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Christian Sinclair, MD Kansas City Hospice  & Palliative Care Opioids April 22, 2010
DISCLAIMER ,[object Object],[object Object]
Creative Commons ,[object Object]
 
PAIN SUFFERING
Individual
Assess Treat
Individual
Acheivable
Assess
Treat
 
 
 
 
Listen
 
Narcotic
 
Opioid Receptors ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object]
[object Object]
Chronic Opioid Use ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Components of Opium
Name Your Opioids ,[object Object],[object Object],[object Object]
Codeine ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Propoxyphene ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Tramadol ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Tramadol ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Hydrocodone ,[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object]
 
[object Object]
Morphine
OMED
3:1
3:1 75mg: 25mcg/hr
 
 
 
12 Or 12.5
Fentanyl Patch
 
Oxycodone ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Methadone
 
Avoid Demerol
Christian Sinclair, MD [email_address]
References ,[object Object],[object Object],[object Object],[object Object],[object Object]
References ,[object Object],[object Object],[object Object]

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Opioid Review

Notas do Editor

  1. Address multidisciplinary approach to pain management Understand the assessment of pain and identify causes of pain Identify effective pain symptom management and various treatment modalities
  2. Dame Cicely Saunders Physical Social Psychological Spiritual
  3. Genetic variation and response to morphine in cancer patients multidrug resistance-1 gene ( MDR-1 and COMT) Journal Cancer
  4. Assess the pain Treat the underlying cause Individualize therapy Reassess the pain and the treatment 24 hour pain control is achievable Work with long-acting and short-acting meds
  5. Assess the pain Treat the underlying cause Individualize therapy Reassess the pain and the treatment 24 hour pain control is achievable Work with long-acting and short-acting meds
  6. Assess the pain Treat the underlying cause Individualize therapy Reassess the pain and the treatment 24 hour pain control is achievable Work with long-acting and short-acting meds
  7. When using scales Simple, flexible, consistent, patient completed Location Type/Quality Bone, Soft Tissue, Neuropathic, Visceral Consider ‘Total Pain’ Concept
  8. Assess the pain Treat the underlying cause Individualize therapy Reassess the pain and the treatment 24 hour pain control is achievable Work with long-acting and short-acting meds
  9. Heat/Cold Massage Turning Physical/Occupation Therapy Music/Art Therapy Listening Meditation/guided imagery Cognitive behavioral therapy/biofeedback TENS
  10. http://flickr.com/photos/trevormorgan/393489807/
  11. http://flickr.com/photos/wisdoc/113675789/sizes/l/
  12. http://flickr.com/photos/limando/2085166716/sizes/o/
  13. Communication Interventions Validate presence and severity of pain Demonstrate pain can be adequately relieved Explain the origin of pain Find meanings in pain
  14. Paroxetine inhibits CYP2D6
  15. Paroxetine inhibits CYP2D6
  16. PO Morphine to IV Morphine PO Morphine to Fent Patch
  17. PO Morphine to IV Morphine PO Morphine to Fent Patch
  18. PO Morphine to IV Morphine PO Morphine to Fent Patch
  19. PO Morphine to IV Morphine PO Morphine to Fent Patch
  20. PO Morphine to IV Morphine PO Morphine to Fent Patch
  21. Address multidisciplinary approach to pain management Understand the assessment of pain and identify causes of pain Identify effective pain symptom management and various treatment modalities