Pain relief

Question 1

Oxycodone generally causes compared to morphine

Answer 1

less sedation / vomiting / pruitus than morphine BUT more constipation

Question 2

oral codeine to oral morphine conversion

Answer 2

divide by 10

Question 3

oral tramadol to oral morphine conversion

Answer 3

divide by 10

Question 4

oral morphine to oral oxycodone conversion

Answer 4

divide by 1.5 (to 2 but bnf says 1.5)

Question 5

transdermal fetanyl 12 mcg patch equals

Answer 5

approx 30mg oral morphine daily

Question 6

transdermal buprenoprhine 10 mcg patch equals

Answer 6

approx 24mg oral morphine daily

Question 7

when increasing dose of opiods - next dose should be increased by

Answer 7

30-50%

Question 8

for metastatic bone pain strong opiods PLUS

Answer 8

bisphopshonates / radio / denosumab may be used

Question 9

breakthrough dose of morphine is

Answer 9

1/6th the daily dose

Question 10

all pts prescribe dopioid should be coprescribed a

Answer 10

laxative

Question 11

opioids in CKD

Answer 11

use w caution:
- oxycodone preferred in palliative pts with mild-mod pain
- if renal impairment severe , alfentanil / buprenorphine / fentanyl preffered

Question 12

when prescribed an opioid if they get nausea

Answer 12

advise it is often transient –> if persists offer an antiemetic

Question 13

when prescribed an opioid if they get nausea

Answer 13

advise it is often transient –> if persists offer an antiemetic