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Dose NRT Using Time-To-First-Cigarette
- Use time-to-first-cigarette to estimate nicotine dependence and dose NRT accordingly.
- Increase nicotine replacement rather than stopping if patients smoke while using a patch.
Manage Acute Pain Without Stopping Buprenorphine
- Continue buprenorphine through surgery and add full agonist opioids for acute pain when needed.
- Coordinate pain plans with the patient and surgical team before procedures.
Pain Control And Hydration For Kidney Stones
- For acute renal colic, prioritize relaxation and NSAIDs for analgesia rather than excessive caffeine or aggressive hydration.
- Avoid forcing patients to drink gallons; maintain hydration without overloading.