Acute Pain Flashcards
1
Q
what is pain?
A
IASP definition
2
Q
spinal pathways for pain transmission?
A
spinothalamic - medial and lateral
3
Q
what is the WHO pain ladder?
A
- simple analgesic - paracetamol, nsaids
- mild opioid - codeine, dihydrocodeine
- stronger opioid - morphine, fentanyl/remifentanyl
4
Q
what is multimodal analgesia?
A
combination of analgesic agents with different MOA
main aim to reduce side effects of increasing dose of a single agent
hit ceiling analgesic effect and increase side effects if you keep increasing dose beyond a certain point
5
Q
how to assess pain?
A
pain at rest/on movement
vital signs
facial expressions
VAS
6
Q
what are NSAIDs?
A
non-selective COX inhibitors
7
Q
complications of opioids?
A
resp depression
constipation
n&v
pruritus
urinary retention
