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Originally Posted by kdunz Ok, I just found the COWS worksheet and reviewed everything on it. I really want to make the switch to subox tomorrow but I have a couple questions. First, how do I properly take my heart rate? How do I determine the size of my pupils? Also, does anyone have advise on dealing with the depression? For me this is the soooooo bad and it hits me almost immediately.
Thanx again for all your help.
Kristin |
Dear Kristin-
I am sure Robert or Linda will get back to you soon. I can help you with how to take your heart rate/pulse. You take your pulse usually on the inside of your wrist, above the thumb at the wrist. There is a bone that protrudes on the inside of your wrist. Let's say you are going to use your right wrist to get your pulse. Take your left pointing finger and middle finger and hold them together. Place both of them together just inside the bony area, above you thumb, on your right wrist. Your fingers should be between the middle of the inside of your right wrist and the bony area. Place them gently between those two points, you might have to move them slightly until you feel a pulsing sensation, this is your pulse. Get a watch or clock that has a hand that ticks away the seconds. Place your fingers on your wrist, as described, until you feel the pulsing sensation. When you are comfortable that you can feel the pulsing, you will start counting the pulsations. Count the pulsations over the course of 15 seconds. Take that number and multiply it by 4 and this will give you your pulse. Example: If you count 20 pulsations in 15 seconds (20 x 4 equals 80), your pulse is 80. Practice this BEFORE you start the withdrawal process. Better yet, if there is some one with you, have them learn to do it.
As far as your pupils, you will just look at them. The pupils are the dark circle in the middle of your eye. They will start out very small (they call this pinpoint), as you start to withdraw they will get bigger and bigger, they may never get to the point where they take up most of the eye, but they will certainly get bigger, the bigger the better, the bigger they are the more withdrawal you will be in.
As far as the depression, I'm not sure what to tell you. I have suffered from depression for many years in the past and I was fearful of this as well, but, after I got stabilized on
suboxone the depression actually got better, probably because I felt clearer.
I hope this helps you. If you have any other questions about taking your heart rate/pulse or pupils, ask away, I'll be around.
We are all puling for you and wishing you much success :O)
mags