Vigilance Tante Girang Use of Opioids

Vigilance Tante Girang Use of Opioids The use of opioids should be done with caution, especially in the following circumstances:
- Decreased respiratory reserve:

for example in asthma, obesity, kyphosis (excessive spinal curvature), diseases of muscles or nerves (eg in disseminated sclerosis). Providing opioid Enerupakan contraindicated when there is a rise in intracranial pressure or the concentration of carbon dioxide (pCO3) as seen in severe respiratory disease.

- At the age, general state of decline or malnutrition, higher doses of the head is necessary because the standard dose
would cause excessive side effects. For example, a 40-year-old patient who may require half the dose of analgesic required by patients aged 20 years (Twycross, 1994).

- Pre-existing hypotension can worsen so that endanger patients' lives, such as after hemorrhage.

- Excessive Sedation and coma can occur because the administration of opioids to pregnant mothers who suffer from hypothyroidism, or Addison's disease.

- Meperidine (pethidine) and propoksifen is a type of opioid most often cause convulsions on repeated administration. Exacerbation of seizures can occur if there is fluid retention after the administration of oxytocin.

- Depressant effects caused by opioids in the CNS would complicate any increase in intracranial pressure (eg after a stroke or seizure eclampsia) and aggravate respiratory depression and obscure the vital signs. Respiratory depression because of opioids will lead to retention of carbon dioxide that will bring back any increase in intracranial pressure and increase cerebral ischemia and seizures.
- Provision of opioid with a reduced dose is required if the liver or impaired renal function, for example in pre-eclampsia.
- The possibility of paralytic ileus.
- A history of allergy to opioids.

Midwifery Pharmacology By: fkunhas|Sue Jordan