Management of Opioid Use Disorder in the Hospitalized Adolescent: Tips for the Pediatric Nurse-Slides

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The document provides guidance on managing opioid use disorder (OUD) in hospitalized adolescents, tailored for pediatric nurses. It emphasizes the importance of understanding the clinical presentation of OUD, addressing stigma, safeguarding confidentiality, and utilizing evidence-based medications such as buprenorphine, naltrexone, and methadone.<br /><br />The SAMHSA-funded Opioid Response Network (ORN) is highlighted as a significant resource, offering local assistance for prevention, treatment, recovery, and harm reduction strategies related to opioid and stimulant use. Each state and territory has a designated team led by a Technology Transfer Specialist to help implement evidence-based practices.<br /><br />Focusing on treatment, the document describes how medications can effectively manage withdrawal symptoms and cravings, emphasizing that these treatments can significantly improve retention in addiction care and overall quality of life. Buprenorphine and naltrexone formulations, including sublingual, injectable, and extended-release forms, are noted for their roles in treating OUD. The onset of induced withdrawal symptoms is addressed, with strategies for managing these effects, advising on precautionary measures such as avoiding CNS depressants.<br /><br />A significant emphasis is on reducing stigma in addiction care by using person-first language and understanding patients' backgrounds, such as Adverse Childhood Experiences (ACEs), which increase the likelihood of substance use issues. Trauma-informed care is advocated, focusing on preventing re-traumatization and fostering trust and safety for patients.<br /><br />Discharge planning includes recommendations for families and the administration of naloxone to prevent overdoses, with an acknowledgment that simply having naloxone can save lives. The document encourages integrating recovery support systems, emphasizing resources and peer support networks.<br /><br />Finally, the document closes with presentation logistics, evaluation instructions, and accreditation statements, underscoring the commitment to unbiased, evidence-based education for healthcare professionals managing opioid use in adolescents.

Keywords

Opioid Use Disorder

Pediatric Nurses

Buprenorphine

Naltrexone

Methadone

Opioid Response Network

Stigma Reduction

Trauma-Informed Care

Naloxone

Recovery Support