Medication Management Surgical Patient

Question 1

Types and characteristics of pain (5)

Answer 1

Somatic: sharp, localised
Visceral: cramps, radiates sometimes
Neuropathic: burning, tingling, radiating
Referred: somewhere else e.g. Back pain from pancreatitis
Breakthrough: pain on top of morphine covered pain

Question 2

COX-1 and COX-2

Answer 2

House keeping of clotting, stomach lining, kidney function. Blocking these may lead to bleeds and altered blood flow to kidneys
COX 2 is always around but unregulated when there is inflammation

Question 3

Difference in diabetes

Answer 3

Type one- autoimmune destroying beta cells in pancreas. No insulin or very minimal insulin
Type two, worn out insulin, needs to supplement

Question 4

Glycoslated haemoglobin

Answer 4

When glucose is in excess it attaches to haemoglobin. Should have less than 7%.