Opioids Test Your Knowledge - Week 2 | Take the Quiz

Which of the following symptoms would be considered a true opioid allergy?

In which scenario would it be inappropriate to use a fentanyl patch?

A. A cancer patient who has been on Hydromorphone for years and is no longer able to swallow medications orally.

B. An elderly patient who takes MS Contin at home and will be admitted to hospital for several weeks for a bowel obstruction.

C. A previously healthy patient who only takes Tylenol and Advil at home for occasional headaches who is admitted for acute appendicitis

D. A palliative patient who has been using a fentanyl patch for years for chronic pain

E. A patient with chronic pain and opioid dependence/addiction admitted to hospital for pneumonia

A patient is admitted to hospital for acute kidney failure, requiring dialysis. Which of the following opioids would be the most appropriate to use in hospital for pain?

A patient loses consciousness within minutes of receiving a dose of an opioid. Assuming this is only due to the opioid, which of the following regimens would have been most likely to have caused this event?

A. Oxycodone 5mg orally

B. Morphine 5mg subcutaneous

C. Hydromorphone 2mg IV in a 50mL minibag infused over 15 minutes

D. Hydromorphone 2mg IV push over 2 minutes

E. Fentanyl 12.5mcg IV push over 2 minutes

Let’s do some math! A woman gets admitted to the hospital for severe nausea and vomiting. At home she takes MS Contin 30mg twice daily. What would be a reasonable dose of parenteral morphine to use until her nausea and vomiting improve enough that she can resume her oral medications?

A. 5mg IV every 2 hours

B. 2mg IM/subcut every 4 hours as needed

C. 15mg IM/subcut twice daily

D. 2.5mg IM/subcut every 4 hours plus 1-2mg IM/subcut every 4 hours as needed for breakthrough pain

E. All of the above

F. None of the above

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Opioids Test Your Knowledge - Week 2

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