S: Pt presents for bup induction. Pt feels to be in moderate w/d. Pt c/o cramps, sweats, chills, goose bumps, anxiety, and joint pains. Has not used anything since _
Gen: Anxious and fidgety.
See VSS above
See scanned COWS sheet for details
- Dosing today (day 1): Please see scanned dosing record. End dose for today is _ mg to be used _. Pt may use 4 mg at night if they feel w/d sx.
Pt to f/u day 3 AM at _ to determine maintenance dose.
20 minutes spent in interviewing and counselling and discussing the plan and coordinating care.