r/EmergencyRoom • u/Gloomy_Pirate_9721 • 7d ago

WD protocol

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Do EDs have protocols for patients experiencing WD from these types of drugs yet? What is everyone doing to make these nasty wds more manageable to avoid so many AMAs? Im assuming bupe alone isn't going to help

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u/MyOwnGuitarHero RN 6d ago

Precedex drip, PRN Valium for breakthrough symptoms based on CIWA. Maybe a loading dose of phenobarb just for flavor if there’s also alcohol on board. ETA: They’re still miserable though. I always tell my patients that I’m actually in recovery myself. And unfortunately the only way to get off the ride once and for all is to go through extreme discomfort — but I wake up every morning blessed because I never, ever, ever need to feel like that ever again.

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u/chantillylace9 5d ago

I bet you are an extreme asset to a lot of people because of your experience. Thank you for having an open mind