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Pitfalls in Oncologische Pijnbehandeling

Pitfalls in Oncologische Pijnbehandeling

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Opioïde tolerantie<br />

Effect Tolerantie Behandel<strong>in</strong>g<br />

Ademdepressie Ja Titreer dosis Naloxone<br />

Misselijkheid / Braken Ja Ondansetron, Metoclopramide, Haldol,<br />

Benzodiazep<strong>in</strong>es<br />

Obstipatie ± Dieet, laxans, beweg<strong>in</strong>g, Switch opioïd<br />

Perifere antagonisten<br />

Sedatie Ja Titreer dosis Metamfetam<strong>in</strong>e,<br />

Methylfenidaat<br />

Jeuk ± Antihistam<strong>in</strong>ica<br />

Bronchoconstrictie Nee Switch opioïd<br />

Hyperalgesie Nee ↓ Dosis, Comb<strong>in</strong>aties , Switch opioïd<br />

Pijnstill<strong>in</strong>g Ja ↑ Dosis Comb<strong>in</strong>aties , Switch opioïd

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