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Quick Guide: Methadone Starts in the Hospital
Day 1: max daily dose 40 mg methadone
First dose
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• If endorsing withdrawal ... Ramsay sedation score ... Use Treatment (SHOUT ... ) #Methadone #Initiation ... Management #Addiction #Opiate
Clinical Opioid Withdrawal Score (COWS)

Resting Pulse Rate: Record beats per minute after patient is sitting or
Clinical Opioid ... Withdrawal Score ... attributed to opiate ... withdrawal is scored ... ) #COWS #Opiate