Acute Pain Flashcards
Dosing for acetaminophen adult
325mg-650mg q4-6h; 1000mg q6h; ER 650-1300mg q8h
Dosing for acetaminophen child
10-15mg/kg/dose po q4-6h; 15-20mg/kg/dose pr q6h
Max dose of acetaminophen for child
0-3mos: 60mg/kg po; 80mg/kg pr
> 3mos: 75mg/kg po; 80mg/kg pr
Ibuprofen adult dosing
200-400mg q 4-6h
ibuprofen child dosing
5-10mg/kg/dose q6-8h
ibuprofen adult max
1200mg OTC or 3200mg Rx
ibuprofen child max
40mg/kg/day
Ibuprofen, ASA, Naproxen DI
anticoagulants, SSRIs, lithium, methotrexate, diuretics, ACEI, ARBs
Acetaminophen DI
Warfarin at > 1.3g/day for more than one week
Products with codeine would likely need ___mg of codeine for moderate pain. Even then evidence of efficacy is limited.
60mg
P3QRSTOO
Place, Provoking, Palliating, Quality, Radiating, Severity, Timing, Onset, Other factors
SCHOLAR
Symptoms, Characteristic, History, Onset, Location, Aggravating factors, Remitting factors
MAC
Current Medications, Allergies, Coexisting conditions
What causes the pain from dysmenorrhea?
Prostaglandin myometrial contractions
When does secondary dysmenorrhea typically present itself?
Onset of menarche (1st or 2nd cycle) or after age of 25
When does primary dysmenorrhea typically present itself?
Within 2 years of onset of menarche
What are the risk factors for dysmenorrhea?
nulliparous, smoker, prolonged and heavy menstrual flow, menarche starting
What are the 2 prescription NSAIDs that can be used to treat dysmenorrhea?
Diclofenac and mefenamic acid
What is a mild diuretic often found in products like midol?
pamabrom 25mg
What is a 1st gen antihistamine often found in products like midol?
pyrilamine 15mg
What is the typical duration of TTH?
0.5 hour - 1 week
TTH patients may also experience photo or phonophobia. T or F
True
What is considered episodic TTH and chronic TTH?
episodic
What percent of patients are migraine free for 2 hours after 1000mg of APAP?
57.8% only about half of the patients
