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Opiate Quiz

Generate an image of a medical professional reviewing guidelines for opiate management in a clinical setting, with a focus on fentanyl and morphine use. Include visual elements like charts or medical books relevant to pharmacology.

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

10 Questions2 MinutesCreated by ReadingDoctor42

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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