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CP3 Crit Care > Analgesia > Flashcards

Analgesia Flashcards

1
Q

Define acute pain

A

<3 months

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2
Q

What type of pain tends to be acute?

A

Nociceptive

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3
Q

What type of pain tends to be chronic?

A

Neuropathic

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4
Q

Adverse effects of pain (6)

A

Decr Resp excursios –> hypovent + collapse
GI atony
Bladder atony –> retention
CAH release –> VC –> incr cardiac work
Decr wound perfusion + healing
Psychological

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5
Q

Step 1 WHO pain ladder

A

Non-opioid +/- adjuvant

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6
Q

Step 2 WHO pain ladder

A

Weak opioid +/- non-opioid +/- adjuvant

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7
Q

Step 3 WHO pain ladder

A

Strong opioid +/- non-opioid +/- adjuvant

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8
Q

E.g.s weak opioid

A

Codeine

Tramadol

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9
Q

E.g.s of strong opioids

A 
Morphine
Fentanyl 
Oxycodone
Hydromorphone 
Buprenorphine
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10
Q

E.g.s of adjuvants used on WHO pain ladder (6)

A 
Anti-Ds 
Anticonvulsants 
Antispasmodics
Mm relaxant 
Bisphosphonates
CCS
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11
Q

Dose paracetamol

A

1g ev 4-6hr oral

Or IV 1g over 15mins

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12
Q

Max dose paracetamol /day

A

4g

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13
Q

NSAIDS indications

A

Pain + inflamm MSK disorders

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14
Q

Cautions NSAIDS (4)

A

Breast feeding
Hypersensitivity
AKI/CKD
Elderly

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15
Q

C/I NSAIDS (2)

A

HF

Peptic ulcer

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16
Q

Dose NSAID

A

300-400mg daily

17
Q

Max dose NSAIDs /day

A

2.4g

18
Q

Cautions codeine (4)

A

Impaired resp function
HOTN
Shock
Asthma attacks

19
Q

C/I codeine

A

Acute resp depression

20
Q

SE codeine (3)

A

N/V
Dry mouth
Constipation

21
Q

Dose codeine

A

30-60mg ev 4 hrs

22
Q

Max dose codeine /day

A

240mg

23
Q

What co-prescription does morphine require?

A

Anti-emetic

24
Q

dose- acute pain Morphine

A

10-15mg every 2-4h

25
Q

Dose - MI - morphine

A

Slow IV 1mg/min for 5mg

26
Q

Dose - Acute pulmonary oedema - morphine

A

5-10mg PO/SC/IM ev 4hr

CP3 Crit Care (9 decks)

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