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Grand Rounds 12/14/16 @ BID-Needham: Dr. Shoshana J. Herzig  

Safe Opioid Use in Hospitalized Patients
Last Updated: Jan 20, 2017 URL: http://bidmc.libguides.com/Herzig/2016 Print Guide RSS Updates

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Speaker: Date: Topic

Shoshana J. Herzig, MD, MPH

Dec 14, 2016

Safe Opioid Use in Hospitalized Patients

 

      

    Objectives of the Presentation

    Participants should be able to:

    • Identify common unsafe opioid prescribing practices in hospitalized patients.
    • Identify safe opioid prescribing practices in hospitalized patients.
        

      Responsibility for Content

      The PowerPoint presentation, Take-Away points, Objectives, Relevant links and Abstract links were sent by Medical Library Services and the CME Committee.

      Diane E. Young, Information Specialist

      dyoung3@bidmc.harvard.edu

       

          

        Take-Away Points of the Presentation

        1. Always combine opioid and non-opioid analgesics to maximize analgesia and reduce opioid requirements.

        2. Always check MassPAT before prescribing an opioid.

        3. Oral route is strongly preferred whenever possible, unless the patient is NPO, suspected of having malabsorption, or in need of immediate pain control.

        4. Avoid starting long-acting opioids for non-cancer pain in hospitalized patients.

        5. Most opioids, with the exception of fentanyl, need to be dose reduced in the setting of renal/hepatic failure.

        6. Avoid co-prescription of other medications with sedating properties -- particularly benzodiazepines -- as it markedly increases risk of respiratory depression.

        7. When changing between opioids, use a dose 25-50% lower than calculated equianalgesic dose.

            
           

          PDF of the PowerPoint Presentation

          Disclosures

          Director of Medical Education and Committee Members have indicated they have no relevant financial interests or relationships to disclose. Faculty has indicated no relevant financial interests or relationships to disclose.

              
             

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