Dr. Gerald Diaz @GeraldMD
49.9M 14.4K 7.6K
Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief πŸ‡΅πŸ‡­ πŸ‡ΊπŸ‡Έ - Sign up for an account to like, bookmark and upload images to contribute to our community platform. Follow us on IG: https://www.instagram.com/grepmed/ | Twitter: https://twitter.com/grepmeded/
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ZSFG Inpatient Management of Opioid Use Disorder: Buprenorphine
#Management #Addiction #Buprenorphine #Inpatient #Opioid #Withdrawal #COWS #Algorithm
ZSFG Inpatient Management ... Buprenorphine #Management ... #Addiction #Buprenorphine ... Inpatient #Opioid #Withdrawal ... #COWS #Algorithm
Buprenorphine Algorithm for Uncomplicated Opioid Withdrawal - ACEP Opioids Clinical Policy

Assess Withdrawal Severity - Objective signs
Buprenorphine Algorithm ... Scale (COWS) Moderate ... to severe (COWS ... #management #addiction ... #management
Buprenorphine-Naloxone and treatment of withdrawal symptoms

Prerequisites for starting Suboxone in the ED:

1. Patient has an opioid
and treatment of withdrawal ... COWS is >12, AND ... Suboxone #Opioid #Withdrawal ... #Algorithm #Management ... #Addiction #Prescribing
Buprenorphine Initiation for the Uninitiated
1) WAIT FOR MODERATE WITHDRAWAL SYMPTOMS
 - Precipitated withdrawal can be caused
COWS Score 6-10 ... guidance. 2) START ... following day, start ... #Prescribing #Addiction ... #Management
Phenobarbital monotherapy algorithm for alcohol withdrawal

** EDIT - SEE UPDATED ALGORITHM HERE:
https://www.grepmed.com/images/4060/phenobarbital-monotherapy-withdrawal-management-algorithm-protocol-pulmcrit

-Phenobarbital monotherapy has numerous advantages
- SEE UPDATED ALGORITHM ... phenobarbital-monotherapy-withdrawal-management-algorithm-protocol-pulmcrit ... another problem in addition ... #Management #Alcohol ... #Protocol #PulmCrit
β–Ί
Quick Guide: Methadone Starts in the Hospital
Day 1: max daily dose 40 mg methadone
First dose
β€’ Check
Guide: Methadone Starts ... First dose β€’ Check COWS ... Methadone #Initiation #Algorithm ... #Treatment #Management ... #Addiction #Opiate
CA-Bridge Buprenorphine Hospital Quick Start Algorithm - Management of acute opiate withdrawal 
 - Any prescriber
Hospital Quick Start ... Algorithm - Management ... of acute opiate withdrawal ... - OK to start ... #Addiction #Prescribing
Quick Guide: Buprenorphine Initiation Algorithm
Adjunctive meds: 
The following can be prescribed PRN for symptoms of withdrawal
Buprenorphine Initiation Algorithm ... for symptoms of withdrawal ... , then start 16 ... #Treatment #Management ... #Addiction #Opiate