Flashcards in 15 - Acute Pain Deck (24):
Non-pharms for acute pain?
-cold or heat therapy
-yoga for muscle pain
ASA _____ inhibits platelet function
ASA and NSAIDs can precipitate _____ in ASA-sensitive patients and all NSAIDs have a risk of MI
What are 2 options for GI protection from NSAIDs?
Advantage of COX-2 selective inhibitors?
s/e of opioids
constipation, nausea, sedation, respiratory depression, tolerance, withdrawal symptoms, opioid use disorder
____ should not be used for pain that is expected to last for more than 3 hours
age limit for codeine?
only use in those > 12 or those > 18 if it's to treat pain after surgery to remove tonsils or adenoids
MOA of tramadol?
-has opioid and nonopioid mechanisms, structurally related to morphine and codeine, inhibits serotonin and NE re-uptake
-causes more nausea and may be less effective
How long should you limit Ketorolac use to?
____ is gold standard in which we compare all other opioids to
morphine is not affected by ____ disease
Fentanyl does not induce _____ release, unlike morphine and meperidine
fentanyl is a ____ opioid
Why do we limit use of meperidine to pain less than 3 hours duration?
accumulation of the neurotoxic metabolic, normeperidine, can occur and cause seizures and other CNS effects
Who should you avoid meperidine in ?
-those with kidney or liver dysfunction
-those who have had MAOis in the past 14 days
What drug can you inhale for pain?
DOC in pregnancy?
When can you use NSAIDs in pregnancy?
1st or 2nd trimester
Are opioids safe in pregnancy?
yes but monitor newborn for signs of withdrawal or other s/e if mom still breastfeeding
DOC in breastfeeding?
Are NSAIDs safe in breastfeeding?
What pain meds should you avoid in breastfeeding mothers?