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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

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