Pain Flashcards Preview

BNF CNS > Pain > Flashcards

Flashcards in Pain Deck (94)
Loading flashcards...
1

How long must pain be present for to be class as chronic pain?

12 weeks

2

Non-drug treatment of pain

Exercise, Transcutaneous electrical nerve stimulation, pain management programes (CBT)

3

Examples of non opioid analgesics

Paracetamol, NSAIDS, topical applications (capsaicin / lidocaine), Rubefacients

4

Above what dose of opioids should pain specialist advice be sought?

> 90mg/day morphine or equivalent

5

Which analgesic class is best suited for musculoskeltal pain?

Non-opioids e.g. paracetamol, NSAIDS and aspirin

6

Which analgesic class is best suited for visceral pain?

opioid analgesia

7

For dental pain e.g. plpitis jow long should analgesia be used for?

Max of 7 days - provides a temporary measure until the source is treated

8

What medication can be used to treat pain of the oral mucosa e.g. acute herpetic gingivotomastis?

Benzydamine hydrochloride mouthwahs/ spray

9

Which analgesic has antipyretic and pain relief effects but not anti-inflammation?

Paracetamol

10

Are opioids effective in dental pain?

No

11

What types of pain is aspirin indicated for?

headache, transient musculoskeletal pain, dysmenorrhea, pyrexia

12

When should aspirin be taken?

After food

13

What class of analgesia is useful to help with secondary bone tumours?

NSAIDS
(bone tumours produce lysis of bones and release prostagladins)

14

An example of an non-opioid intrathecal analgesic used for chronic severe pain

Ziconotide

15

Opiod side effects

Constipations, drowsiness, nausea, vommiting, respiratory depression, dependence

16

Which analgesic has both opioid agonist and antagonist properties

Buprenorphine

17

How long can buprenorphine sublingual last?

6 to 8 hours

18

Can naloxone fully reverse the effects of Buprenorphine?

No - only partially reverse the effects

19

Diamorphine causes less nausea and hypotension thta what other analgesic?

Morphine

20

how often must a fentanyl patch be changed?

every 72 hours

21

What is a benefit of Methadone over morphine

less seadating (and long half life)

22

What is the maximum frequency methadone can be given?

BD

23

what is the medication used as analgesia in labour?

Pethidine

24

how does Tapentadol produce analgesia?

1. opioid effect
2. NA reuptaking inhibtion

25

How does Tramadol produce an analgesic effect?

opiod effect and enhancement of serotonergic and adrenergic pathways

26

What is Meptazinol?

A weak opioid - onest of 15 mins and duration of 2-7 hours

27

Side effects of opioids given via Epidural

pruritus, urinary retention, nausea & vomiting

28

If a patient has heptotoxicity risk factors what is the dose of IV paracetamol?

up to 50kg: 15mg/kg
>60kg 1g 4 to 6 hourly (max 3g) `

29

Paracetamol dosing for a 3 - 5 month year old

60mg 4 to 6 hourly (2.5mL of 120mg/5mL)

30

Paracetamol dosing for a 6-23 month year old

120mg 4 to 6 hourly 4 to 6 hourly (5mL of 120mg/5mL)