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Prescribing Opioids With Renal Impairment Advice.pdf

Guidance-for-the-use-of-opioids-with-renal-impairment-June2019.pdf
Preview of Prescribing opioids with renal impairment advice
🔗 Source: stlukes-hospice.org.uk
📊 Size: 111 KB
👤 Author: ISAT
⬇️ Downloads: 122

Summary

Opioid use in renal impairment can increase opioid toxicity and symptom burden. Renal function is classified according to chronic kidney disease (CKD) criteria using estimated glomerular filtration rate (eGFR). Morphine is the first-line strong opioid for pain control in individuals with normal renal function. In mild to moderate reduction (eGFR 30-89 ml/min), opioids can be used but may require dose and frequency reduction. In severe reduction and kidney failure (eGFR <30ml/min), fentanyl is the first-line opioid, and oral opioid PRNs can accumulate and increase the risk of opioid toxicity. Alternative opioids such as alfentanil, oxycodone, and tapentadol can be used with caution in severe renal impairment. Clinical monitoring for toxicity and effectiveness is vital.

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Description

Opioid use in renal impairment can increase opioid toxicity and symptom burden.

Technical Information

  • File Format: PDF
  • File Size: 111 KB
  • Pages: 3
  • Language: EN
  • Author: ISAT
  • Total Downloads: 122
  • Last Updated: 1 week ago

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This PDF document about Prescribing opioids with renal impairment advice provides comprehensive information and guidance. Whether you're a beginner or advanced user, this resource offers valuable insights into Prescribing opioids with renal impairment advice.

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