Cows protocol opiate withdrawal clonidine
[DOC File]Opioid Abuse and Dependence
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Maritza Lagos, M.D. Michigan State University/KCMS. Alcohol Medical Scholars Program February, 2008
[DOC File]Pathology
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Withdrawal of short-acting anti-hypertensives (clonidine or propranolol), cocaine, amphetamines, phencyclidine, MAO + tyramine foods, pheochromocytoma, and ANS dysfunction (Guillain-Barré) Treatment: anti-hypertensive medication / labetalol can cause paradoxical worsening . Alternatives: phentolamine and nitroprusside. Cocaine
[DOCX File]Inpatient Opioid Misuse Prevention
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Clonidine patch 0.1 mg q week. Lorazepam 1 mg PO every 4hrs (anxiety). Buprenorphine dosing. Give 2/0.5 mg sublingual ONCE. If no adverse reaction, wait 1 hour and repeat COWS to ensure score has remained the same or decreased. Target dose may be 16 mg (24 mg if significant pain), and 4, 4, 8 or 4, 4, 4, 4 is an easy way to dose on day 1.
[DOC File]Disturbance to Archaeology Site in Canal Flats
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In the interim, use Clonidine (see below) as indicated. Monitor withdrawal symptoms using the Clinical Opiate Withdrawal Scale (COWS) Assess client using COWS prior to each and every dose, and 1 hour after administration of each and every dose. Each administration must be witnessed directly by staff.
[DOCX File]BioMedical Solutions | Innovations in Improved Patient ...
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Opiate addiction, including heroin, has increased across the U.S. among men and women, encompassing nearly all age groups, and income levels. (1) Symptoms of withdrawal may include abdominal cramping, diarrhea, cold and hot sweats, dilated pupils, cutis anserine ( goose flesh), nausea, and vomiting leading to dehydration and electrolyte disturbances which can cause heart arrhythmias …
[DOC File]Disturbance to Archaeology Site in Canal Flats
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Monitor withdrawal symptoms BID and PRN using the Clinical Opiate Withdrawal Scales (COWS) COWS 5-12 = Mild Withdrawal (Use Symptomatic Protocol only) COWS 13-24 = Moderate Withdrawal (Use Symptomatic and Clonidine Protocols) COWS 25-36 = Moderately Severe Withdrawal (may need to add Valium) COWS greater than 26 = Severe Withdrawal. 1.
[DOCX File]Office-based opioid treatment (OBOT) Policy and Procedure ...
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The NCM assesses symptoms with the Clinical Opiate Withdrawal Scale (COWS). If the COWS score is higher than 8, the NCM instructs the patient to take an initial buprenorphine/naloxone 4/2 mg dose as prescribed (see Appendix 5: Induction Protocols).
[DOC File]New Zealand Practice Guidelines for Opioid Substitution ...
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12.2 Protocol – designation of specialist services 83. 12.3 Protocol – designation of lead clinicians 84. ... Day of induction COWS 8 (moderate to severe withdrawal) 1 2–4 mg + 0–4 mg 1–2 hours later if necessary 8 mg 2 Increase by 2, 4 or 8 mg; maximum dose 16 mg 3 Increase by 2, 4 or 8 mg; maximum dose 24 ...
[DOCX File]SIMULATION-BASED TRAINING TO AUGMENT A …
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Opioids can cause acute physical dependence after only a few days, which means that if you take opioid pain medications for a few days and then stop, you might experience withdrawal symptoms such as muscle aches, pain, insomnia, feeling nauseated and ill, depressed, agitated, or anxious, and you might even crave more pills.
[DOCX File]1: - University of Toronto
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The Development of an Opiate Withdrawal Scale (OWS). Addiction. 1987 Oct;82(10):1139–42. Vernon MK, Reinders S, Mannix S, Gullo K, Gorodetzky CW, Clinch T. Psychometric evaluation of the 10-item Short Opiate Withdrawal Scale-Gossop (SOWS-Gossop) in patients undergoing opioid detoxification.
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