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

Some patients may decline buprenorphine
Buprenorphine - Comparison ... Use Treatment (SHOUT ... #Pain #Management ... #Opioid #UseDisorder ... #Addiction #DecisionAid
Clinical Opioid Withdrawal Score (COWS)
 - Resting Pulse Rate: Record beats per minute after patient is
Withdrawal Score ... patient was having pain ... attributed to opiate ... withdrawal is scored ... #Withdrawal #Score
Quick Guide: Methadone Starts in the Hospital
Day 1: max daily dose 40 mg methadone
First dose
• Check
Ramsay sedation score ... Use Treatment (SHOUT ... ) #Methadone #Initiation ... Treatment #Management #Addiction ... #Opiate #Start
Clinical Opioid Withdrawal Score (COWS)

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