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Pain Assessment and Management Initiative (PAMI) - Opioid Prescribing and Equianalgesic Chart - Agents and Dosing

#Management
Pain Assessment ... Initiative (PAMI) - Opioid ... Prescribing and ... #Opiate #Equianalgesics ... #Table #PAMI
Clinical Opioid Withdrawal Score (COWS)
 - Resting Pulse Rate: Record beats per minute after patient is
Clinical Opioid ... (COWS) - Resting ... assessment - Pupil ... attributed to opiate ... #Clinical #Opioid
Inpatient Management of Opioid Use Disorder: Methadone vs Buprenorphine - Comparison Table

Some patients may decline buprenorphine
Buprenorphine - Comparison Table ... has completely withdrawn ... experience precipitated withdrawal ... Dosing usually begins ... Use Treatment (SHOUT
CA-Bridge Buprenorphine Hospital Quick Start Algorithm - Management of acute opiate withdrawal 
 - Any prescriber
Management of acute opiate ... withdrawal - ... - If patient is ... stable on methadone ... Algorithm #Addiction #Prescribing
Clinical Opioid Withdrawal Score (COWS)

Resting Pulse Rate: Record beats per minute after patient is sitting or
Clinical Opioid ... (COWS) Resting ... attributed to opiate ... 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 ... Use Treatment (SHOUT ... Management #Addiction #Opiate ... #Start #Prescribing ... #Inpatient #opioid
Buprenorphine Initiation for the Uninitiated
1) WAIT FOR MODERATE WITHDRAWAL SYMPTOMS
 - Precipitated withdrawal can be caused
displacing a full opioid ... begin initiation during ... COWS Score 6-10 ... or substantial patient ... Buprenorphine #Initiation #Prescribing
Quick Guide: Buprenorphine Initiation Algorithm
Adjunctive meds: 
The following can be prescribed PRN for symptoms of withdrawal
hold additional dosing ... Support for Hospital Opioid ... Management #Addiction #Opiate ... #Start #Prescribing ... #Inpatient