Lecture 8: Pain Management Flashcards

1
Q

What is the goal to the treatment of pain?

A

Remove the underlying cause

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2
Q

What do nearly all disease processes have in common?

A

They cause pain

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3
Q

What two domains does pain affect us in?

A

Physically and emotionally

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4
Q

What is acetaminophen used for?

A

To treat mild to moderate pain

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5
Q

What is used to treat mild to moderate pain?

A

Acetaminophen

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6
Q

What is a major problem with acetaminophen and under what conditions does this occur?

A

Hepatotoxicity with excessive use (>3g/day)

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7
Q

What reduces prostaglandin-mediated cytoprotection in the GI tract (can cause Ulceration)

A

NSAIDs

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8
Q

What is really bad about NSAIDs?

A

They reduce prostaglandin-mediated cytoprotection in the GI tract (Cause Ulceration)

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9
Q

What pain drug does not lead to addiction?

A

Opiates

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10
Q

What does opiate overdose do?

A

Cause respiratory depression, leading to death

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11
Q

What drug causes respiratory depression, leading to death upon overdose?

A

Opiates

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12
Q

Which drug is considered the gold standard for pain management?

A

Morphine

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13
Q

What feelin’ does morphine produce?

A

Euphoria

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14
Q

What drug produces feelings of euphoria?

A

Morphine

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15
Q

What is usually combined with Hydrocodone and Oxycodone?

A

Acetaminophen

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16
Q

What 2 drugs is acetaminophen usually combined with?

A

Hydrocodone

Oxycodone

17
Q

What 3 kinds of drugs best manage neuropathic pain?

A
  1. Tricyclic antidepressants
  2. GABASA agonist
  3. Serotonin/norephinephrine reuptake inhibitors (SNRI)
18
Q

What is best managed by the drug types: tricyclic antidepressants, GABASA agonist or serotonin/norephinephrine reuptake inhibitors (SNRI)?

A

Neuropathic pain

19
Q

What kind of drug is not good for treating neuropathic pain?

A

Opioids

20
Q

What type of pain are opiods not good for treating?

A

Neuropathic pain

21
Q

What drug is used for muscle spasm?

A

Diazepam (Valium)

22
Q

What is Diazepam (Valium) used for besides pain?

A

Treating muscle spasms

23
Q

What are 3 adverse effects of muscle spasm drugs?

A
  1. Drowsiness
  2. Dizziness
  3. CNS side effects
24
Q

Why might it be difficult getting treatment for RA?

A

RA treatment is costly

25
Q

What drug is not useful for treating RA?

A

NSAIDs

26
Q

What disease is NSAIDs not good for?

A

RA

27
Q

What 2 drugs are first line treatments for neuropathic pain?

A

Gabapentin

Amitriptyline

28
Q

What are Gabapentin and Amitriptyline?

A

First line treatment drugs for neuropathic pain