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18 Cards in this Set
- Front
- Back
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Addiction?
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Addiction is a primary, chronic, neurobiological disease, with genetic, psychosocial, and environmental factors influencing its development and manifestations. It is characterized by behaviors that include one or more of the following:
impaired control over drug use, compulsive use, continued use despite harm and craving. |
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Physical dependence?
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Physical dependence is a state of adaption that is manifested by a drug - class – specific withdrawal syndrome that can be produced by
abrupt cessation, rapid dose reduction, decreasing blood level of the drug, and/or administration of the antagonist. |
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Tolerance?
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Tolerance is a state of adaption in which exposure to a drug induces changes that results in a diminution of one or more of the drugs effects over time.
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Calculating the opioid rescue dose?
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Calculate 10% of the provided total daily opioid dose as an immediate release formulation.
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Opioid adjustment?
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1. Calculate the total oral 24 hour opioid taken by adding the amount of the sustained release & immediate release rescue doses.
2. Divide total daily dose into appropriate intermittent doses based upon the specific opioid dosing interval found in the "dosing and conversion chart for opioid analgesics" |
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Changing to another oral opioid?
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1. Calculate the total daily dose of current opioid (add the long-acting and rescue doses)
2. Using the "dosing and conversion chart for opioid analgesics" to calculate the equivalent total daily oral dose of the alternative opioid. 3. Divide the total daily dose of the alternative opioid into appropriate intermittent doses based upon the specific opioids dosing interval found in the "dosing and conversion chart for opioid analgesics" 4. Modified by reducing those by 25% – 50% for incomplete cross tolerance. |
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Changing and oral or IV opioid to transdermal fentanyl?
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1. Calculate the total opioid dose
2. Use the "dosing conversion chart for opioid analgesics" to calculate the equivalent total daily morphine dose. 3. Use the "Morphine to Fentanyl Equivalents" chart to determine the equianalgesic dose for transdermal fentanyl |
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Changing in opioid Agent and route (oral to IV)?
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1. Calculate the total daily dose of the original opioid (add long acting and rescue doses).
2. Use the "dosing and conversion chart for opioid analgesics" to convert from an oral to IV dose. 3. Use the the "dosing and conversion chart for opioid analgesics" to convert the original opioid to an alternative, equianalgesic IV dose. 4. Adjust the dose for incomplete cross tolerance by reducing the dose by 25% – 50%. 5. Divide the adjusted dose by 24 to obtain hourly opioid infusion rate. |
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For A's of pain control?
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1. Analgesia
2. ADL's (psychosocial functioning) 3. Adverse effects 4. Aberrent behavior |
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Q 6 hours equals how many times a day?
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4
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Q 3 hours equals how many times a day?
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8
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Q 12 hours equals how many times a day?
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2
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Q 4 hours equals how many times a day?
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6
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Q 6 hours equals how many times a day?
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4
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Q 8 hours equals how many times a day?
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3
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Q 8 hours equals how many times a day?
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3
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Side effect of opioids?
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Common
Sedation Constipation N&V Confusion Pruritis Physical dependence Tolerance Respiratory depression |
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It's good to keep a pain diary and make a note of?
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Pain intensity
Pain intensity & relationship to activity adverse effects (waking up in night) |
