阿片类药物滴定策略.pptVIP

The main reason that adequate doses are withheld by doctors or nurses is the fear of respiratory depression. Opioids used for people who are not in pain, or in doses larger than necessary to control the pain, can slow and indeed stop breathing. The principle is that the dose has to be titrated to the effect (Figure 4). The effect is pain relief. If the dose given has not produced pain relief (the patient is still complaining of pain), and it has all been delivered and absorbed, then it is safe to give another dose. This subsequent dose may be smaller than the first. If it too doesnt succeed th