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 Algorithm for Uncomplicated Opioid Withdrawal - ACEP Opioids Clinical Policy

Assess Withdrawal Severity - Objective signs
Buprenorphine Algorithm ... Scale (COWS) Moderate ... to severe (COWS ... β‰₯ 8) β†’ Give buprenorphine ... #Algorithm #Opioid
ZSFG Inpatient Management of Opioid Use Disorder: Buprenorphine
#Management #Addiction #Buprenorphine #Inpatient #Opioid #Withdrawal #COWS #Algorithm
Use Disorder: Buprenorphine ... Management #Addiction #Buprenorphine ... Inpatient #Opioid #Withdrawal ... #COWS #Algorithm
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 ... COWS is >12, AND ... #Algorithm #Management
ED-Bridge Buprenorphine Algorithm for management of acute opiate withdrawal in the ED

#Management #Opioid #Withdrawal #Emergency #Buprenorphine
ED-Bridge Buprenorphine ... Algorithm for management ... of acute opiate withdrawal ... #Emergency #Buprenorphine ... #Treatment #Algorithm
Inpatient Management of Opioid Use Disorder: Methadone vs Buprenorphine - Comparison Table

Some patients may decline buprenorphine
- Comparison Table ... medication assisted treatment ... has completely withdrawn ... Hospital Opioid Use Treatment ... #Comparison #Pain
CA-Bridge Buprenorphine Hospital Quick Start Algorithm - Management of acute opiate withdrawal 
 - Any prescriber
Hospital Quick Start Algorithm ... of acute opiate withdrawal ... If patient is stable ... as first-line treatment ... #Treatment #Algorithm
Opioid Use Disorder Medications - Pharmacokinetics

Buprenorphine is a partial mu-opioid receptor agonist with low intrinsic activity,
suppressing opioid withdrawal ... modulating opioid withdrawal ... the sublingual tablet ... Pharmacokinetics #Comparison ... #Table #Pharmacology
Quick Guide: Methadone Starts in the Hospital
Day 1: max daily dose 40 mg methadone
First dose
β€’ Check
First dose β€’ Check COWS ... β€’ If endorsing withdrawal ... Hospital Opioid Use Treatment ... Methadone #Initiation #Algorithm ... #Treatment #Management
Clinical Opioid Withdrawal Score (COWS)

Resting Pulse Rate: Record beats per minute after patient is sitting or
Score (COWS) ... still, but is able ... Hospital Opioid Use Treatment ... (SHOUT) #COWS ... #Scale #Buprenorphine
What is the difference between ischemic colitis and mesenteric ischemia?
A common misnomer. Mesenteric ischemia and ischemic
scripts and initial treatment ... algorithms. ... mesentericischemia #comparison ... differences #diagnosis #table