Anaesthetics Pain Flashcards

1
Q

what is pain

A

an unpleasant sensory and emotional experience with acutal or potential tissue damage

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2
Q

why treat pain

A

1 in 4 live with persistent pain
lowers quality of life
lower back pain is number 1 disease

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3
Q

wha are the physical benefits for treating pain

A

better sleep

fewer medical complications

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4
Q

what are the psychological benefits of treating pain

A

reduced suffering
less depression
less anxiety

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5
Q

what are the benefits for the fmaily

A

no longer see love one suffering

able to keep working

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6
Q

what are the benefits for soecity

A

lower health costs

can contribute to community

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7
Q

what is the classification of pain

A

duration
cause
mechanism

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8
Q

what are the different type of duration

A

acute
chronic
acute on chronic

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9
Q

what are the different causes

A

cancer

no-cancer

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10
Q

what are the different mechanisms

A

nociceptive

neuropathic

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11
Q

what is nociceptive pain

A

obvious tissue injury
inflammatory pain
sharp and dull
well localised

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12
Q

what is neuropathic pain

A

nervous system damage
tissue injury may not be obvious
bruning, numbness, pins and needles
not well localised

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13
Q

what happens at the periphery

A

tissue injury
release of chemicals
stimulation of pain receptors-alpha or c fibres
signsal travels to spinal chrod

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14
Q

what happens int he spinal chord

A

goes to dorsal horn
A or c nerve synapses
the second nerv travels up the opposite side of the spinal chord

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15
Q

what happens int he brain

A

the thalamus is the second relay system
connections to many parts of the brain
pain perception occurs int he cortex

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16
Q

what is the gate control theory

A

when pain is felt, rubbing or itching to emliamte the pain

this activates no nociceptive fibres which can interfere with singles from pain fibres which can inhibit pain

17
Q

what are the drug classifications

A

simple analgesics -NSAIDSs, para
opioids
other analgesics- antidepressents

18
Q

what are treatments for peripheral pain

A

rest, ice

NSAIDs

19
Q

what are treatments for spinal chord

A

acuptuncture
opiods
ketamine

20
Q

what are treatmentsfor brain

A

paracetamol

opioids

21
Q

explain paracetamol

A

cheap and safe
given orally, rectally or iv
liver damage if OD

22
Q

explains NSAIDS

A

aspirin, ibuprofen
cheap and safe
good for nociceptive pain
GI and renal side effects

23
Q

explain codeine

A

cheap and safe
good for nociceptive pain
constipation

24
Q

explain tramadol

A

weak opioid

can cause nausea and vomitting

25
Q

explain morphie

A

cheap and safe
orally iv or IM
good for severe pain
can cause constirpation

26
Q

explain Amitriptiline

A

tryclyci antidepressent

treated depression and poor sleep

27
Q

what is the RAT approach

A

recognise

assess and treat

28
Q

how do you assess

A

verbal rating
type
physcal factors