Page 115 - CPG - Clinical Practice Guidelines - Management of Cancer Pain
P. 115

Management of Cancer Pain (Second Edition)
                  •   After patient recovers, the regular opioid regimen must be reviewed
                     to  consider possible causes for  the  respiratory depression (e.g.
                     drug interactions, drug accumulation due to  renal impairment,
                     PHGLFDWLRQ  HUURUV   DQG  QHFHVVDU\  PRGL¿FDWLRQV  PDGH  WR  WKH
                     regimen.

                  ADDITIONAL CAUTIONS:
                  ‡   'R QRW XVH ODUJH EROXV GRVHV H J  ³  DPSRXOH VWDW´ LQ SDWLHQWV ZKR
                     are receiving opioids for chronic pain relief.
                  •   Pupil size is an unreliable indicator of opioid overdose in patients
                     taking regular opioids
                  ‡   1DOR[RQH VKRXOG QRW EH JLYHQ WR SDWLHQWV RQ RSLRLGV ZKHQ GHDWK
                     LV  H[SHFWHG  DQG  LPPLQHQW   D  VORZ  UHVSLUDWRU\  UDWH  LV  D  QRUPDO
                     occurrence.

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                        Edition. London: Pharmaceutical Press; 2022.









































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