Opioids

Question 1

What is pethidine use for in labour?

Answer 1

IM or SC injections for pain relief

Question 2

What Category is Pethidine?

Answer 2

Category C

Question 3

How is Morphine Administered?

Answer 3

IV (this is for rapid onset use)

Question 4

What Opioids are within the scope of practise as a midwife?

Answer 4

• Pethidine
• Morphine
• Fentanyl

Question 5

When is it the MOST appropriate time for a midwife to prescribe opioids?

Answer 5

• Intrapartum use ONLY

Question 6

True or false Midwives CAN prescribe Fentanyl in primary birthing units?

Answer 6

False Fentanyl can only be prescribe by a midwife in a secondary or tertiary hospital

Question 7

What is the name of the medication give as an antidote to Opioids?

Answer 7

Narcan/ Naloxone

Question 8

True or False Naloxone can wear off faster then opioids?

Answer 8

True this may require another in 2-3mins

Question 9

How would you calculate the dose of Naloxone for a new-born?

Answer 9

0.1mg per Kg

Question 10

0.4 to 2mg of Naloxone is a dose for who?

Answer 10

• Wahine (adult)

Question 11

What Category is Naloxone?

Answer 11

Category c