HIGH YIELD PART II

Question 1

is this opioid naive or tolerant?

doses must be titrated cautiously

avoid initiating therapy w/ a long acting opioid and must titrate up to it before you do so

initiate therapy w/ immediate release/short acting agents

Answer 1

opioid naive

Question 2

is this opioid naive or tolerant?

patient already taking at least 60 mg oral morphine equivalents/day for at least 1 week

Answer 2

opiate tolerant

Question 3

immediate release is how long?

Answer 3

peak in 45-60 min

Question 4

controlled release is how long? does this increase the risk of overdose

Answer 4

peak in 3-4 hrs

yes!

Question 5

when converting to another opioid you want to _____?

Answer 5

you want to do equianalgesic dosing

Question 6

this pertains to the reduction of analgesic response to other opioid agonists

Answer 6

cross tolerance

Question 7

what comprises does reduction?

this is a dose at which 2 opioids produce the same pain?

Answer 7

reduction by 20-50%

equianalgesic dose

Question 8

risk factors for persistent opioid use?

Answer 8

history of substance abuse
lower socioeconomic status
psychiatric illness
higher total dose, longer duration of prescription

Question 9

when is tapering indicated?

Answer 9

patient request, lack of improvement, shows signs of substance abuse, overdose

Question 10

T/F, opioids should not be used as first line therapy?

Answer 10

T

Question 11

what does the Ohio Law state?

Answer 11

no more than 7 days of opioids can be prescribed to adults

-you can but there must be a specific reason in the patients chart