Adjuvant Pain Meds Flashcards
Of clinically manifested cases of back pain, about —% are a consequence of VCFs
1%
Acute pain can occur when the fx first occurs, and often resolves —–.
After a few weeks
Subacute back pain is described as a mild to moderate back pain and can persist for —–.
Several months
List 3 nonpharmacological tx for pain associated with VCF:
- braces
- PT
- kypho/vertebroplasty
4 major categories of pain mess that may be used to treat pain associated with VCFs:
- acetaminophen
- non steroidal anti-inflammatory drugs
- other non-narcotic pain meds
- narcotic pain meds
What is one substantial risk that motivated the FDA to reunite a warning on acetaminophen labels?
-risk of severe liver damage if taken by people who drink large amts of alcohol
Mechanism of action of NSAIDs?
Inhibit Cox-1 and Cox-2 enzymes
Most significant risk associated with use of NSAIDs for > 2 mos?
Peptic ulcers, GI bleeding
What type of non-narcotic analgesic is likely to be prescribed to an elderly patient who has a hx of GI bleeding?
Cox-2 inhibitors
Potential SE of narcotics in elderly patients?
Risk of breathing problems
3 examples of narcotic pain meds
- methadone
- morphine
- codeine
One study shows that — of women with VCF gave a hx of pain severe enough to require consult and X-ray
1/3
