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Which of the following is considered the gold standard in pain management?

A. Hydromorphone
B. Codeine
C. Morphine sulfate
D. Oxymorphone

1 Answer

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Final answer:

Morphine sulfate option (C) is considered the gold standard in pain management, particularly for severe acute pain such as post-operative discomfort. It is an opioid derived from the opium poppy and provides significant pain relief. While other opioids are also used for pain management, morphine retains its status as the primary choice in many medical settings.

Step-by-step explanation:

The gold standard in pain management, especially for severe acute pain such as is often experienced post-operatively, is morphine sulfate option (C). Morphine is one of the opioid drugs derived from the opium poppy, and it has been a cornerstone of pain management for many years due to its effectiveness in alleviating severe pain. Morphine is generally used before and after surgical procedures to provide significant pain relief.

Other opioids like codeine, oxycodone, and hydromorphone are also used in pain management; however, codeine is typically prescribed for mild to moderate pain and oxycodone for moderate to severe pain. Oxycodone and hydrocodone are available in extended-release forms, intended for long-term management of severe pain in patients who require continuous, around-the-clock analgesia and who are not responsive to other medications. Hydromorphone and oxymorphone are also powerful opioids but are not considered the gold standard like morphine.

Abuse of opioids is a significant public health concern, and thus their use is tightly controlled. Medications containing opioids are subject to strict regulations to prevent misuse and addiction, underscoring the importance of using these potent painkillers responsibly and under appropriate medical supervision.

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