Certified Hospice and Palliative Assistant (CHPNA) Practice Test

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In the equianalgesic conversion process, what is done during step two?

  1. Create a medication schedule

  2. Estimate the patient's tolerance to medication

  3. Divide current 24-hour total by the equianalgesic value for the current drug

  4. Consult with the pharmacy for dosage recommendations

The correct answer is: Divide current 24-hour total by the equianalgesic value for the current drug

In the equianalgesic conversion process, step two is pivotal because it involves calculating the current opioid requirement for the patient. By dividing the current 24-hour total of opioid consumption by the equianalgesic value for the drug currently being used, the healthcare professional can determine the appropriate dose of a new opioid, facilitating a safe and effective transition to the desired level of pain management. This step is essential in ensuring that the patient receives an accurate dose that is equivalent to their prior medication, while also considering the potency differences between various opioids. The equianalgesic table provides a standard reference for opioid strengths, which helps in achieving adequate analgesia without the risk of overdose or under-treatment. Understanding how to perform this calculation is fundamental for healthcare providers involved in pain management, especially in settings like hospice and palliative care where patients often require careful adjustments to their pain medication regimens.