Pain treatment lecture 1 Flashcards Preview

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Flashcards in Pain treatment lecture 1 Deck (25):
1

What factors should you consider when determining selection of analgesic?

-Type of pain
-Pain intensity
-Side effects and vulnerabilities

2

What are the two types of pain?

-Musculoskeletal (somatic)
-Inflammatory
-Visceral pain

3

In the brain what are ways to manage pain?

-Opioid narcotics
-Glutamate/GABA (Ultram)
-Antidepressants (5HT/NE)

4

In the dorsal horn how can you manage pain?

-Local anesthetic
-Opioids
-NSAIDs

5

In the peripheral nociceptors how can you manage pain?

-Local anesthetic
-NSAIDs
-Acetaminophen
-Capsaicin

6

What are non-selective COX 1 and 2 inhibitors?

-Salicylates
-Ibuprofen like

7

What are selective COX 2 inhibitors?

-Celebrex (Celecoxib)

8

There is a higher amount of heart attacks and strokes with which type of NSAID?

-Cox 2 inhibitor

9

What does the COX 1 enzyme do?

-Provide protection for Gastric mucosal barrier
-Renal function
-Platelet aggregation
-Vasoconstriction

10

What type of pain medication does not interact with ulcers even though they are an NSAID?

-COX 2 inhibitors

11

What can cause Ulcers/GI problems?

-COX 1 inhibitors

12

What can cause bleeding problems?

-COX 1 inhibitors

13

What pain medications should you not use if a pt has a history of cardiovascular disease?

-COX 2 inhibitors

14

If a person has kidney disease what should you not give them for pain medication?

-COX 1 and 2 inhibitors

15

If a person has Reye's syndrome what should you avoid?

-Salicylates in children

16

If a person has liver damage what should you avoid when managing pain?

-Acetaminophen

17

What does salicylates (Aspirin) inhibit?

-COX 1 and 2 inhibitor

18

What is the analgesia dose of Salicylates?

-600 mg

19

What is the anti inflammation dose of Salicylates?

-1 gm

20

What is the antipyretic dose of Salicylates?

-300-600 mg

21

What is antipyretic?

-Fever reducer

22

What type of pain do you use Salicylates for?

-Mild to moderate somatic pain

23

What are salicylates often combined with?

-Caffeine
-Acetaminophen
-Opioid

24

What are the side effects of salicylates?

-GI irritation and erosion
-Reye syndrome in children
-Anti-clotting
-Ringing in ears (tinnitis

25

How long can the anti-clotting effect of salicylates last for?

1-2 weeks

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