Opioids Miscellaneous Flashcards Preview

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Flashcards in Opioids Miscellaneous Deck (14)
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1

Opioids are indicated for analgesia when the pain is ________, _________, and ________.

severe, constant, and ACUTE

2

What opioid can be used to relieve SOB in acute pulmonary edema

IV morphine

3

True or False: you should prescribe opioids to relieve a cough

False

4

For diarrhea, what medications can be used?

Diphenoxylate/atropine and loperamide

5

What opioid is category B for pregnancy?

Oxycodone

6

What opioids are category C for pregnancy?

Codeine, hydrocodone, and morphine should be avoided (esp during lactation)

7

What general measures should be taken regarding opioid regimen?

Continue NSAIDs or APAP if they help
Pt Ed --> reduce pain, not eliminate

8

A patient presents with mild to moderate pain, what should you start with?

Tramadol or hydrocodone

9

A patient presents with severe pain, what should you start with?

Morphine, oxycodone, or hydromorphone

10

When switching opioids, what should you use to find a comparable dose? How much of this comparable dose should you start with?

Equi-equivalent chart
Half
Cross-titrate the schedule

11

ADRs of opioids - CNS effects

Euphoria
Sedation
Respiratory Depression
Miosis (no tolerance develops, vital for OD**)
N/V
Hyperalgesia
Withdrawal (taper = crucial)

12

ADRs of opioids - Peripheral Effects

Constipation
Biliary spasm
Urinary retention
True "allergy" is rare
Androgen deficiency

13

What two opioids are true allergies most common?

Codeine
Morphine

14

An 18 yo male with no pertinent PMH or hx of trauma presents to the clinic with decreased libido. He denies taking any meds or having this issue prior to 6 months ago. What might further digging reveal?

Chronic opioid use