5-Minute Clinical Consult
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Substance Use Disorders

In-Patient Consideratons

Initial Stabilization Look for signs of severe infection (e.g., bacterial endocarditis).

Admission Criteria

  • Indications for inpatient detoxification:
    • History of withdrawal symptoms (e.g., seizures)
    • Disorientation
    • Threat of harm to self or others
    • Obstacles to close monitoring (follow-up)
    • Comorbid medical illness
    • Pregnancy
  • For narcotic addiction and withdrawal

IV Fluids Maintenance until patient is taking fluids well by mouth

Nursing
  • Take frequent vital signs during withdrawal.
  • Monitor for signs of drug use in the hospital.

Discharge Criteria Detoxification complete

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