Drugs: Pain + Nausea Flashcards
SOCRATES Mnemonic for Pain
Site Onset Character Radiation Associated symptoms Time/ duration Exacerbating + relieving factors Severity
1st line management for chronic neuropathic pain
Amitriptyline
Duloxetine
Gabapentin
Pregabalin
1st line “rescue therapy” for acute exacerbations of neuropathic pain
Tramadol
1st line for Trigeminal neuralgia
Carbamazepine
Management for post-herpetic neuralgia
Localised pain: Topical capsaicin cream
Burning pain
Shooting pain
Numbness (pins and needles)
Not localised
Neuropathic pain
Sharp pain
Dull pain
Localised
Nociceptive pain (body responding to damage)
Paracetamol dosage for kids
15mg/kg in kids
Paracetamol is absorbed in the
proximal small bowel
- 20 to 60mins onset
Take paracetamol levels at
4 hours to allow maximum absorption
Time to effect of IV morphine
5 mins for 85%
15 mins for 100% effectiveness
10mg Oramorph lasts
4-6 hours
10mg MST lasts
12 hours
Anticipated medications for end of life
Morphine
Midazolam
Levomepromazine
Buscopan
No fluids (worsens resp secretions)
If pain is not controlled by morphine
increase dose by 30 - 50%