Acute Pain Flashcards

1
Q

Dosing for acetaminophen adult

A

325mg-650mg q4-6h; 1000mg q6h; ER 650-1300mg q8h

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2
Q

Dosing for acetaminophen child

A

10-15mg/kg/dose po q4-6h; 15-20mg/kg/dose pr q6h

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3
Q

Max dose of acetaminophen for child

A

0-3mos: 60mg/kg po; 80mg/kg pr

> 3mos: 75mg/kg po; 80mg/kg pr

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4
Q

Ibuprofen adult dosing

A

200-400mg q 4-6h

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5
Q

ibuprofen child dosing

A

5-10mg/kg/dose q6-8h

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6
Q

ibuprofen adult max

A

1200mg OTC or 3200mg Rx

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7
Q

ibuprofen child max

A

40mg/kg/day

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8
Q

Ibuprofen, ASA, Naproxen DI

A

anticoagulants, SSRIs, lithium, methotrexate, diuretics, ACEI, ARBs

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9
Q

Acetaminophen DI

A

Warfarin at > 1.3g/day for more than one week

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10
Q

Products with codeine would likely need ___mg of codeine for moderate pain. Even then evidence of efficacy is limited.

A

60mg

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11
Q

P3QRSTOO

A

Place, Provoking, Palliating, Quality, Radiating, Severity, Timing, Onset, Other factors

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12
Q

SCHOLAR

A

Symptoms, Characteristic, History, Onset, Location, Aggravating factors, Remitting factors

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13
Q

MAC

A

Current Medications, Allergies, Coexisting conditions

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14
Q

What causes the pain from dysmenorrhea?

A

Prostaglandin myometrial contractions

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15
Q

When does secondary dysmenorrhea typically present itself?

A

Onset of menarche (1st or 2nd cycle) or after age of 25

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16
Q

When does primary dysmenorrhea typically present itself?

A

Within 2 years of onset of menarche

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17
Q

What are the risk factors for dysmenorrhea?

A

nulliparous, smoker, prolonged and heavy menstrual flow, menarche starting

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18
Q

What are the 2 prescription NSAIDs that can be used to treat dysmenorrhea?

A

Diclofenac and mefenamic acid

19
Q

What is a mild diuretic often found in products like midol?

A

pamabrom 25mg

20
Q

What is a 1st gen antihistamine often found in products like midol?

A

pyrilamine 15mg

21
Q

What is the typical duration of TTH?

A

0.5 hour - 1 week

22
Q

TTH patients may also experience photo or phonophobia. T or F

A

True

23
Q

What is considered episodic TTH and chronic TTH?

A

episodic

24
Q

What percent of patients are migraine free for 2 hours after 1000mg of APAP?

A

57.8% only about half of the patients

25
Q

Ibuprofen 400mg is better than 200mg and better than placebo in treating migraines. T or F

A

False, ibuprofen 200mg same as 400mg but both better than placebo

26
Q

Other than ibuprofen and APAP, what other OTC product can be used for migraines?

A

ASA 1000mg

27
Q

Other than ibuprofen and APAP, what other OTC product can be used for migraines?

A

ASA 1000mg

28
Q

What are the red flag symptoms associated with TTH that requires a referral?

A

abrupt onset with intense pain, onset with exercise, neurological signs

29
Q

APAP is ineffective in treating TTH. T or F

A

False, it is effective but less than ibuprofen, naproxen, ASA

30
Q

Addition of caffeine (>100mg) is particularly useful in headaches, dysmenorrhea, post-op pain. T or F

A

False, useful in headache and post-op pain only

31
Q

What is in AAC? And what is it used for?

A

APAP 500mg, ASA 500mg, Caffeine 130mg; for migraine (superior to ibuprofen 400mg)

32
Q

AAC is found to be superior to ____ but not _____ for migraines.

A

sumatriptan 50mg but not 100mg

33
Q

Is capsicum topical effective for LBP?

A

likely not beneficial; 1 low quality trial showed improvement at day 3

34
Q

Is OTC codeine products useful in LBP?

A

No evidence to support use

35
Q

What are the prescription anti-spasticity drugs used in LBP?

A

baclofen, dantrolene

36
Q

What are the OTC non-BDZ muscle relaxants?

A

methocarbamol, chlorzoxazone, orphenadrine citrate

37
Q

What is in acetazone forte C8?

A

acetaminophen 300mg, chlorzoxazone 250mg, codeine 8mg

38
Q

Which of the OTC non-BDZ muscle relaxants has anticholinergic effects?

A

orphenadrine citrate

39
Q

What is the dose range and regimen for methocarbamol?

A

400mg-1500mg QID

40
Q

What is the dose range and regimen for Orfenace?

A

50-100mg BID-TID

41
Q

What is the dose range and regimen for chlorzoxazone?

A

250mg-750mg TID-QID

42
Q

Should muscle relaxants be recommended for LBP?

A

No evidence to support use; recommend short term use only (

43
Q

Which OTC muscle relaxants have been associated with reversible hepatotoxicity?

A

Chlorzoxazone