Pain Flashcards
1
Q
Generic pain regimen
A
20-30mg of MR a day with 5mg IR morphine for breakthrough pain (1/6th)
2
Q
What should be prescribed with opiates
A
Laxatives
3
Q
Is nausea an issue?
A
Yes, usually transient, but can prescribe anti-emetic to alleviate
4
Q
Is drowsiness an issue?
A
Yes, should be transient. If constant, adjust dose
5
Q
Alternative to morphine in moderate renal impairment?
How about severe?
A
Oxycodone
alfentanil, buprenorphine and fentanyl
6
Q
How much to increase dose by if uptitrating?
A
30-50%
7
Q
What to use to treat metastatic bone pain
A
strong opioids, bisphosphonates and radiotherapy, denosumab
8
Q
Converting oral codeine and tramadol to oral morphine
A
Divide by 10
9
Q
Oral morphine to Subcutaneous morphine
A
Divide by 2
