17075 - Fast Fact Course 2 Adverse Effects of Opioids

Course Description: Opioids are commonly prescribed for patients with serious illnesses such as advanced cancer or organ failure to manage symptoms such as pain or dyspnea.  Unfortunately, adverse effects from opioids are common and it is estimated that 10-30% of patients treated with opioids do not have successful outcomes because of either excessive adverse effects, inadequate analgesia, or a combination of both.  The management of opioid adverse effects remains to be challenging for clinicians considering the paucity of robust medical studies and management guidelines to define best practices.  In this module, users can attain 1.0 hours of CME credit after successful completion of the following:

  1. Content review of ten Fast Facts and Concepts covering the following topics:
    1. Opioid induced nausea.
    2. Opioid induced pruritus
    3. Neuroexcitatory effects of opioids (part 1 and 2)
    4. Opioid allergies
    5. Hyperalgesia from opioids
    6. Opioid androgen syndrome
    7. Urinary retention from opioids
    8. Opioid induced constipation (part 1 and 2)
  2. Score of 70% or higher on a 10-question quiz covering this content. (Of note: all relevant information to answer each question should be found in the relevant Fast Fact)
  3. Completion of a course evaluation.

Module 2: Fast Facts #25, #37 #57,#58, #142, #175, #284, #287, #294, #295

To review Fast Facts for Module 1 go to PCNOW:  https://www.mypcnow.org/cme-landing

ACCME Accreditation Statement:
The Medical College of Wisconsin is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

AMA Credit Designation Statement:
The Medical College of Wisconsin designates this enduring material for a maximum of 1.0 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Hours of Participation for Allied Health Care Professionals:
The Medical College of Wisconsin designates this activity for up to 1.0 hours of participation for continuing education for allied health professionals. 

The Medical College of Wisconsin is accredited by the American Association of Nurse Practitioners as an approved provider of nurse Practitioner continuing education.  Provider Number: 150930.

Course details

  • AMA PRA Category 1 Credit(s)™: 1.00
  • Hours of Participation: 1.00
  • NP Pharmacology: 1.00
  • Course opens: Sun, Jan 01 2017
  • Course expires: Tue, Dec 31 2019
  • Cost: $0.00

Target audience

Physicians, Nurse Practitioners, palliative care care givers

Learning objectives

  1. Describe diagnostic and treatment approaches to 8 common opioid adverse effects.
  2. Differentiate two different types of reactions commonly described as opioids allergies.
  3. Describe a comprehensive treatment approach to the prevention and management of opioid constipation.

Faculty & credentials

In accordance with the ACCME® standard for Commercial Support Number 6, all in control of content disclosed any relevant financial relationships. The following in control of content had no relevant financial relationships to disclose.

Sean Marks, MD
David Weissman, MD
Drew Rosielle, MD

In accordance with the ACCME® standards for Commercial Support Number 6, all in control of content disclosed any relevant financial relationships. These relationships were reviewed via the MCW conflict of interest resolution process and resolved:

Author Company Role
Frank Ferris Valeant/Salix Author
Bridget Protus Optum Hospice Pharmacy Author
Debra Gordon Pacira Author
April Zehm Intefritas Communicaitons and Global Education Group Author
ABMS Core Competencies: 
Patient Care and Procedural Skills
Medical Knowledge
Practice-based Learning and Improvement

CME Coordinator Contact Information

Rose Hackbarth
Phone Number:: 
+1 (414) 805-4634
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