Flashcards in Opioids Miscellaneous Deck (14)
Opioids are indicated for analgesia when the pain is ________, _________, and ________.
severe, constant, and ACUTE
What opioid can be used to relieve SOB in acute pulmonary edema
True or False: you should prescribe opioids to relieve a cough
For diarrhea, what medications can be used?
Diphenoxylate/atropine and loperamide
What opioid is category B for pregnancy?
What opioids are category C for pregnancy?
Codeine, hydrocodone, and morphine should be avoided (esp during lactation)
What general measures should be taken regarding opioid regimen?
Continue NSAIDs or APAP if they help
Pt Ed --> reduce pain, not eliminate
A patient presents with mild to moderate pain, what should you start with?
Tramadol or hydrocodone
A patient presents with severe pain, what should you start with?
Morphine, oxycodone, or hydromorphone
When switching opioids, what should you use to find a comparable dose? How much of this comparable dose should you start with?
Cross-titrate the schedule
ADRs of opioids - CNS effects
Miosis (no tolerance develops, vital for OD**)
Withdrawal (taper = crucial)
ADRs of opioids - Peripheral Effects
True "allergy" is rare
What two opioids are true allergies most common?