PAIN MANAGEMENT

Question 1

neuropathic pain

Answer 1

“nerve pain”-chronic pain that occurs when nerves in CNS become injured

Question 2

nociceptive pain

Answer 2

stimulation of pain receptors (tissue inflammation, injury etc)

Question 3

idiopathic pain

Answer 3

no apparent underlying cause

Question 4

psychogenic pain

Answer 4

pain thought to be due to psych problems

Question 5

peripheral agents

Answer 5

acetaminophen (tylenol), NSAIDs (ibuprophen, naproxen)

Question 6

acetaminophen

Answer 6

inhibits prostaglandin synthesis in CNS, used for pain, very low anti inflamm, pain reliever (analgesic) and fever reducer (antipyretic)

Question 7

ibuprophen, naproxen

Answer 7

reversibly inhibiting cyclooxygenase enzymes (which inhibit synthesis of prostaglandins); anti inflammatory, antipyretic and analgesic

Question 8

opiods

Answer 8

bind to receptors in CNS to mimic endorphins, when bound to signaling neuron it lessens amount of chemical messengers;

Question 9

bisphosphates

Answer 9

used for bone remodeling osteoporosis, bone metastases, hypercalcemia; decrease the formation of osteoclasts (delay or prevent bone metastases that cause pain)

Question 10

neuropathic agents

Answer 10

anti depressants, anticonvulsants, local anesthetics

Question 11

antidepressants

Answer 11

thought to inhibit reuptake of norepi and serotonin in the spinal cord (both influence descending pain pathways)

Question 12

anticonvulsants

Answer 12

decrease neuronal hyperexcitability (fundamental to seizures and neuropathic type pain)