Opiate Dependence Admitting Orders

Admit to: Acute Psychiatric Unit

Diagnosis: Heroin dependance

Legal Status: Voluntary

Condition: Stable

Allergies: No known allergies

Vitals: q shift x 3 days, then q day if stable

Activity: Restrict to unit

Precautions: Opiate withdrawal

Diet: Regular

Labs: Chem 20, CBC with diff, UA with toxicology screen, urine pregnancy test,

RPR, thyroid function, hepatitis panel, HIV.

Medications:

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.

Zolpidem (Ambien) 10 mg po qhs prn insomnia. Milk of magnesia 30 cc po q 12 hours prn constipation. Mylanta 30 cc po q 4 hours prn dyspepsia.

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Eliminating Stress and Anxiety From Your Life

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.

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