Admit to: Acute Psychiatric Unit
Diagnosis: Heroin dependance
Legal Status: Voluntary
Allergies: No known allergies
Vitals: q shift x 3 days, then q day if stable
Activity: Restrict to unit
Precautions: Opiate withdrawal
Labs: Chem 20, CBC with diff, UA with toxicology screen, urine pregnancy test,
Clonidine (Catapres) 0.1 mg po qid, hold for systolic BP < 90 or diastolic BP < 60). Give 0.1 mg po q 4 hours prn signs and symptoms of opiate withdrawal.
Dicyclomine (Bentyl) 20 mg po q 6 hours prn cramping. Ibuprofen (Advil) 600 mg po q 6 hours prn pain/headache. Methocarbamol (Robaxin) 500 mg po q 6 hours prn muscle pain. Lorazepam (Ativan) 2 mg po q 4 hours prn agitation (not to exceed 8 mg/24 hours.
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It seems like you hear it all the time from nearly every one you know I'm SO stressed out!? Pressures abound in this world today. Those pressures cause stress and anxiety, and often we are ill-equipped to deal with those stressors that trigger anxiety and other feelings that can make us sick. Literally, sick.