Dr. Gerald Diaz @GeraldMD
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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 ... of Opioid Use Disorder ... Buprenorphine #Management ... #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 ... #Opioid #Withdrawal ... #management
Buprenorphine-Naloxone and treatment of withdrawal symptoms

Prerequisites for starting Suboxone in the ED:

1. Patient has an opioid
and treatment of withdrawal ... Patient has an opioid ... COWS is >12, AND ... #Withdrawal #Algorithm ... #Management #Addiction
Methadone Hospital Quick Start - Inpatient Initiation for Opioid Use Disorder and Withdrawal
Initial Dosing:
 - Patients
Quick Start - Inpatient ... Initiation for Opioid ... Methadone #Hospital #Inpatient ... #Initiation #management ... #opioid #algorithm
Buprenorphine Initiation for the Uninitiated
1) WAIT FOR MODERATE WITHDRAWAL SYMPTOMS
 - Precipitated withdrawal can be caused
displacing a full opioid ... COWS Score 6-10 ... or substantial patient ... then have the patient ... Prescribing #Addiction #Management
Updated phenobarbital alcohol withdrawal protocol

See old algorithm here: https://www.grepmed.com/images/1485/phenobarbital-monotherapy-withdrawal-management-algorithm-pulmcrit-protocol

The protocol was consequently modified as shown below,
old algorithm here ... phenobarbital-monotherapy-withdrawal-management-algorithm-pulmcrit-protocol ... After the patient ... #Management #Alcohol ... #Monotherapy #Algorithm
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 ... suggests that the patient ... #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
First dose β€’ Check COWS ... Methadone #Initiation #Algorithm ... #Treatment #Management ... #Prescribing #Inpatient ... #opioid
CA-Bridge Buprenorphine Hospital Quick Start Algorithm - Management of acute opiate withdrawal 
 - Any prescriber
Hospital Quick Start Algorithm ... - Management of ... acute opiate withdrawal ... - If patient is ... #Opioid #Withdrawal
Protocol for Rapid Titration of IV Fentanyl for Pain in the Opioid-Tolerant Patient at the End
Protocol for Rapid ... for Pain in the Opioid-Tolerant ... Patient at the ... #ComfortCare #Algorithm ... #Protocol #Management