #opiate #opioid ... #algorithm
Clinical Opioid Withdrawal Score (COWS)
 - Resting Pulse Rate: Record beats per minute after patient is
Score (COWS) - ... Observation during assessment ... attributed to opiate ... accounted for by cold symptoms ... Gooseflesh skin #COWS
Opioid Withdrawal: Clinical Findings and Complications
Note: Opioid withdrawal can be extremely uncomfortable, but is rarely life-threatening
Opioid Withdrawal ... Note: Opioid withdrawal ... of alcohol and/ ... #Opiate #Pathophysiology ... #Diagnosis #Signs
Clinical Opioid Withdrawal Score (COWS)

Resting Pulse Rate: Record beats per minute after patient is sitting or
Score (COWS) ... attributed to opiate ... stool • 0 - no GI symptoms ... Use Treatment (SHOUT ... ) #COWS #Opiate
Quick Guide: Methadone Starts in the Hospital
Day 1: max daily dose 40 mg methadone
First dose
• Check
First dose • Check COWS ... • If endorsing withdrawal ... Use Treatment (SHOUT ... Methadone #Initiation #Algorithm ... Management #Addiction #Opiate
Quick Guide: Buprenorphine Initiation Algorithm
Adjunctive meds: 
The following can be prescribed PRN for symptoms of withdrawal
prescribed PRN for symptoms ... of withdrawal ... hours PRN w/d symptoms ... Use Treatment (SHOUT ... Management #Addiction #Opiate