Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

PEDO (Spring) > 4. Pain Management > Flashcards

4. Pain Management Flashcards

1
Q

When should be be evaluated and documented

A

every appointment

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What considerations should be kept in mind when deciding what pain management meds should be used

A
  • Individual patient/familt
  • Extent of treatment
  • Duration of procedure
  • Psychological factors
  • Medical history/ physiologic factors (bleeding disorders, liver, and kidney problems)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What are the first line drug therapy for pre and post op pain

A

non-opiod analgesics (esp. NSAIDs)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Which have anti-inflammatory properties

  • Tylenol
  • Motrin
  • Codeine
  • Advil
A

Motrin and advil (also ibprophen)– only NSAIDs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Why should caution be used with opiods

A

respiratory depression- most common cause of death with opiod use

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Properties of NSAIDs

A

Antipyretic
Anti-inflammatory
Analgesic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Dosing for children less than 12 (ibprofen)

A

4-10 mg/kg/dose every 6-8 hrs

Max= 40 mg/kg/24 hrs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Dosing for children >12 Ibprofen

A

200 mg every 4-6 hrs

Max=1.2g/24 hr

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Dosing for adult ibprofen

A

200-400mg every 4-6 hr

Max=1.2 g/24hr

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

MOA of NSAIDs

A
  • Inhibition of COX (cyclooxygenase) enzymes

- Prevents the formation of prostaglandins

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Caution should be used with NSAIDs in what patients

A
  • GI disease
  • Bleeding disorders (affects platelet aggregation- increases bleeding time)
  • Impaired renal function
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Why is aspirin avoided in kids

A

linked to reye’s syndrome

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Properties of acetaminophen

A

antipyretic and analgesic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Dosing for tylenol in kids <12

A

10-15 mg/kg every 4-6hr

Max= 90mg/kg/24 hr – not exceeded 2.6g/24hr

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Dosing for tylenol in kids <12

A

325-650mg every 4-6 hr or 1000mg 3-4 times a day

Max= 4g/24hrs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

MOA of tylenol

A

not fully understood (thought to act through COX inhibition

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

T/F Caution should be taken when using tylenol in kids with bleeding disorders

A

F- tylenol doesn’t disrubte platelet aggregation and clotting time

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

OD of tylenol can lead to

A

acute liver failure

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Name the metabolic substrate that causes acetaminophen toxicity

A

NAPQI

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

When detoxifies NAPQI

A

glutithione

21
Q

What is the antidote for tylenol OD and how does it work

A

NAC (N-acetylcysteine) acts by bumping up glutithione

22
Q

Initial symptoms of acetaminophen toxicity are

A
  • Nausea
  • Vomiting
  • Drowsniness
  • Lethargy
  • Malaise
23
Q

progression of tylenol toxicity can lead to

A
  • Upper right quadrant pain
  • Tachycardia
  • Hypotension
  • Hepatic disfunction
  • Multi-organ failure
24
Q

Look at chart on slide 11

A

ok

25
Q

State the amount of acetaminophen in #2,3, and 4 acetaminopen with codeine

A 
2= 300 mg acetaminophen and 15mg codeine 
3= 300mg acetaminophen and 30 mg codeine 
4= 300 mg acetaminopen and 60 mg codeine
26
Q

How much acetaminophen and codeine present in liquid tylenol and codeine

A

120mg acetaminophen +12 mg codeine (5mL suspension)

27
Q

Dosing for child <12 for tylenol with codeine

A

0.5-1mg codeine/kg/dose every 4-6 hrs
10-15mg acetaminophen/kg/dose every 4-6 hr

Max
-90 mg/kg acetaminophen in 24 hr (not to exceed 2.6 mg acetaminophen in 24 hrs)

28
Q

Codeine has the potential for _ if OD

A

respiratory depression (it’s a narcotic)

29
Q

Codeine is metabolized into what by what organ

A

morphine by the liver

30
Q

Describe ultra-fast and slow metabolizers

A

Ultra-fast
-Require higher doses for effect (easy to OD)

Slow
-Takes a long time for effect to kick in (impatience –> OD)

31
Q

Why is there little potential for addiction with codeine

A

short course of administration

32
Q

Analgesics for mild/moderate pain should recommend

A

OTC

33
Q

Moderate/Severe pain- recommend what analgesics

A

acetaminophen and ibprofen

  • Don’t exceed to max dose per day for each
  • As one med wears off the other is peaking
34
Q

What should you do if you expect there to be post op pain

A
  • I.e exo or SSC

- Give pre-op analgesics or recommend dose before anesthesia wears off.

35
Q

Antibiotics should be used when

A

Acute infection

  • Facial swelling
  • Tooth painful to palpation
  • Pain wakes kid up at night
36
Q

Perscribe AB for acute infection then ask to return how long later for exo

A

5-10 days

37
Q

Purpose of perscribing AB then Exo

A
  • May not be able to get tissue fully numb

- Get child out of acute pain (better cooperation for exo)

38
Q

T/F analgesics can be used with ABs

A

t

39
Q

Dosing of amoxicillin in kids <12 or <40 kg

A

20-40 mg/kg/day Dosing every 8 hrs

25-45mg/kg/day divided into doses every 12 hrs

40
Q

Dosing for kids >12 amoxicillin or >40kg

A

250-450mg every 8 hr

OR

500-875mg every 12 hr

41
Q

Forms of amoxicillin

A

Liquid (250 mg.5mL) or (125mg/5mL)
Chewable tab (250mg)
Tab (500mg)

42
Q

Dosing for child clindamycin

A

8-20 mg/kg/day in 3-4 doses

43
Q

Dosing for adults clindamycin

A

150-450 mg every 6 hrs

44
Q

Forms of clindamycin

A

Liquid (75mg/5mL)

Capsule (150mg and 300 mg)

45
Q

dosing for kids is based on (age/weight)

A

age- not every kid falls in average weights

46
Q

1 tsp= _mL

A

5

47
Q

Most meds given to kids are in (liquid/tab) form

A

liquid

48
Q

Review calculations and script writing

A

ok

PEDO (Spring) (9 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions