What are potential disadvantages of using opioids for managing postoperative pain in elderly patients? (Select 2.)
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AThey cannot be continued through the perioperative period
BThe elderly are prone to overdosing on these medications
CThey are easily managed without significant side effects
DThey can cause cognitive dysfunction
EThey can cause respiratory depression
✓ Correct answer: D. They can cause cognitive dysfunctionOpioids are commonly used for postoperative pain management but can cause significant cognitive dysfunction and respiratory depression in elderly patients. They can be continued safely through the perioperative period if managed appropriately. The elderly are not particularly prone to overdose if dosages are carefully monitored.
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