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The Morphine Drip: Pharmacology of Opioid Infusions
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- čas přidán 2. 03. 2019
- Objectives:
-Become familiar with concepts of morphine and hydromorphone infusions (time to peak effect, therapeutic window, steady state)
-Learn how to achieve rapid relief of pain or dyspnea with opioids for comfort care patients
-Improve ability to care for hospitalized patients on comfort care
NOTE: Not all patients on comfort care need opioids. Opioids are indicated for patients with pain and/or dyspnea. Furthermore, an INFUSION is only needed if you think the patient will experience constant symptoms and cannot take medication by mouth. Otherwise, as-needed doses by any route of administration will do. In the video, I recommend a very conservative waiting period of 12h before titrating infusions. In real life, it is common practice to titrate drips as often as every 8 hours. Only under guidance of a pain or palliative specialist should the drip be titrated more frequently.
Audience:
medical professional students, residents, physicians, NPs, PAs
I learned a lot about opioid infusions and safe opioid use in general from:
Palliative FastFacts
www.mypcnow.or...
Demystifying Opioid Conversion Calculations
www.amazon.com...
#FOAMed #HPM #Palliative #Hospice #ComfortCare #Pharmacology
extremely helpful thank you
Being on Palliative care is the CDC Pain Guidelines the same ?
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