Exam 2-Wk 8 Flashcards
Week 8
Salicylates
With an allergy to, what should be avoided?
flavors/meds/ingredients-3
- pepto bismol
- alka-seltzer
- muscle rubs
- peppermint & spearmint
Salicylism
What is it?
acute/chronic dose of aspirin (>299mcg/L)
Salicylism
Signs/Sx’s
- CNS/respiratory depression
- tinnitus
- hyperthermia
- metabolic acidosis
- organ failure
Salicylism
Tx
- emesis
- gastrc lavage
- alkalinization of urine
Acetaminophen
Overdose amount and tx for that
Overdose amount: >4000mg in 24 hours
Tx: acetylcysteine
Hyperalgesia
What is it?
increased sensitivity and extreme response to pain
Hyperalgesia
Drug that causes it
morphine
Allodynia
What is it?
pain response from an atypical stimuli for pain
Allodynia
Drug that can cause it
morphine
Nociceptive pain
What is it from? Tx?
From mechanical/chemical trauma
Tx: analgesics
Nociceptive pain
subclasses
2
somatic and visceral
nociceptive pain
somatic pain characteristics
sharp, localized sensations in muscles/joints
Nociceptive pain
Visceral pain characteristics
generalized, dull, throbbing, aching. Usually from internal organs
Neuropathic pain
What is it?
(And what causes it?)
damaged sensory nerves
causes: sometimes from trauma, often from disease/disorder
Nauropathic Pain
Tx
adjuvant analgesics (antiseizure and antidepressants)
Migraine
Pain level, location, character
- mod-severe
- unilateral
- pulsing/throbbing
Migraine
Duration
4-72 hrs
Migraine
Triggers
female hormones, stress, bright lights, weather, MSG
Migraines
Associated sx’s
N/V, some aura, light/sound/smell sensitivity, worsens w/ physical activity
Tension Headache
Pain level, location, character
- mild-mod
bilateral band
steady/tight
Headache
duration
several hours
Headache
triggers
stress, anxiety, lack of sleep
Headache
associated sx’s
no nausea
Cluster headache
pain, location, character
- severe pain
- unilateral
- constant stabbing behind eye/temple
Cluster headache
Duration
30-90 min several times a day
Cluster Headache
Associated sx’s
tearing, red eyes, stuffy nose, restless
migraines
Prophylaxis Tx
1
nonselective beta blockers
migraines
abortive Tx
3
- NSAIDs/ acetaminophen/ caffeine
- serotonin receptor agonists (triptans)
- dopamine agonists
