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The Morphine Drip: Pharmacology of Opioid Infusions 5 лет назад


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The Morphine Drip: Pharmacology of Opioid Infusions

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 https://www.mypcnow.org/blank-mxj27 Demystifying Opioid Conversion Calculations https://www.amazon.com/Demystifying-O... #FOAMed #HPM #Palliative #Hospice #ComfortCare #Pharmacology

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