n CME : Your SA Journal of CPD - Opioid use in palliative care : main topic
|Article Title||Opioid use in palliative care : main topic|
|© Publisher:||Health and Medical Publishing Group (HMPG)|
|Journal||CME : Your SA Journal of CPD|
|Publication Date||May 2003|
|Pages||273 - 276|
|Keyword(s)||Morphine, Opioids, Palliative care and Side-effects|
The confident use of morphine in palliative care requires core knowledge of its pharmacology and a confident understanding of the strategies to increase the dose. Dose by the mouth and by the clock. The hand that writes the script must attend to constipation and have a strategy for nausea control. If pain is not controlled or improved by 2 - 3 dose increases it is probably a partially opioidinsensitive pain. Consider the use of co-analgesics. Good patient preparation and proper opioid use can only remove present prejudice and fear for patients and doctors alike. Parenteral doses of morphine are twice as potent as oral doses.
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