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Flashcards in Pain Management Deck (19)
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1
Q

what chemicals are released at sight of tissue damage?

A

bradykinins and prostaglandins

2
Q

what do Cox 1s do?

A

protect against pain in GI tract and blood thinners

3
Q

what do cox 2s do?

A

prostaglandins in the periphery,

4
Q

what drug pain reliever is cox 2 specific?

A

celebrex

5
Q

what happens to patient’s naturally released opiates when they are in chronic pain?

A

acute pain with little history of pain= body can write a big fat opiate check to cover the pain all at once, hx of chronic pain= opiates savings account is all used up and they dont have enough to cover the pain now…

6
Q

how do opiates treat pain?

A

change mind’s perception of pain, don’t do anything to the actual source of the pain

7
Q

how long does aspirin stay in ur system?

A

the life of the platelet, 10-13 days, all other pain relievers only last for the halflife of the drug, 4-12 hours!

8
Q

tylenol+hydrocodone=?

A

vikoden/ loritab

9
Q

what do SNRIs do?

A

block the reuptake of norepinephrine but its also an opioid

10
Q

schedule 1=
schedule 2=
schedule 3=

A
1= illegal, marijuana, cocaine
2= have to see whites of their eyes to prescribe it again, no refills= morphine
3= call it in, hydrocodone
11
Q

what is WILDA?

A
assessment of pain
Words
Intensity
Location
Duration
Aggravating/alleviating factors
12
Q

burning vs. pressure

A
burging= neuropathic
pressure= visceral
13
Q

common side effect of opioids?

A

constipation, visceral pain

14
Q

types of pain responsive to NSAIDS/Cox-2s/opioids

A

nocioceptive:

somatic (mmsk), and visceral

15
Q

neuro pain is responsive to what?

A

anticonvulsants/antidepressants (gabapenten)

16
Q

IV fentenol is available in 2-4 mins, when is this rapid delivery of medication, as well as possibly sedation desireable?

A

with acute pain, not chronic, chronic u want long term effects, rapid onset not as important and sedation is undesireable

17
Q

what two meds should never be mixed?

A

opioids and benzodiazapines= can’t sigh to get more O2, dangerous!

18
Q

what drug can ppl die from if u don’t do the math right?

A

methadone!

19
Q

what should almost always be part of a pain reduction medication plan?

A

NSAIDS or acetominophen