Analgesia Flashcards

1
Q

What is the normal regular oral dose of paracetamol?

A

1g qds

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2
Q

Treatment of moderate pain?

A

Weak opioid + paracetamol

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3
Q

Examples of weak opioid doses?

A

Co-codamol 30/500, two tablets up to 4 times daily

Codeine 30mg qds

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4
Q

Management of severe pain?

A

Continue step 2 analgesia, add morphine PRN; re-assess, if pain continues then consider switching to regular strong opioid

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5
Q

Signs of opioid toxicity? (5)

A
Sedation
Hallucinations/delirium
Myoclonus
Respiratory depression
Pinpoint pupils
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6
Q

Initial dose of naloxone?

A

400 micrograms

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7
Q

If commencing with immediate release morphine, how should the dose be titrated?

A

5mg every 4 hours,. and PRN for breakthrough pain. Convert to modified release when stable by dividing total daily dose by 2, and prescribe as modified release morphine 12-hourly

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8
Q

How should breakthrough morphine be prescribed?

A

1/6th of the regular 24 hour oral morphine dose

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