8 results
Methadone Hospital Quick Start - Inpatient Initiation for Opioid Use Disorder and Withdrawal
Initial Dosing:
 - Patients
Quick Start - Inpatient ... Initiation for ... symptoms ... benzodiazepines, alcohol ... #withdrawal #opiate
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
Quick Guide: Methadone Starts in the Hospital
Day 1: max daily dose 40 mg methadone
First dose
• Check
• If endorsing withdrawal ... Use Treatment (SHOUT ... ) #Methadone #Initiation ... Management #Addiction #Opiate ... #Prescribing #Inpatient
Clinical Opioid Withdrawal Score (COWS)

Resting Pulse Rate: Record beats per minute after patient is sitting or
attributed to opiate ... accounted for by cold symptoms ... stool • 0 - no GI symptoms ... Use Treatment (SHOUT ... ) #COWS #Opiate
Refeeding Syndrome Overview

What Is It?
	• Electrolyte/fluid shifts caused by initiation of nutrition in severely malnourished patient.
shifts caused by initiation ... severely malnourished patient ... History of excessive alcohol ... overload) Other Symptoms ... Syndrome #Nutrition #Differential
Quick Guide: Buprenorphine Initiation Algorithm
Adjunctive meds: 
The following can be prescribed PRN for symptoms of withdrawal
Buprenorphine Initiation ... prescribed PRN for symptoms ... hours PRN w/d symptoms ... Management #Addiction #Opiate ... #Prescribing #Inpatient
Giant cell arteritis (GCA)

Giant cell arteritis (GCA) definition: Most common systemic inflammatory vasculitis in older adults
systemic sx + signs ... very remarkable w/differential ... a month after initiating ... GCA #Temporal #Signs ... #Symptoms #Diagnosis
Rare Causes of Abdominal Pain
 • Hereditary Angioneurotic Edema - Recurrent visceral that may by swelling
- May involve symptoms ... by medications, alcohol ... relieved when the patient ... Positive Carnett's sign ... Abdominal #Pain #differential