Common Opioid Medications for Acute and Chronic Pain - Unit 2 Flashcards Preview

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Flashcards in Common Opioid Medications for Acute and Chronic Pain - Unit 2 Deck (22):
1

Chronic Pain - longer than ___ months.
Acute pain is =

Chronic pain - more than 6 months!
Acute pain - in the moment pain!

2

With pain medication, you need to consistently take it in order for it to work - T/F?

True!

3

Pain - it's whatever the patient says it is. T/F?

True!

4

What is PQRST for pain?

P - Provoked (what makes it worse, better, etc.)
Q - Quality/Quanity -
R - Radiating?
S - Severity (Intensity)
T - Timing

5

Who is Margo Mcaffery?

She was a pain theorist. In 1968, she basically said that whatever the person says their pain is, it is. It's very subjective!

6

What is endopathic pain?

Pain that's just there!

7

What is phantom pain?

Pain that the person thinks is there, but it isn't, since that limb/part is no longer there!

8

What is Codeine, what does it do, and what are the numbers for?

It is a pain reliever - the numbers stand for how many MG of codeine are in them. Codeine also contains Tylenol!

9

What is Fentanly?

It is a pain reliever that typically comes in a patch. Can be used for sedation as well. Use cautiously in seizure patients, though!

10

Hydrocodone - what is it?

A pain reliever!

11

Dilaudid (Hydromorphone) - can be given orally, IM, IV and rectally. T/F?

True!

12

Demerol (Meperidine Hydrochloride) used for and worst for...

used for pain relief.
Worst for the elderly, because it can cause seizures, MI, dementia, confusion, etc.

13

What is methadone used for? Also, what about dosing?

Patients who are detoxing. The dose accumulates, though..so it might need to be decreased!

14

What do we need to watch for in Morphine?

Respiratory depression/hypotension. Also, the metabolite can accumulate in renal failure patients.

15

Oxycodone - what is it called in the streets?

Hillbilly heroine.

16

What does Floricet contain?

Tylenol, butalbital (a barbiturate) and caffeine.

17

Celebrex - used for...

the elderly/arthritis pain.

18

Toradol - doesn't really cause ulcers. T/F?

FALSE - it can cause them more than any other NSAID.

19

Opioids work by binding to opioid receptors in brain and spinal cord. They reduce the pain messages being sent. T/F?

True!

20

What are common side effects of opioids?

Constipation, dry mouth, N/V, sedation and sweats.

21

Opioids reduce the toxicity of the anesthetic and minimized apprehension. T/F?

True!

22

Dilaudid is one of the worst drugs to use - T/F?

FALSE - it is one of the best analgesics after surgery for pain control.