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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CA-Bridge Buprenorphine Hospital Quick Start Algorithm - Management of acute opiate withdrawal 
 - Any prescriber
Hospital Quick Start ... Algorithm - Management ... - If patient is ... stable on methadone ... #Treatment #Algorithm
Inpatient Management of Opioid Use Disorder: Methadone vs Buprenorphine - Comparison Table

Some patients may decline buprenorphine
Inpatient Management ... - Comparison Table ... medication assisted treatment ... has completely withdrawn ... #Comparison #Pain
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 ... methadone) #Buprenorphine ... #Algorithm #Management
Quick Guide: Methadone Starts in the Hospital
Day 1: max daily dose 40 mg methadone
First dose
β€’ Check
Guide: Methadone Starts ... Methadone #Initiation #Algorithm ... #Treatment #Management ... Addiction #Opiate #Start ... #Prescribing #Inpatient
Quick Guide: Buprenorphine Initiation Algorithm
Adjunctive meds: 
The following can be prescribed PRN for symptoms of withdrawal
Quick Guide: Buprenorphine ... Hospital Opioid Use Treatment ... (SHOUT) #Buprenorphine ... #Treatment #Management ... #Prescribing #Inpatient
Clinical Opioid Withdrawal Score (COWS)

Resting Pulse Rate: Record beats per minute after patient is sitting or
Clinical Opioid Withdrawal ... assessment β€’ 0 - able ... still, but is able ... Hospital Opioid Use Treatment ... #Scale #Buprenorphine
Suspected catheter-related bloodstream infection - Management Algorithm
 β€’ Temperature 37.8 C   β€’ Rigors
infection - Management Algorithm ... dialysis circuit and start ... complicated CRBSI but patient ... after treatment ... infection #Management #Algorithm