15 - Acute Pain Flashcards Preview

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Flashcards in 15 - Acute Pain Deck (24):
1

Non-pharms for acute pain?

-immobilize fracture
-dress burns
-cold or heat therapy
-relaxation
-yoga for muscle pain

2

ASA _____ inhibits platelet function

irreversibly

3

ASA and NSAIDs can precipitate _____ in ASA-sensitive patients and all NSAIDs have a risk of MI

asthma

4

What are 2 options for GI protection from NSAIDs?

-PPI
-misoprostol

5

Advantage of COX-2 selective inhibitors?

GI protection

6

s/e of opioids

constipation, nausea, sedation, respiratory depression, tolerance, withdrawal symptoms, opioid use disorder

7

____ should not be used for pain that is expected to last for more than 3 hours

meperidine

8

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

9

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

10

How long should you limit Ketorolac use to?

5 days

11

____ is gold standard in which we compare all other opioids to

morphine

12

morphine is not affected by ____ disease

liver

13

Fentanyl does not induce _____ release, unlike morphine and meperidine

histamine

14

fentanyl is a ____ opioid

synthetic

15

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

16

Who should you avoid meperidine in ?

-those with kidney or liver dysfunction
-those who have had MAOis in the past 14 days

17

What drug can you inhale for pain?

nitrous oxide

18

DOC in pregnancy?

acetaminophen

19

When can you use NSAIDs in pregnancy?

1st or 2nd trimester

20

Are opioids safe in pregnancy?

yes but monitor newborn for signs of withdrawal or other s/e if mom still breastfeeding

21

DOC in breastfeeding?

acetaminophen

22

Are NSAIDs safe in breastfeeding?

yes

23

What pain meds should you avoid in breastfeeding mothers?

-avoid codeine
-avoid meperidine

24

If mom is using opioids, how long should they wait to breastfeed after taking the medication?

at least 2 hours to breast feed and continuously monitor baby

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