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(OPIOIDS, OPIOIDS — AMC STUDY MAP + MNEMONICS) - Coggle Diagram
OPIOIDS
MAIN USES → Mnemonic: PAIN COUGH LOOSE
P = Pain (moderate–severe)
A = Anaesthesia adjunct
I = ICU sedation
N = palliative dyspNea relief
C = Cough suppression (codeine)
O = Opioid dependence therapy
U = Used in acute MI pain
G = GI diarrhea control (loperamide)
H = Hospice care
LOOSE = loperamide diarrhea use
WITHDRAWAL FEATURES → Mnemonic: WILD PAIN
W = Watery eyes
I = Irritability
L = Lacrimation
D = Diarrhea
P = Piloerection
A = Aches
I = Insomnia
N = Nasal discharge
COMMON OPIOIDS → Mnemonic: FOMC HOT
F = Fentanyl
O = Oxycodone
M = Morphine
C = Codeine
H = Heroin (illicit)
O = pethidine (meperidine) = Old exam drug
T = Tramadol
OPIOID TOXICITY → Mnemonic: CPR SLOW
C = Coma
P = Pinpoint pupils ⭐
R = Respiratory depression ⭐
S = Slow breathing
L = Low BP
O = Oxygen low
W = Weak pulse
SPECIAL AMC POINTS
Pethidine (Meperidine)
Neurotoxic metabolite
Avoid chronic use
Tramadol
Opioid + SNRI effect
Seizure risk
Codeine
Prodrug → morphine
CYP2D6 variability
Fentanyl
Very potent
Anaesthesia use
AMC RAPID HOOK
Overdose triad → CPR SLOW
Antidote → NO = Naloxone
Withdrawal → WILD PAIN
Dependence therapy → BMM
OVERDOSE REVERSAL → Mnemonic: NO → NalOxone
Naloxone = antidote
Short acting
Repeat dosing often needed
DEPENDENCE TREATMENT → Mnemonic: BMM
B = Buprenorphine
M = Methadone
M = (Morphine rarely inpatient bridge)
STRONG vs WEAK → Mnemonic: Strong = FOM | Weak = CT
Strong
Fentanyl
Oxycodone
Morphine
Weak
Codeine
Tramadol
OPIOIDS — AMC STUDY MAP + MNEMONICS