lakshya
Forum Senior
Topics: 44
Posts: 106
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A terminal cancer patients pain is not controlled with max tolerable dose of opiates. With increased dose his pain is controlled, but he suffers respi depression. What should you do??
a give higher doses despite respi depression
b give lower doses despite inadequate pain control to prevent respi depression
c give higher doses with a central acting respi stimulant
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ek tu hi bharosa, ek tu hi sahara, is tere jahaan me nahin koi hamaara, he ishwar yaa allah yeh pukar sunle, he ishwar ya allah he daata WHEN EVERYTHING GOES WRONG LET GOD HANDLE THE SITUATION.
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| frank100
Forum Guru
Topics: 48
Posts: 586
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depends, but (b)
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| GDS2008
Forum Elite
Topics: 9
Posts: 144
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Fear of inducing respiratory depression is often cited as a factor that limits the use of opioids in pain management. It is now accepted by practitioners of the specialty of pain medicine that respiratory depression induced by opioids tends to be a short-lived phenomenon, generally occurs only in the opioid-naive patient, and is antagonized by pain. Therefore, withholding the appropriate use of opioids from a patient who is experiencing pain on the basis of respiratory concerns is unwarranted. The answer is c
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