analgesia Flashcards
1
Q
what are the side effects of paracetamol?
A
hepatic failure in OD
2
Q
what are CI to paracetamol?
A
severe liver disease
3
Q
what are the side effects of strong + weak opioids?
A
CNS:
- rsep depression
- sedation
- n+v
- euphoria
- anti-tussive
- dependence
- meiosis
non-CNS:
- constipation, urinary ret
- pruritis
- bradycardia, hypotension
4
Q
what are examples of strong opioids?
A
morphine diamorphine buprenorphine fentanyl pethidine oxycodone
5
Q
what are examples of weak opioids?
A
codeine
dihydrocodeine
tramadol
6
Q
what are side effects of NSAIDs?
A
gastric + duodenal ulceration
na + water retention- wosens heart failure
interferes with ACEi/ARB
can worsen/precipitate asthma
COX-2 selectives increase CV risk
7
Q
what is the WHO analgesia ladder?
A
1) non-opioid +/- adjuvants
2. weak opioid + non-opioid +/- adjuvants
3) strong opioid + non-opioid +/- adjuvants
