Mary Lynn McPherson

speaker

498 appearances 2 recordings 1 series first heard Oct 2018 last heard Dec 2021

Mary Lynn McPherson’s voice in public audio — every appearance, attributed to the second.

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GeriPal - A Geriatrics and Palliative Medicine Podcast · All the Questions You Had About Opioids But Were Afraid To Ask: A Podcast with Mary Lynn McPherson · 5 Oct 2018 podcast

You're still supposed to fold it together, sticky sides together and um dispose of it by flushing.

Although I know hospices are using different techniques and you know, put 'em in a sharps container or something like that.

But you've got to be so careful because if a child or a small pet got a hold of a used transfermal fentanyl patch, it could be a fatal event.

I think Oxycontin for in the most part is a twice a day drug.

I do want to caution people not to say B I D, even though you are saying B I D, you are thinking Q twelve.

But don't forget in a hospital if you say B I D or T I D, that's different from Q eight or Q twelve.

But I think for most patients it really is a twice a day drug.

Whenever we're in that situation and it doesn't seem to be lasting, my first inclination is to try and increase the dose a little bit.

To see if I can maintain that Q twelve hour dosing, but sometimes you just can't and you have to go to Q eight.

Same with MS continent.

Yes, an IM opioid is an oxymoron like jumbo shrimp or plastic silverware.

So here we're gonna give you something to relieve the pain, but it's really gonna hurt.

So I don't think it's a good look.

We try very hard not to.

Uh I maybe once a year, but maybe not even that often.

I mean I think sub Q is a beautiful route of administration.

And when you look at an uh equinalgesic chart

I uh sub Q and I V are close enough for government work given all the variables that affect that equally analgesic chart that I think sub Q is a beautiful thing.

The only thing to remember with sub Q is don't exceed your volume.

So people say one milliliter an hour is kind of the upper limit.

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