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

Assess Withdrawal Severity - Objective signs
Severity - Objective signs ... and Clinical Opiate ... (COWS) Moderate ... to severe (COWS ... #Withdrawal #management
Clinical Opioid Withdrawal Score (COWS)
 - Resting Pulse Rate: Record beats per minute after patient is
Withdrawal Score ... attributed to opiate ... withdrawal is scored ... accounted for by cold symptoms ... #Withdrawal #Score
Opioid Withdrawal: Clinical Findings and Complications
Note: Opioid withdrawal can be extremely uncomfortable, but is rarely life-threatening
Opioid Withdrawal ... of alcohol and/ ... #Opioid #Withdrawal ... #Opiate #Pathophysiology ... #Diagnosis #Signs
Methadone Hospital Quick Start - Inpatient Initiation for Opioid Use Disorder and Withdrawal
Initial Dosing:
 - Patients
Initiation for Opioid ... symptoms ... benzodiazepines, alcohol ... Inpatient #Initiation #management ... #withdrawal #opiate
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 ... Use Treatment (SHOUT ... Algorithm #Treatment #Management ... #Addiction #Opiate
Buprenorphine Initiation for the Uninitiated
1) WAIT FOR MODERATE WITHDRAWAL SYMPTOMS
 - Precipitated withdrawal can be caused
SYMPTOMS - Precipitated ... displacing a full opioid ... symptoms: e.g. ... COWS Score 6-10 ... Prescribing #Addiction #Management
Alcohol Withdrawal Syndrome (AWS) - ICU OnePager

Scoring Alcohol Withdrawal Syndrome (AWS):
 • PAWSS
 • CIWA-Ar
 •
Alcohol Withdrawal ... Symptom Timeline ... Symptoms (6-36 ... with normal vital signs ... diagnosis #treatment #management
Clinical Opioid Withdrawal Score (COWS)

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