Opioids in palliative care Flashcards
1
Q
what is codeine and tramadol
A
weak opioids
2
Q
what is cocodamol
A
codeine and paracetamol
3
Q
how can morphine be administered
A
IV, IM, SC, oral (immediate and modified release)
can be delivered via syringe driver
4
Q
why are smaller volumes of diamorphine required
A
more water soluble
5
Q
what are the features of oxycodone (second line opioid)
A
useful if morphine is not tolerated
oral, IV, SC
6
Q
how is fentanyl administered (second line opioid)
A
as patches (severe, stable pain) takes longer to work less constipating and better in renal impairment available as an injection, buccal, sublingual, nasal (breakthrough pain)
7
Q
name some third and fourth line opioids
A
alfentanil, methadone
8
Q
what is the standard dose for breakthrough pain
A
1/6 to 1/10 of regular 24 hr dose
every 2-4 hours
