1. Tractament del dolor Flashcards by Ana Cano Rosales

Q

Tipos de tratamiento del dolor

A

Etiológico

Sintomático

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Q

Tratamiento etiológico

A

Busca y trata la causa del dolor

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Q

Tratamiento sintomático

A

Busca y trata el síntoma

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Q

Medicamento sintomático

A

Anelgésicos

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Q

Tipos de anelgésicos

A

Opiaceos

No opiaceos

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Q

Tipos opiaceos

A

Mayor/potente

Menos/Débil

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Q

Tipos no opiaceos

A

Aines
Metamizol
Paracetamol

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Q

Mecanismo acción opiaceos

A

Receptores Mu, Delta, Kappa

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Q

AINES

A

No opiaceo

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Q

METAMIZOL

A

No opiaceo

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Q

CODEÏNA

A

Opiaceo débil

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Q

PARACETAMOL

A

No opiaceo

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Q

TRAMADOL

A

Opiaceo débil

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Q

METADONA

A

Opiaceo potente agonista puro

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Q

MEPERIDINA

A

Opiaceo potente agonista puro

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Q

BUPRENOFINA

A

Opiaceo potente agonista parcial

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Q

FENTANIL

A

Opeacio potente agonista puro

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Q

NALOXONA

A

Opiacio potente antagonista puro

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Q

NALTREXONA

A

Opiacio potente antagonista puro

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Q

MORFINA

Study These Flashcards

A

Opiacio potente agonista puro

Q

IBUPROFENO

Study These Flashcards

A

No opiacio AINES

Q

INDOMECTINA

Study These Flashcards

A

No opiacio AINES

Q

PIROXICAM

Study These Flashcards

A

No opiacio AINES

Q

DICLOFENAC

Study These Flashcards

A

No opiacio AINES

ASPIRINA

No opiacio AINES

Tipos de dolor

Según la durada y la fisiopatología

Tipos de dolor según duración

Agudo (post-quirúrgico) | Crónico

Tipos de dolor según la fisiopatología

Nociceptivo Neuropático Psicológico

Tipos dolor nociceptivo

Somático | Visceral

Medicamentos para dolor nociceptivo

AINES | Analgésicos

Medicamentos para dolor neuropático

Coadjuvantes

Medicamentos coadjuvantes

Anticonvulsivo | Antidepressivo

Característica fármacos para el dolor

Estupefacientes (tolerancia al dolor)

Razón no dolor al aplicar anelgésicos

Endorfina se une a receptores (opiaceo imita acción)

Receptor con más potencia

Mu

Receptor anelgésico total

Mu

Receptor anelgésico periférico

Kappa

Receptor anelgésico raquídico

Delta

Receptor que no produce depresión respiratoria

Kappa

Receptor de baja motilidad

Delta

Efectos adversos más frecuentes

Estreñimiento (100%) Náuseas y vómitos (50%) Sedación (20%)

Característica definitoria efectos adversos

Dosidependientes

Dosidependientes

A más dosis más sedación

Efecto adverso que requiere prevención

Náuseas y vómitos

Efecto adverso que no requiere de prevención

Sedación

Efecto adverso tolerante

Náuseas y vómitos

Efecto adverso no tolerante

Estreñimiento

Analgésico sin sedación, depresión y dependencia

No opiacios