Liver Protection Opções
Liver Protection Opções
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Conduct random testing at least yearly and more often if the patient is at additional risk for misuse or diversion for sale. The preferred testing strategy uses a combination of an enzyme linked immunoassay (EIA) for abused illicit substances and gas chromatography/mass spectroscopy (GC/MS) or liquid chromatography/mass spectroscopy (LC/MS).
Tolerance, as defined by either of the following: (a) a need for markedly increased amounts of opioids to achieve intoxication or desired effect, or (b) markedly diminished effect with continued use of the same amount of an opioid.
Educate patients, family, and friends about when and how to use intranasal naloxone and steps after administration.
In Michigan, laws regarding opioid prescribing require the patient to sign a Start Talking Form, in which they acknowledge in writing that they have been educated about the risks of opioid treatment. This is not the same as informed consent; the Start Talking Form does not meet the legal definition of consent.
Anticonvulsants are useful adjuncts in the management of neuropathic pain. They typically will not be helpful for acute pain, rather are more commonly used for chronic neuropathic pain.
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Consider buprenorphine when a safer, lower side-effect profile medication is preferred over full agonist opioids or for patients with tolerance to other opioids.
If you’re feeling short of breath, sleep can be tough — propping yourself up or sleeping on your side may help
Social, personal, and family risks. Being an opioid user carries a risk for social stigma. Additional risks are inherent to possessing opioids, including becoming a target for home invasion. Insecure storage may put other family members and pets at risk for opioid poisoning.
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Pain diary: regular documentation of the pain intensity to identify peaks and triggers; enables treatment optimization
Assess the benefits and risks to determine whether an opioid will improve overall chronic pain management.
Acne is one of the most common skin conditions, occurring when hair follicles beneath the skin's surface get clogged with oil and dead skin cells. But just because acne is common doesn't mean you have to grin and bear it.
Have a frank but supportive discussion with the patient about the fears of a worse lifestyle and risk for overdose. Offer support and addiction treatment.