35. Opioids and Principles of Pain Management Flashcards Preview

M2 Neurology > 35. Opioids and Principles of Pain Management > Flashcards

Flashcards in 35. Opioids and Principles of Pain Management Deck (6)
1

What drug should NOT be used in patients with end-stage renal disease?

morphine (hepatically metabolized but renally cleared)

2

opioids work primarily by altering which step in the nociceptive process?

modulation (not transduction, transmission, or perception)

3

Which of the following opioids is best used in patients with renal impairment?

Fentanyl. (doesn't get metabolized at all, just out through feces)

4

Which of the following is most likely to be predictive of the development of chronic pain after lumpectomy and axillary node dissection for breast cancer?

High level of anxiety and depression preoperatively.

5

You are treating an 80 year old patient with excruciating pain from post-herpetic neuralgia. Which of the following is true?

Treatment should include a short acting opioid

6

With regard to the “Gate Control” theory of pain, which of the following is true?

Stimulation of large myelinated fibers can help “Close the Gate”