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Cancer Pain - Coggle Diagram
Cancer Pain
Opioid Use
Physical Depenedence
Body adapts to presence of opioids, and withdrawal symptoms are seen if opioids are stopped
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Addiction
Pathogic, psychological condition
Route
Oral is first choice, Parenteral and Transdermal, rectal are alternate forms
Parenteral indications
Severe pain, dysphagia, intractable N/V, diminished GI absorption, Intestinal obstruction, Terminal care
Side effects
Constipation, nausea, Somnolence
Less common: opioid neurotoxicity, Dry mouth, urinary retention, Sweating, pruritis, postural hypotension, Respiratory depression
Adjuvant Meds
Steoids: SCC, Increased ICP, neuropathic Pain
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TCA, SNRIs: Neuropathic pain
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Assessment
Location, Severity, Temporal Course, Characteristics, Meds
Other symptoms, impact on functioning, impact on mood
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