Renal

Question 1

What is the most common presentation of opioid induced hyperalgesia

Answer 1

Medication overuse headahce

Question 1

What need to consider when calculating morphine dose

Answer 1

• Renal function
• Opioid indication/cause of pain
• Metabolism

less considered in palleation/cancer

-consider age, weight, gender, smoking, alcohol but less impact

Question 2

Signs of opioid withdrawal

Answer 2

nausea, hallucinations, irritability, runny nose, sweat, abdo pain. Clock watching, obsessive thoughts. Dose dependence - needing higher dose for same effect, taking more medication than prescribed