Pain Flashcards Preview

Peri-operative Care > Pain > Flashcards

Flashcards in Pain Deck (9)
Loading flashcards...
1
Q

What is the WHO analgesic ladder?

A

Stepwise approach to pain management

  1. Simple analgesic
    - paracetamol
    - NSAID
  2. Weak opioid
    - codeine
    - tramadol
  3. stronger opioid
    - morphine
2
Q

What are the simple analgesics?

A

Paracetamol and/or NSAID

3
Q

Paracetamol mechanism of action

A

COX-2 inhibition in spinal cord

4
Q

NSAID mechanism of action

A

COX-1 inhibition

5
Q

Side effects of NSAIDs

A

Gastric ulceration
Renal impairment
Asthma sensitivity
Bleeding risk

6
Q

What are the weak opiates?

A

Codeine

Tramadol

7
Q

What are the strong opiates?

A

Morphine
Oxycodone
Fentanyl

8
Q

Opiate mechanism of action

A

Opioid receptor agonist

9
Q

Side effects of opiates

A

Constipation
Nausea
Sedation
Respiratory depression