ACUTE Pain Managemnt Flashcards
What is acute pain
Pain that last for less than 3 months
What are the principles of acute pain management
Needing both non pharmalogical and pharmalogical therapy
Use analgesia for the shortest period of time
Prophylaxis pain management is acceptable esp when it is predicable ( post opp, acute herpes zoster)
Do not use controlled relapse opioid due risk of respiratory depression, delayed onset of action, prolonged duration of action making adjustments and titrations impossible
When should you reconsider pathology of pain( when to refer/ when medication isn’t working
- changes in pattern of pain
- if pain is becoming chronic
- increase in severity
- responds poorly to appropriate management
What are non pharmacological therapies of pain
Physical intervention - apply heat or cold to site of pain, warm soak,physical exercise is important as it helps reduce pain by releasing endogenous opioids, reduces manifestation to chronic pain and reduces down time
Phycological intervention-relaxation( deep breathing), stress ball
Pharmacological therapy for acute pain
Acute pain requires a multimodal ( multiple drug ) regime to control pain. Main aim is to reduce severity and duration or pain
- medications used
- non opioid analgesic- paracetamol and nsaids
- opioids- tramadol, codeine, oxycodone, hydromorphone, methadone, Fentynal,,tapentadol,
Adjuvants- pregablin, gabapentnoids, tca, Ssri/Nri
Management for noiceptive pain