Lecture 8: Pain Management Flashcards
What is the goal to the treatment of pain?
Remove the underlying cause
What do nearly all disease processes have in common?
They cause pain
What two domains does pain affect us in?
Physically and emotionally
What is acetaminophen used for?
To treat mild to moderate pain
What is used to treat mild to moderate pain?
Acetaminophen
What is a major problem with acetaminophen and under what conditions does this occur?
Hepatotoxicity with excessive use (>3g/day)
What reduces prostaglandin-mediated cytoprotection in the GI tract (can cause Ulceration)
NSAIDs
What is really bad about NSAIDs?
They reduce prostaglandin-mediated cytoprotection in the GI tract (Cause Ulceration)
What pain drug does not lead to addiction?
Opiates
What does opiate overdose do?
Cause respiratory depression, leading to death
What drug causes respiratory depression, leading to death upon overdose?
Opiates
Which drug is considered the gold standard for pain management?
Morphine
What feelin’ does morphine produce?
Euphoria
What drug produces feelings of euphoria?
Morphine
What is usually combined with Hydrocodone and Oxycodone?
Acetaminophen
What 2 drugs is acetaminophen usually combined with?
Hydrocodone
Oxycodone
What 3 kinds of drugs best manage neuropathic pain?
- Tricyclic antidepressants
- GABASA agonist
- Serotonin/norephinephrine reuptake inhibitors (SNRI)
What is best managed by the drug types: tricyclic antidepressants, GABASA agonist or serotonin/norephinephrine reuptake inhibitors (SNRI)?
Neuropathic pain
What kind of drug is not good for treating neuropathic pain?
Opioids
What type of pain are opiods not good for treating?
Neuropathic pain
What drug is used for muscle spasm?
Diazepam (Valium)
What is Diazepam (Valium) used for besides pain?
Treating muscle spasms
What are 3 adverse effects of muscle spasm drugs?
- Drowsiness
- Dizziness
- CNS side effects
Why might it be difficult getting treatment for RA?
RA treatment is costly
What drug is not useful for treating RA?
NSAIDs
What disease is NSAIDs not good for?
RA
What 2 drugs are first line treatments for neuropathic pain?
Gabapentin
Amitriptyline
What are Gabapentin and Amitriptyline?
First line treatment drugs for neuropathic pain
