B6.032 Prework 4: Analgesics and muscle relaxants Flashcards Preview

MM Test 1 > B6.032 Prework 4: Analgesics and muscle relaxants > Flashcards

Flashcards in B6.032 Prework 4: Analgesics and muscle relaxants Deck (19):
1

describe nociceptive pain

well localized pain between costal angles and gluteal folds

2

describe neuropathic pain

radiculopathy
leg pain associated with numbness/tingling following specific nerve tissue involved

3

musculoskeletal pain

involves somatic tissues
intermittent, sharp, achy, tender
changes with position and posture

4

examples of MSK pain

disc pain
facet lock
ligament injury
muscle strain
arthritis

5

treatment of MSK pain

responds well to opioids and NSAIDs
may also respond to steroid, muscle relaxants, and some antidepressants

6

visceral pain

involves solid organs
pressure, tight, crampy in nature
doesn't change with position and posture
poorly localized, may refer to other areas

7

examples of visceral pain

AAA
GI, pelvic, or kidney conditions

8

treatment of visceral pain

responds to opioids and NSAIDs
may respond to steroids and antispasmodics

9

neuropathic pain

results from damage to nerve tissues
intermittent sharp, shooting, burning leg pain, night pain, muscle weakness

10

examples of neuropathic pain

cord compression
spinal stenosis
radiculopathy
sciatic pain
peripheral nerve injury

11

treatment of neuropathic pain

responds poorly to opioids
may responds to TCAs, SNRIs, anticonvulsants, or topical local anesthetics

12

commonly recommended pharm treatment for nociceptive pain

APAP
NSAID
muscle relaxants
non-opioid recommended

13

degree of evidence for APAP in back pain

fair
inferior to NSAIDs
best for people w renal disease

14

use of muscle relaxants in acute back pain

generally not 1st line unless severe
short term use only in most
works through CNS

15

examples of muscle relaxants

diazepam
methocarbamol
etc.

16

adverse effects of muscle relaxants

hepatotoxicity
sedation

17

rec 1 for LBP

non pharm heat, massage, acupuncture, manipulation

18

rec 2 for LBP

if chronic
exercise
multidisciplinary rehab

19

rec 3 for LBP

NSAIDs
opioids if all else fails