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[Solved]: IV

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IV. Alcohol and Drug Addiction History A 32-year-old male presents with opioid dependence that began after a motorcycle accident 4 months prior to the visit. The patient was prescribed Percocet (oxycodone and acetaminophen) for pain control after fracturing multiple bones during the accident but is still taking the Percocet four to five times daily. He states he has tried to cut back on the pain medication but has withdrawal symptoms whenever he tries to decrease the amount of medication he is taking daily. He has heard there is medication-assisted treatment to help him wean off the opioids.The patient states he took a dose of Percocet before bed the evening before coming to the clinic. Exam Alert, well-nourished, cooperative patient. Vital signs (VS) are stable. Clinical Opioid Withdrawal Scale (COWS) score is 12. Scarring of legs and shoulder noted from old injury. 1. What would be the plan of care for a patient requesting medication-assisted therapy for withdrawal from opioids? 2. How is buprenorphine discontinued?

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