How to detox from medicine

    • [PDF File] Quick Guide For Clinicians Based on TIP 45—Detoxification …

      http://5y1.org/file/23168/quick-guide-for-clinicians-based-on-tip-45—detoxification.pdf

      Definitions. Detoxification is a set of interventions aimed at managing acute intoxication and withdrawal. It denotes a clearing of toxins from the body of the patient who is acutely intoxicated and/or depend ent on substances of abuse. Detoxification seeks to minimize the physical harm caused by the abuse of substances.

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    • [PDF File] IN PATIENT ALCOHOL DETOXIFICATION GUIDELINES - East …

      http://5y1.org/file/23168/in-patient-alcohol-detoxification-guidelines-east.pdf

      eUse the CIWA-ar score to guide the detox. The scale is done every day and gives a validated score of how severe the patients withdrawal is and is useful to detect if the dose of chlordiazepoxide is high enough. over the patient’s withdrawal symptoms. If the CIWA-ar score is worsening, then the dose of chlor.

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    • [PDF File] MINDS Alcohol Withdrawal Scale (0-46 points) - WellSpan

      http://5y1.org/file/23168/minds-alcohol-withdrawal-scale-0-46-points-wellspan.pdf

      The MINDS protocol is an alcohol withdrawal scoring tool which has been studied in the ICU setting. Check vitals signs and arousability (RASS score) q 4 hours or based on protocol. Other causes for delirium and agitation must always be considered (i.e. hypoxia or sepsis). Patients who require aggressive treatment of agitation and anxiety may be ...

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    • [PDF File] Addiction Treatment Application - Alberta Health Services

      http://5y1.org/file/23168/addiction-treatment-application-alberta-health-services.pdf

      Medicine Hat Recovery Centre 370 Kipling Street SE Medicine Hat AB, T1A 1Y6 Phone: 403.529.9021 Fax: 403.529.9065 Email: medicinehatrecoverycentre@ahs.ca Fort McMurray Recovery Centre 451 Sakitawaw Trail Fort McMurray, AB T9H 4P3 Phone: 780.793.8300 Fax: 780-793-8301 Email: FortMcMurray.RecoveryCentre@albertahealthservices.ca

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    • [PDF File] The ASAM Clinical Practice Guideline on Alcohol

      http://5y1.org/file/23168/the-asam-clinical-practice-guideline-on-alcohol.pdf

      subspecialty board certification in addiction medicine from the American Osteopathic Association, or certification in addiction medicine from the American Society of Addic-tion Medicine. Adjunct therapy (see also monotherapy): A pharma-ceutical drug used together with a primary pharmaceutical drug whose purpose is to assist the primary treatment.1

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    • [PDF File] Inpatient Management of Alcohol Withdrawal

      http://5y1.org/file/23168/inpatient-management-of-alcohol-withdrawal.pdf

      of. Give loading dose intramuscularly. Serum phenobarbital can be checked 5 hours after the last IM administration. Phenobarbital mean dose - 854.7mg total (range 480mg-1645mg). Average total lorazepam dose - 41.6mg (dose range of 1mg-287mg). clonazepam (n=3 patients, total dose range 8.5mg-18mg). None in the phenobarbital group.

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    • [PDF File] University of Michigan Alcohol Withdrawal Guidelines …

      http://5y1.org/file/23168/university-of-michigan-alcohol-withdrawal-guidelines.pdf

      The following document contains the University of Michigan Alcohol Withdrawal Guidelines. These guidelines were developed through an intensive collaborative effort by physicians and nurses representing all medical and surgical sub-specialties within the institution. The guidelines are intended to be applied to adult patients (18 years of age or ...

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    • [PDF File] The ASAM National Practice Guideline for the Use of

      http://5y1.org/file/23168/the-asam-national-practice-guideline-for-the-use-of.pdf

      4 5 Treatment Treatment Setting ÎThe choice of available treatment options for addiction involving opioid use should be a shared decision between clinician and patient. ÎClinicians should consider the patient’s preferences, past treatment history, and treatment setting when deciding between the use of

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    • [PDF File] National Practice Guideline - ASAM - American Society of …

      http://5y1.org/file/23168/national-practice-guideline-asam-american-society-of.pdf

      Director, General Internal Medicine Fellowship Program Director, Diversity Affairs, Dept. of Medicine. Professor of Medicine Albert Einstein College of Medicine/Montefiore Medical Center. Marc Fishman, MD Medical Director, Maryland Treatment Centers, and . Assistant Professor, Johns Hopkins University Department of Psychiatry.

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    • [PDF File] The ASAM Fundamentals of Addiction Medicine Recognition …

      http://5y1.org/file/23168/the-asam-fundamentals-of-addiction-medicine-recognition.pdf

      Addiction Medicine relates its learning activities to these objectives. Several activities may be required to achieve and demonstrate the fundamental competency. Learners in The ASAM Fundamentals of Addiction Medicine Recognition Program will: 1. Interact with patients and professional colleagues so as to display professionalism in all

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    • [PDF File] GUIDELINES FOR MANAGING SUBSTANCE WITHDRAWAL IN …

      http://5y1.org/file/23168/guidelines-for-managing-substance-withdrawal-in.pdf

      American Society of Addiction Medicine, and the National Commission on Correctional Health Care, who collaboratively led the many facets of writing and managing this effort. Together, we can expand access to high-quality and continuous care, thereby preventing deaths from withdrawal and overdose and paving the way toward long-term recovery.

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    • [PDF File] Detoxification to Promote Health: A 7-Day Program - UW …

      http://5y1.org/file/23168/detoxification-to-promote-health-a-7-day-program-uw.pdf

      that are too high. Write down your reasons for going through a detox program using language that is meaningful to you. The five basic ingredients of this detox regimen are self-reflection, exercise, sauna, nutrition, and manual-therapy. The program offered here is designed to support and enhance your own ability to heal and experience well-being.

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    • [PDF File] Inpatient Substance Abuse Program - Montefiore Medical …

      http://5y1.org/file/23168/inpatient-substance-abuse-program-montefiore-medical.pdf

      Most patients remain in the detox unit for 3 – 4 days. During this time, a social worker will develop a discharge plan with the patient. The continuation of treatment upon discharge is critical to maintaining sobriety. We provide referrals to a variety of treatment facilities including residential programs, 21 to

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    • [PDF File] The ASAM Clinical Practice Guideline on Alcohol

      http://5y1.org/file/23168/the-asam-clinical-practice-guideline-on-alcohol.pdf

      subspecialty board certification in addiction medicine from the American Osteopathic Association, or certification in addiction medicine from the American Society of Addic-tion Medicine. Adjunct therapy (see also monotherapy): A pharma-ceutical drug used together with a primary pharmaceutical drug whose purpose is to assist the primary treatment.1

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    • [PDF File] Medicare Coverage of Substance Abuse Services

      http://5y1.org/file/23168/medicare-coverage-of-substance-abuse-services.pdf

      Structured Assessment (Medicare) or Screening (Medicaid): Assessing or screening a patient for risky substance use behaviors using standardized assessment or screening tools; Brief Intervention: Engaging a patient showing risky substance use behaviors in a short conversation, providing feedback and advice; and.

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    • [PDF File] UW Medicine | Psychiatry and Behavioral Sciences …

      http://5y1.org/file/23168/uw-medicine-psychiatry-and-behavioral-sciences.pdf

      Design. 12-week, double-blind, placebo-controlled, randomized dose-ranging trial of 150 men and women. INTERVENTIONS Oral gabapentin (dosages of 0 [placebo], 900 mg, or 1800 mg/d) and concomitant manual-guided counseling.. RESULTS Gabapentin significantly improved the rates of abstinence and no heavy drinking.

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    • [PDF File] DETOX FOOD PLAN - Integrative Family Medicine of Asheville

      http://5y1.org/file/23168/detox-food-plan-integrative-family-medicine-of-asheville.pdf

      The word detox has two common meanings: (1) to withdraw from the use of drugs or alcohol to which one has developed an addiction, and (2) to describe the body’s. physiologic process of rendering chemicals, compounds, hormones, and toxicants less harmful. The second deinition is the one we use in Functional Medicine.

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    • [PDF File] Improving Your Health by Removing Toxins from Your Body

      http://5y1.org/file/23168/improving-your-health-by-removing-toxins-from-your-body.pdf

      Detoxification or “detox” diets are ways to remove “toxins” from the body to improve health. This is different from alcohol or drug detox. Instead, it refers to toxins in our environment or even our food. Detox diets may last for a day or weeks. Some methods involve fasting, removing foods from a diet, drinking juices, or taking ...

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    • [PDF File] Clinical Institute Withdrawal Assessment of Alcohol Scale, …

      http://5y1.org/file/23168/clinical-institute-withdrawal-assessment-of-alcohol-scale.pdf

      drawal assessment (Clinical Institute Withdrawal Assessment-Benzodiazepine).A study of the revised version of the CIWA predicted that those with a score of >15 were at increased risk for severe alcohol withdrawal (RR 3.72;95. confidence interval 2.85-4.85); the higher the score, the greater the risk. Some patients (6.4%) still suff.

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    • [PDF File] History of Present Illness (HPI) Assessment and Plan Template

      http://5y1.org/file/23168/history-of-present-illness-hpi-assessment-and-plan-template.pdf

      criteria for OUD (has been in jail or detox and has gone through withdrawal) Patient desires MAT for OUD. Patient meets criteria for recurrent opioid use disorder. Not currently dependent, but very high risk for relapse. Follow-Up Appointment Opioid use disorder. Patient desires medication assisted treatment with buprenorphine/naloxone.

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    • [PDF File] Documentation of Substance Use Disorders: Progress Notes

      http://5y1.org/file/23168/documentation-of-substance-use-disorders-progress-notes.pdf

      Elements of purposeful and thorough progress notes include: 1. Client’s SUD goal in his/her own words 2. Client’s overall treatment objectives and SMART goals 3. Client’s past history and current presentation 4. Current issues, barriers to progress, experiences, and/or reactions to care provided 5. The counselor/clinician’s assessment ...

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    • [PDF File] Starting Buprenorphine in the Fentanyl Era: Is Low-dose …

      http://5y1.org/file/23168/starting-buprenorphine-in-the-fentanyl-era-is-low-dose.pdf

      Terminology. Micro-dosing or micro-induction: commonly used but misleading; micro-dosing also applied to the use of very small doses of psychedelics (e.g., psilocybin mushrooms) “Bernese method”: Initiation of buprenorphine overlapped with ongoing use of heroin/full agonist; many variations of this protocol are now in use.

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