Pain meds

Question 1

Nursing considerations for morphine

Answer 1

• renal impairment
• SOC
• moderate to severe

Question 2

Nursing considerations for hydromorph

Answer 2

5x stronger than morph
severe to mod pain

Question 3

Nursing considerations for methadone

Answer 3

high oral and rectal bioavailability
accumulates
caution in elderly
risk of QT ECG

Question 4

Nursing considerations for fentanyl

Answer 4

Rapid
combined with benzodiazepines for alalegesia with sedation
transdermal -chronic pain - not for opiod naiive

Question 5

Nursing considerations for oxycodone

Answer 5

single entity and in combo with naloxone
similar to morph
often combined with non opiod for acute Post op pain

Question 6

Codeine

Answer 6

Breastfeeding not
can be combined with paracetemol
metabolised to morphine

Question 7

Tramadol

Answer 7

synthetic opiod
dual mechanism of action
mu opiod agonist and it blocks uptake of serotonin and noradren
avoid with meds contributing to serotonin tocity. SSRI antidep

Question 8

Trapentadol

Answer 8

DM: Mu opiod agonist and blocks reuptake of noradrenaline
avoid meds that may interact inhibition of noradrenaline reuptake

Question 9

Buprenorphine

Answer 9

safe in renal impairment
persistant pain