Jail Opiate Withdrawal Jail Opiate Withdrawal | allnurses

Jail Opiate Withdrawal

  1. 0 Hi all,

    I am interested to hear from you that work in County Jails...do you have an Opiate Withdrawal Policy and if yes but is it?

    thank you
  2. 12 Comments

  3. Visit  schmoltz profile page
    #1 0
    Our Opiate protocol is Clonidine 0.1 mg PO QID for 2 days, then TID for 2 days, then qHS for 2 days. It also includes Vistaril 50 mg PO or IM PRN for 4 days.
  4. Visit  geode19947 profile page
    #2 0
    Where i work, we use librium protocol.
  5. Visit  Jaila profile page
    #3 0
    pepto and phenergan supp bid x 2 days
    definitely not as critical as the etoh w/d, then we use librium
  6. Visit  schmoltz profile page
    #4 0
    We use Libirum for ETOH and Benzo withdrawal. Honestly, I have rarely been able to give the clonidine during Opiate WD, but I have given the Vistaril plenty.
  7. Visit  spongebob6286 profile page
    #5 0
    we have it for BID x 5days and provides meds with the symptoms like APAP for body aches, loperamide for diarrhea, etc..
  8. Visit  spongebob6286 profile page
    #6 0
    Quote from geode19947
    Where i work, we use librium protocol.
    in our jail we only use librium for alcohol and benzodiazepines WDs.
  9. Visit  amesly15 profile page
    #7 0
    Thanks all. I am developing a policy for opiate withdrawal. We send those with ETOH withdrawal out to Detox at the local hospital.
  10. Visit  Truegem profile page
    #8 0
    Geode, Librium for Opiate W/D? Why would they need a Benzo? Unless they are withdrawing from ETOH or Benzos.
    We give Tylenol, a muscle relaxer, Immodium and Tigan if necessary. We don't give Clonidine, although I have heard it helps.
  11. Visit  geode19947 profile page
    #9 0
    Librium is indicated for the treatment of insomnia, anxiety and panic attacks. It has also been used as a treatment for acute alcohol or opiate withdrawal. Some early opiate withdrawal symptoms include: Agitation, Anxiety, and Insomnia, (not to mentionMuscle aches, Increased tearing, Runny nose, Sweating, Yawning). Therefore, our MDs and NPs use Librium...hope that helps.
  12. Visit  spongebob6286 profile page
    #10 0
    we used clonidine prn for sbp >160
  13. Visit  Dwifey profile page
    #11 0
    Our policy is pretty much the same as above. We used to use librium for etoh/benzo detox but recently switched to valium.For opiate withdrawl we treat the symptoms and use clonidine if needed.
  14. Visit  jailhouserock_lpn_08 profile page
    #12 0
    We have an opiate protocol, benzo protocol and ETOH protocol. The opiate is tylenol 650mg and phenergan 20 mg TID x 3 days and clonidine 0.1mg TID x 7 days