Opiate Quiz
Opiate Management Quiz
Test your knowledge on opiate management with our comprehensive quiz! This quiz focuses on essential guidelines and best practices surrounding fentanyl and morphine usage.
- Understand critical reasons for drug selection
- Learn about contraindications and dosing guidelines
- Find out about safe practices in pain management
What are the 5 reasons in the CPGs for choosing to use fentanyl over morphine?
* Hypotension *Short duration desirable *Nausea and or vomiting *Severe headache *Known renal impairment or failure * History of hypersensitivity or allergy to morphine
* Hypotension *Short duration desirable *Nausea and or vomiting *Current asthma *Known renal impairment or failure * History of hypersensitivity or allergy to morphine
* Hypotension *Short duration desirable *Nausea and or vomiting *Severe headache *Patient on Monoamine oxidase inhibitors * History of hypersensitivity or allergy to morphine
* Hypotension *Late second stage labour *Nausea and or vomiting *Severe headache *Known renal impairment or failure * History of hypersensitivity or allergy to morphine
Contraindications for morphine are:
*History of hypersensitivity * known or genetic susceptibility to malignant hyperthermia * Late 2nd stage labour
*History of hypersensitivity * renal impairment or failure * Late 2nd stage labour
*History of hypersensitivity * renal impairment or failure * Late 2nd stage labour * known or genetic susceptibility to malignant hyperthermia
*History of hypersensitivity * renal impairment or failure * Late 2nd stage labour * Actively vomiting
The correct dose of IN fentanyl for a 50kg patient is
100mcg followed by 2 x 50mcg every 5 minutes
200mcg followed by 2 x 50mcg every 5 minutes
100mcg followed by 4 x 50mcg every 5 minutes
100mcg followed by 2 x 50mcg every 10 minutes
IN Fentanyl should not be used in cardiac chest pain
True
False
IM Morphine dose for an adult patient
0.1mg kg repeated once after 15 minutes
10mg repeated twice after 10 minute intervals
10mg with a further 5mg once after 15 minutes
10mg repeated once after 15 minutes
Palliative care patients needing breakthrough pain relief when you are unable to contact the Palliative Care advice Service and their daily oral morphine is less than 50mg is
Up to 20mg morphine Subcutaneous
2.5mg morphine subcutaneous
20% of their daily morphine dose subcutaneous
10mg morphine IM
For oral Opiod overdose the correct management is:
Naloxone 1.6mcg-2mcg IM
Naloxone 400mcg IM
IV Naloxone 2mg every 2 minutes
Naloxone IV 100mcg every 2 minutes
How are Morphine and Fentanyl metabolised
By monoamine oxidase and other enzymes in the blood
By the kidneys
By the liver and excreted by the kidneys
By the liver
Morphine has 3 primary indications:
Pain relief, CPR interfering pt and sedation to facilitate intubation
Pain relief, sedation to facilitate synchronised cardio version and sedation to facilitate intubation
Pain relief, sedation to facilitate trans thoracic pacing and sedation to facilitate intubation
Pain relief, sedation to maintain intubation and sedation to facilitate intubation
The peak effects of IV Fentanyl are much quicker than morphine
True: 5 minutes IV vs 10 minutes IV for morphine
False they are the same
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