PPT-You can use morphine

Module 10 Learning objectives Explain the place of morphine in the World Health Organization pain ladder Describe the side effects of morphine and how to deal with them Explain how to deal with break through pain. M. Rachel McDowell, RN, MSN, ACNP-BC. Cancer Supportive Care Nurse Practitioner. Vanderbilt-Ingram Cancer Center. Goals of presentation. Provide steps for developing treatment plan. Approach to titration (upward and downward). Alkaloids. Opium Alkaloids. Many alkaloids have been identified in opium latex (opiates) - maybe as many as 50.. Morphine. and . codeine . are the most important. Morphine first alkaloid identified from any plant in 1806 and the pain relieving properties soon recognized. Precursor is formed by combining two C. 6. C. 2. units, both originating from tyrosine. Focus: . pieces/precursors. key assembly steps. structure-activity. physiological interactions. First . methylation. All materials herein are the exclusive property of PGXL Laboratories . PGX Applications in Pain Management. Kristen K. Reynolds, PhD. VP Laboratory Operations. Panels*. Core:. CYP2D6. CYP2C9. CYP2C19. Q. Define analgesics?. Analgesics are the drugs which relive or suppress the sensation of pain by acting on CNS but without producing any degree of loss of consciousness.. Q. Classify narcotic analgesics with example?. Value in Hospice, End-of-Life, and Palliative Care. John P. McNulty,, MD, FACP, FAAHPM. George Muller, . RPh. . Palliative Care Institute of Southeast Louisiana . Occurrence:. Opium is the air-dried . milky . exudate. , or latex, obtained by incising the mature unripe capsules of the . opium poppy. . Papaver. . somniferum. (Fam. . Papaveraceae. ). . Sources:. Tahir Ali. Lecturer. RIPS, RIU. Any. Guess. Please . VOMIT. answer of some kind. Definition. Alkaloids. are extremely difficult to define because of two major reasons: . T. heir diverse heterogeneous nature . in . Palliative Care. Professor and Section Head, Palliative Medicine, University of Manitoba. Medical Director, . Adult and Pediatric Palliative Care, WRHA. Clinical Lead, Canadian Virtual Hospice. Mike Harlos MD, . History and Evolution. -. Opiates are natural analgesics that are from . opium,. which is found inside the poppy plant, also known as . Papaver setigerum. , which is a Mediterranean-growing wild strain. . Objectives. Brief history of Opioids. Molecular structure. Physiologic effects. Intoxication, Treatment, Complications. Intro. History of Opium. To understand opioids, we must start at the source - opium.. Andrea Terrell, PhD, DABCC. Chief Scientific Officer. AIT Laboratories. Indianapolis, IN. Prescription Drug Abuse. >125 . million ED visits in . 2011, 2.5 . million . (2.0%) . drug misuse or abuse related. Opiates bind to receptors in the brain, which means that they kill pain by preventing the transmission of pain impulses in the brain, rather than at the source.. Opiates are derived from opium, which is found in poppy seeds. . in cancer patients. Padma gulur md. Director, pain services, . Uci. health. Professor, university of . california. Disclosures. None. objectives. Unique considerations in cancer pain. Advanced Interventional strategies.