NR565 Week 2 Save
Terms in this set (70)
, 1. Opioids are not first-line therapy
2. Establish goals for pain & function
3. Discuss risk & benefits
4. Use IR opioids when starting
5. Use the lowest effective dose
12 essential considerations for 6. Prescribe short durations for acute pain
safe pain management 7. Evaluate benefits & harms frequently
8. Use strategies to mitigate risk
9. Review PDMP data
10. Use urine drug testing
11. Avoid concurrent opioid & benzodiazepine prescribing
12. Offer tx for opioid disorder
, -Drug Indication:
• Mild to moderate pain
-Dosing Considerations: Dose appropriately
• Mild pain: 325 to 650 mg q4-6 hrs
• Children: 10/kg/mg every 4 to 8 hours
• Moderate pain: 500 to 1,000 mg q4-6 hrs drugging indication
used for fever
• Max: 4 gms/ 24 hrs use for fever &/or pain
• Children: 15 mg/kg/dose
-Adverse Drug Reactions:
Acetaminophen • Usually well-tolerated
• Hepatic injury with overdose
• Renal disease with chronic use
-Drug interactions:
• alcohol
-Patient Education:
• Do not exceed maximum dose (4gm/24 hours)
-Monitoring:
• Monitor for effectiveness. May need to add an opioid agonist
-Drug Interaction:
• None
Acute pain has an occurrence three months
of fewer than __________ -often precipitated by trauma & acute medical conditions or tx
, -use a validated assessment tool to establish a baseline for
evaluating the effectiveness of tx
-establish criteria for initiating opioids & clarify how therapy will
Applying CDC's Guidelines for be discontinued if an opioid is prescribed & the risks start to
Prescribing Opioids outweigh the benefits
-calculate the morphine milligram equivalent (MME) to help
dose medications appropriately and refer to pain specialists as
indicated.
-OUD is diagnosed by DSM-5 criteria
-Medication assisted therapy (MAT) is available for OUD
APPLYING CDC'S GUIDELINES
• Buprenorphine, naltrexone, or methadone
FOR PRESCRIBING OPIOIDS:
• Consider offering naloxone if indicated (i.e. concurrent
ASSESSING AND ADDRESSING
benzodiazepine use)
OPIOID USE DISORDER (OUD)
-Patient and provider resources are available for the treatment
of OUD from the CDC
-Criteria for prescribing opioids
• Establish treatment goals
• Determine how effectiveness will be evaluated
APPLYING CDC'S GUIDELINES
• Outline a plan for discontinuation
FOR PRESCRIBING OPIOIDS:
-Risks and benefits should be considered and discussed
DETERMINING WHETHER TO
-Strategies to improve patient safety
INITIATE OPIOIDS FOR
• MME calculation to inform dosage changes and reduce
CHRONIC PAIN
overdose risk
• Use extra precautions when increasing to ≥50 MME per day
• Avoid or carefully justify increasing dosage to ≥90 MME/day
Terms in this set (70)
, 1. Opioids are not first-line therapy
2. Establish goals for pain & function
3. Discuss risk & benefits
4. Use IR opioids when starting
5. Use the lowest effective dose
12 essential considerations for 6. Prescribe short durations for acute pain
safe pain management 7. Evaluate benefits & harms frequently
8. Use strategies to mitigate risk
9. Review PDMP data
10. Use urine drug testing
11. Avoid concurrent opioid & benzodiazepine prescribing
12. Offer tx for opioid disorder
, -Drug Indication:
• Mild to moderate pain
-Dosing Considerations: Dose appropriately
• Mild pain: 325 to 650 mg q4-6 hrs
• Children: 10/kg/mg every 4 to 8 hours
• Moderate pain: 500 to 1,000 mg q4-6 hrs drugging indication
used for fever
• Max: 4 gms/ 24 hrs use for fever &/or pain
• Children: 15 mg/kg/dose
-Adverse Drug Reactions:
Acetaminophen • Usually well-tolerated
• Hepatic injury with overdose
• Renal disease with chronic use
-Drug interactions:
• alcohol
-Patient Education:
• Do not exceed maximum dose (4gm/24 hours)
-Monitoring:
• Monitor for effectiveness. May need to add an opioid agonist
-Drug Interaction:
• None
Acute pain has an occurrence three months
of fewer than __________ -often precipitated by trauma & acute medical conditions or tx
, -use a validated assessment tool to establish a baseline for
evaluating the effectiveness of tx
-establish criteria for initiating opioids & clarify how therapy will
Applying CDC's Guidelines for be discontinued if an opioid is prescribed & the risks start to
Prescribing Opioids outweigh the benefits
-calculate the morphine milligram equivalent (MME) to help
dose medications appropriately and refer to pain specialists as
indicated.
-OUD is diagnosed by DSM-5 criteria
-Medication assisted therapy (MAT) is available for OUD
APPLYING CDC'S GUIDELINES
• Buprenorphine, naltrexone, or methadone
FOR PRESCRIBING OPIOIDS:
• Consider offering naloxone if indicated (i.e. concurrent
ASSESSING AND ADDRESSING
benzodiazepine use)
OPIOID USE DISORDER (OUD)
-Patient and provider resources are available for the treatment
of OUD from the CDC
-Criteria for prescribing opioids
• Establish treatment goals
• Determine how effectiveness will be evaluated
APPLYING CDC'S GUIDELINES
• Outline a plan for discontinuation
FOR PRESCRIBING OPIOIDS:
-Risks and benefits should be considered and discussed
DETERMINING WHETHER TO
-Strategies to improve patient safety
INITIATE OPIOIDS FOR
• MME calculation to inform dosage changes and reduce
CHRONIC PAIN
overdose risk
• Use extra precautions when increasing to ≥50 MME per day
• Avoid or carefully justify increasing dosage to ≥90 MME/day
