Pain & Opioids Flashcards
opiate vs opioid
opiates found naturally in opium poppy (morphine)
opioids includes synthetics
which types of pain are opioids good for
acute pain
cancer / end of life pain
NOT CHRONIC
causes of cancer pain
the cancer itself
anti cancer tx
cancer related debility
concurrent disorder
5 principles of cancer pain managment
tx reversible causes
when starting painrelief:
- by mouth
- by ladder
- by clock
- titrated as needed
how common in bone pain
commonest type of cancer pain
1/3 pts with bone mets have pain
which type of medication / Ix can help bone mets pain
bisphosphonates, radiotherapy, surgery
weak opioids
tramadol
codeine
which type of Ix is most effective for bone mets pain
radiotherapy
describe who analgesic ladder
non opioid
weak opioid + non opioid
strong opioid + non opioid
(adjuvants throughout)
strong opioids
fentanil
morphine
oxycodone
who can’t have codeine
kids
renal impairment
how does codeine compare to morphine
10x less potent than morphine
what do co-codamol numbers mean
first number = codeine
second number = paracetamol
what is co-codamol max dose determined by
amount of paracetamol !!
how does tramadol compare to morphine
10x less potent than morphine
