UM Guidelines

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	Revised opioid withdrawal criteria:
	...
	Severely complicated opioid withdrawal that requires around-the-clock care is present, as indicated by 1 or more of the following: Vomiting or diarrhea due to opioid withdrawal leading to marked dehydration or electrolyte abnormality that cannot be corrected (to near normal) in emergency department or other ambulatory setting (e.g., serum potassium less than 2.5 mEq/L (mmol/L), serum sodium less than 130 mEq/L (mmol/L) Pregnancy Immunocompromised condition or significant medical co-morbidity Significant concurrent use of other drug classes
	...

 

	Added to: Hospitalization - Goal Length of Stay
	Goal Length Of Stay: 4-days

References

1. Electronic Code of Federal Regulations:  §8.12   Federal opioid treatment standards, Title 42: Public Health, PART 8—CERTIFICATION OF OPIOID TREATMENT PROGRAMS Subpart B—Certification and Treatment Standards.  Retrieved 9/16/15 from http://www.ecfr.gov/cgi-bin/retrieveECFR?gp=1&SID=858aacf1e64a476824d5e53dbec44913&ty=HTML&h=L&mc=true&r=SECTION&n=se42.1.8_112.
2. Opioid Abuse Treatment & Management, Preda, Adrian, Dunayevich, Eduardo, and Liskow, Barry I. Retrieved 9/16/15 from http://emedicine.medscape.com/article/287790-treatment.
3. Hypokalemia, Lederer, Eleanor, Batuman, Vecihi, Nayak, Vibha, Alsauskas, Zygimantas C, and Mackelaite Lina.  Retrieved on 9/15/16 from http://emedicine.medscape.com/article/242008-overview.
4. BlueCross BlueShield of Tennessee network physicians. April - June 2024.