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Catalog
Management of Opioid Use Disorder in the Hospitali ...
Q&A from 10-29
Q&A from 10-29
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Pdf Summary
The lecture on "Management of Opioid Use Disorder in the Hospitalized Adolescent" provides insights into several key aspects of treating this condition in a clinical setting. <br /><br />1. **COWS Assessment Tool**: The Clinical Opiate Withdrawal Scale (COWS) is essential for evaluating withdrawal symptoms and assessing the need for medication adjustments, particularly buprenorphine dosing. Most adolescents require 16-24 mg of buprenorphine to alleviate withdrawal symptoms. The COWS score, patient drug history, and timing of last use help guide treatment decisions, such as when to safely start buprenorphine without inducing precipitated withdrawal.<br /><br />2. **Sitter Coverage**: For patients with Substance Use Disorder (SUD), especially minors, 1:1 sitter coverage is recommended due to the high flight risk during withdrawal discomfort.<br /><br />3. **Visitation and Phone Restrictions**: Visitor restrictions should limit access to primary caregivers only, excluding friends and significant others. Phone access might be restricted; however, hospital landlines should be accessible for necessary communication with caregivers.<br /><br />4. **Buprenorphine Administration**: Buprenorphine is not limited to abdominal administration; it can be delivered subcutaneously (e.g., Sublocade) or sublingually through various formulations.<br /><br />5. **Information Dissemination**: Efforts are underway to establish a guide for resident physicians, led by Dr. Deepa, to enhance care management.<br /><br />6. **Discharge Resources**: Incorporating resources in the discharge summary is being explored, with considerations to align Pediatric Emergency Department (PED) instructions with inpatient procedures, pending consultations with EPIC leadership.<br /><br />Overall, the lecture emphasizes comprehensive care strategies for adolescents with opioid use disorder, focusing on medication management, safety protocols, and communication pathways, ensuring a structured and supportive treatment environment.
Keywords
Opioid Use Disorder
Hospitalized Adolescent
COWS Assessment Tool
Buprenorphine Dosing
Sitter Coverage
Visitation Restrictions
Phone Access
Subcutaneous Administration
Discharge Resources
Care Management
The content on this site is intended solely to inform and educate medical professionals. This site shall not be used for medical advice and is not a substitute for the advice or treatment of a qualified medical professional.
Funding for this initiative was made possible by cooperative agreement no. 1H79TI086770 and grant no. 1H79TI085588 from SAMHSA. The views expressed in written conference materials or publications and by speakers and moderators do not necessarily reflect the official policies of the Department of Health and Human Services; nor does mention of trade names, commercial practices, or organizations imply endorsement by the U.S. Government.
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