Chronic opioid-related hypoventilation
Educational use only. Not clinically reviewed61-year-old woman for Chronic opioid-related sleep and breathing reassessment. About 8 simulated minutes.
What you will practise
- Reconcile the authored chronic prescribed-opioid exposure, sleep symptoms, daytime function, breathing, oxygenation, and perfusion.
- Review the fixed awake and attended sleep-study reports, including carbon-dioxide monitoring.
- Review medication, sleep, pulmonary, neurologic, chest-wall, cardiac, endocrine, and other contributors.
- Coordinate patient-centered prescriber, sleep, respiratory, pharmacy, and primary-care ownership.
- After elapsed time, hand off the fixed evidence, open contributors, safety concerns, pending work, and named owners.
Review and sources
Not clinically reviewed. No clinician has signed this scenario.
- Rosen IM, Aurora RN, Kirsch DB, et al. Chronic opioid therapy and sleep: an American Academy of Sleep Medicine position statement. J Clin Sleep Med. 2019;15:1671-1673.
- Kapur VK, Auckley DH, Chowdhuri S, et al. Clinical practice guideline for diagnostic testing for adult obstructive sleep apnea. J Clin Sleep Med. 2017;13:479-504.
- Dowell D, Ragan KR, Jones CM, Baldwin GT, Chou R. CDC clinical practice guideline for prescribing opioids for pain — United States, 2022. MMWR Recomm Rep. 2022;71:1-95.
Open Sim Lab is an educational simulator, not for clinical use. It is not a clinical decision-support tool, not a dosing calculator, and is not validated for any decision affecting a real patient.