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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Buprenorphine-Naloxone and treatment of withdrawal symptoms

Prerequisites for starting Suboxone in the ED:

1. Patient has an opioid
Buprenorphine-Naloxone and treatment ... of withdrawal symptoms ... acting), >72hr (methadone ... #Algorithm #Management ... #Addiction #Prescribing
CA-Bridge Buprenorphine Hospital Quick Start Algorithm - Management of acute opiate withdrawal 
 - Any prescriber
- Management of ... acute opiate withdrawal ... If patient is stable ... as first-line treatment ... #Prescribing
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 ... received sufficient treatment ... Any residual delirium ... #Management #Alcohol
Quick Guide: Methadone Starts in the Hospital
Day 1: max daily dose 40 mg methadone
First dose
β€’ Check
dose from day 1 as ... Hospital Opioid Use Treatment ... #Initiation #Algorithm ... #Treatment #Management ... Opiate #Start #Prescribing
Inpatient Management of Opioid Use Disorder: Methadone vs Buprenorphine - Comparison Table

Some patients may decline buprenorphine
Inpatient Management ... Buprenorphine - Comparison Table ... medication assisted treatment ... has completely withdrawn ... give naloxone as
Alcohol Withdrawal Syndrome (AWS) - ICU OnePager

Scoring Alcohol Withdrawal Syndrome (AWS):
 β€’ PAWSS
 β€’ CIWA-Ar
 β€’
vital signs β€’ Delirium ... diaphoresis) Treatment ... Barbituates β€’ Propofol ... #diagnosis #treatment ... #management #etoh
Quick Guide: Buprenorphine Initiation Algorithm
Adjunctive meds: 
The following can be prescribed PRN for symptoms of withdrawal
Adjunctive meds ... from previous day as ... Hospital Opioid Use Treatment ... #Treatment #Management ... Opiate #Start #Prescribing