Human disease L36: Palliative care and pain management Flashcards
according to the WHO analgesic ladder
mild pain = step 1
what drugs would be given for pain?
non-opioid with/without adjuvant analgesic
do NSAIDS fall in to the non-opioids category
yes it does
what are opioids
Opioids are a broad group of pain-relieving drugs that work by interacting with opioid receptors in your cells. Opioids can be made from the poppy plant — for example, morphine
according to the who alangesic ladder
mild to moderate pain = step 2
what medication would be given
opioid for mild to moderate pain, plus non-opioid with/without adjuvant analgesic
according to the who analgesic ladder
moderate to severe pain = step 3
what medication would be given
opioid for moderate to severe pain plus non-opioid with/without adjuvant analgesic
what determines the moving up the who analgesic ladder
if pain is persisting move up one step
what determines moving down the who analgesic ladder
signs of toxicity or severe side effects,
reduce dose or move down one step
analgesic classes
which class do the following drugs fall in to
paracetomol, (NSAIDS) aspirin, ibuprofen, diclofenac, naproxen, etoricoxib, celecoxib
non-opioids
analgesic classes
which class do the following drugs fall in to
codeine
dihydrocodeine
tramadol
mild opioid
analgesic classes
which class do the following drugs fall in to
morphine - 1st line
oxycodone - 2nd line
fentanyl
diamorphine
buprenorphine
methadone
hydromorphone
strong opioid
analgesic classes
which class do the following drugs fall in to
tricyclic antidepressants
serotonin noradrenaline
reuptake inhibitors
anticonvulsants
adjuvant analgesics
