Opiate Withdrawal Assessment | Medical Algorithm

Are you evaluating a patient undergoing opiate withdrawal?

Yes

Does the patient show?

• lacrimation and/or rhinorrhea?

Yes

• diaphoresis?

Yes

• yawning?

Yes

• insomnia?

Yes

• dilated pupils?

Yes

• piloerection?

Yes

• muscle twitching and/or myalgia?

Yes

• arthralgias?

Yes

• abdominal pain?

Yes

• tachycardia?

Yes

• tachypnea?

Yes

• fever?

Yes

Select an appropriate answer for each finding

Activity level

Blood pressure

Select an appropriate answer(s) for the finding present

GI symptoms

None

Anorexia

Nausea

Vomiting

Diarrhea

Results

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Results Interpretation and Description References Next Steps

Data complete?

Evaluation appropriate?

Grade of opiate withdrawal

Suggested initial methadone dose

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Risk Factors
- Screening a Trauma Patient for Risk of Delirium Tremens Using the AST and MCV
- Risk Factors Delirium Tremens Developing in Intoxicated Trauma Patient
Clinical Diagnosis, Including Family History For Genetics
Other Testing
- Subjective Scoring Index Opiate Withdrawal during Naloxone Therapy
- Scoring System Neonatal Abstinence Syndrome
Severity, Prognosis, Stage

Therapy

Selection
- Risk Factors Delirium Tremens Developing in Intoxicated Trauma Patient
- Clinical Opiate Withdrawal Scale (COWS)
Failure Handling And Therapy Escalation
- Clinical Opiate Withdrawal Scale (COWS)

Monitoring

Response To Therapy
- Clinical Opiate Withdrawal Scale (COWS)
Adverse Effects
Compliance/adherence
- Clinical Opiate Withdrawal Scale (COWS)
Disease Progression
- Clinical Opiate Withdrawal Scale (COWS)
Complication Detection
- Clinical Features of Gabapentin Withdrawal Syndrome

Evaluation

Results

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Therapy

Monitoring

Specialty

Objective

ICD-10

Grades for Opiate Withdrawal

Purpose: To evaluate a patient undergoing opiate withdrawal using the grading scheme of Fultz and Senay.

Evaluation

Results

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Power Your Solutions with 5,000+ Automated Medical Analytics

Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Therapy

Monitoring

Specialty

Objective

ICD-10