ACCNS-AG Adult-Gerontology Acute Care Clinical Nurse Specialist Certification

Morphine is preferred because it has no active metabolites in renal failure Hydromorphone at reduced doses with extended dosing intervals is safer than morphine in significant renal impairment Codeine is appropriate for moderate pain because it requires renal dose adjustment only above 75 years Meperidine is preferred for post-operative pain because it avoids the constipation of other opioids