Methadone (Methadose) Nursing Drug Card (Simplified) - Pharmacology

NCLEX Review: Methadone (Methadose, Dolophine) - Mechanism of Action, Uses, Side effects, and Nursing considerations


Action: 0:19
Uses: 1:03
Strength/Dosing: 2:01
Side effects: 3:01
Interactions: 3:42
Contraindications: 4:11
Nursing considerations: 4:47

Correction to increasing bulk-forming foods for constipation:
"Increasing dietary fiber, fluid intake, and physical exercise are the backbone to prevention therapy... All types of laxatives can be used as initial therapy except for the bulk-forming laxatives... The only laxatives that should be avoided are the bulk-forming laxatives, like psyllium. These laxatives increase the bulk of the stools, distend the colon, and augment peristalsis. Opioids prevent peristalsis of the increased bulk which worsens abdominal pain and can contribute to bowel obstruction." - Opioid Induced Constipation (2021) - PMID: 29630236

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"When people think of opioid use problems or addictions, they may think of street-obtained, or 'street' opioids, such as heroin or fentanyl. However, problematic opioid use can also include improperly taking prescribed opioid medications such as oxycodone, morphine or codeine, or taking an opioid medication that was not prescribed for you.

Opioids are a class of powerful drugs that are usually prescribed to treat severe pain. If opioids are abused, they can create feelings of intense pleasure or euphoria, but they can also lead to fatal overdose. Opioids are an effective medication when used as prescribed, but they carry a risk of addiction because of their powerful effects.

If someone is overdosing, call 911 right away! You can then use your naloxone kit while you wait for medical help." - camh.ca - Opioid Addiction (Retrieved Oct 21/2021)

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Instagram:   / nurseryanyt  

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Reference Images:
Methadone for dependency information: World Health Organization (2009) - Clinical Guidelines for Withdrawal Management and Treatment of Drug Dependence in Closed Settings.

Brainstem image: Wikipedia - Brainstem

PQRST image: medschool.co - ECG trace

Narcan image: Narcan.com

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