Flash. Pain M. Opioids

Opioids are primarily prescribed for moderate to severe pain management.

Fentanyl is notably more potent than morphine.

Constipation is a frequent side effect associated with opioid use.

Opioids can depress respiratory function, which can be dangerous in patients with pre-existing respiratory issues.

Providers risk legal repercussions if they overprescribe, don't follow guidelines, or if patients misuse the medications leading to harm or death.

Morphine can be administered intravenously for immediate pain relief.

Nurses should monitor for respiratory depression, level of sedation, pain relief, and any adverse reactions.

Both substances depress the central nervous system, which can lead to respiratory failure when combined.

Long-term use can lead to physical dependence and increased risk of addiction.

Fentanyl is frequently given through a transdermal patch for chronic pain.

Naloxone (Narcan) can reverse an overdose from opioids like morphine and fentanyl.

To prevent accidental ingestion by children or misuse by others.

Crushing can release the drug all at once, leading to overdose.

Accurate and timely charting, including the reason for administration, dose, time, route, and the patient’s response.

Respiratory depression, as it may be delayed with epidural administration.

Increasing fluid and fiber intake, physical activity, and possibly using stool softeners or laxatives.

To prevent skin irritation and ensure effective drug absorption.

Immediate medical attention is needed, and administration of naloxone may be required.

Due to physiological changes related to aging, including reduced liver and kidney function.

Yes, over time, a patient may require increased doses to achieve the same pain relief.

Symptoms can include restlessness, excessive yawning, tears, runny nose, sweating, chills, muscle pain, and dilated pupils.

By adhering strictly to the prescribed dose, avoiding alcohol, and not combining with other CNS depressants.

Abrupt cessation can lead to withdrawal symptoms.

They should be returned to a pharmacy take-back program or mixed with undesirable substances (like cat litter), placed in a sealed container, and thrown in the trash.

No, opioids can impair judgment and coordination.

Due to the risk of dependence, addiction, and other side effects.

Within the first 24 to 72 hours.

The importance of applying to clean, dry, non-irritated skin, and not to use heat sources over the patch.

With short-acting opioids, as prescribed.

In patients with known hypersensitivity to morphine or in situations where respiratory depression is a risk.