6 results
Clinical Opioid Withdrawal Score (COWS)
 - Resting Pulse Rate: Record beats per minute after patient is
Withdrawal Score ... Restlessness: Observation during ... withdrawal is scored ... Yawning: Observation during ... #Withdrawal #Score
Clinical Opioid Withdrawal Score (COWS)

Resting Pulse Rate: Record beats per minute after patient is sitting or
Withdrawal Score ... withdrawal is scored ... once or twice during ... or more times during ... ) #COWS #Opiate
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: Methadone Starts in the Hospital
Day 1: max daily dose 40 mg methadone
First dose
• Check
First dose • Check COWS ... Ramsay sedation score ... Management #Addiction #Opiate ... #Start #Prescribing ... #Inpatient #opioid
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
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