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PCP Pharm 💜💊 > Module 3.1 > Flashcards

Module 3.1 Flashcards

1
Q

Pain threshold

A

The level of stimulus needed to produce the perception of pain
Physical response to pain

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2
Q

Pain tolerance

A

Amount of pain, a client cam endure without interfering with normal function
Physiological element

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3
Q

Acute pain

A

Intense and sudden onset
Usually subside once treated
Usually sharp, localized and physicallogical response (increased heart rate increase blood pressure)

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4
Q

Persistent, chronic pain

A

3 to 6 months
Dull long lasting aching
Persistent or recurring
Difficult to treat

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5
Q

Noviceptive pain =

A

Injury to tissues

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6
Q

Sharp and localized pain in the skeletal muscles ligaments and joints

A

Somatic

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7
Q

Dull and throbbing pain in internal organs and smooth muscles

A

Visceral

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8
Q

Skin and mucous membranes

A

Superficial

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9
Q

Tissues below the skin

A

Deep

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10
Q

Vascular or pre-vascular tissues ( migraines )

A

Vascular

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11
Q

Origin of pain is referred to another site

A

Referred pain

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12
Q

Injury to nerves may be unexplained feels like burning, shooting or numb pain

A

Neuropathic pain

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13
Q

Pain in a body part that is not been removed feels like burning itching, tingling or stabbing

A

Phantom pain

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14
Q

Can be acute or chronic often results from the pressure of a tumour or a mass against nerves, organs, or tissues

A

Cancer pain

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15
Q

Can be acute or chronic often results from the pressure of a tumour or a mass against nerves, organs, or tissues

A

Cancer pain

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16
Q

Occurs with tumours trauma information or disease that affects the CNS tissues

A

Central pain

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17
Q

Gate theory

A

1) transduction ( touch, hot stove)
2) transmission( finger singles, spinal cord then brain )
3) perception ( what should I do?)
4) Modulation (move my hand)

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18
Q

True or false can the gate theory be altered at any point?

A

True

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19
Q

What are pain receptors called?

A

Nociceptors

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20
Q

Opiate versus opioid

A

Opiate or natural opiates, containing or delivered from opium they’re extracted from unripe poppy seeds
Opioids synthetic or partly synthetic. Also referred to as narcotics.

21
Q

Adjuvant drug

A

Assist primary drugs relieving pain

22
Q

Analgesic

A

A drug to relieve pain
Opiates
Non-opiates
NSAIDS

23
Q

Non pharmacological

A

Ice
Splitting
Physio

24
Q

Three steps to the analgesic ladder

A

Step one
Non-opiates like Tylenol
Step two
Opiates with, or without non-opiates
Tylenol with with T threes Codeine
Step three
Opiates for more severe pain
Morphine and fentanyl

25
Q

Opioid agonist

A

Term used to describe all substances both synthetic or natural that bind to opium receptors in the brain
Oxytocin fentanyl
Causes an analgesic response reduces pain

26
Q

Opioid agonist—— antagonist

A

Bind the pain receptors and cause a weaker response
Talwin

27
Q

Opioid antagonist ( nonanalegsic )

A

Blocks receptors
Narcan

28
Q

Hydromorphine

A

Hydromorphine is 7-8 times stronger then regular morphine

29
Q

Morphine is delivered from

A

Opium, poppies

30
Q

Do not use morphine and patience with what impairment

A

Kidney

31
Q

Miosis ( pinpoint pupils )
O(orthostatic hypotension)
P ( physical dependency)
H (histamine release)
I ( increased ICP)
N ( nausea)
E (euphoria)
S( sedation)

A

Morphine adverse effects

32
Q

How potent is fentanyl versus morphine

A

0:1 fentanyl is equal to 10 morphine

33
Q

Combination drugs

A

Opie in a non-opioid in one tablet
Lowers the doses of the opiate
Reduces the risk of dependency
Reduce the side effects

34
Q

Caffeine increases, or decreases, absorption and distribution

A

Increased

35
Q

Other uses for opiates rather than pain

A

Cough centred ( codeine)
Severe, uncontrolled diarrhea

36
Q

Opioid analgesics ( contraindication)

A

Severe, asthma, or other respiratory
I head injury
Obesity and sleep apena
Pregnancy
Paralytic ileus

37
Q

Opioid adverse effects

A

Resp destres
Constipation
Hypotension
Palpitations
Rash and itching
Pinpoint pupils
Urinary retention

38
Q

What to do in opioid overdose (2 things )

A

Bvm
Naloxne

39
Q

Naloxne drops what

A

Your bp

40
Q

Signs of a overdose

A

Blue lips, or nails
Dizziness and confusion
Can’t be woken up
Choking, gargling, or snoring sounds
Slow week or no breathing
Drowsiness or difficulty staying awake

41
Q

Naloxone reverses what

A

Respiratory distress and pain control
And binds to opiate receptors to prevent a response

42
Q

Acetaminophen can cause what kind of toxicity

A

Hepatotoxicicty

43
Q

The 2 effects Acetaminophin gives

A

Analgesic (pain )
Antipyretic ( reduce fever)

44
Q

What drug blocks pain impulses, peripherally by inhibiting prostaglandin synthesis

A

Acetaminophen

45
Q

What drug can lead to
Reyes syndrome in children

A

Aspirin

46
Q

What is the first choice of drug and children and adolescents with flu symptoms?

A

Acetaminophen
Tylenol

47
Q

Maximum daily dose for an adult of acetaminophen

A

4000mg
Extra strength is 500 MG per tablet

48
Q

Antidote for acetaminophen

A

Acetylcysteine ( mucomyst)
Within 10 hours

49
Q

When not to take acetaminophen

A

Literally do not take it if you have any liver issues made clear in the notes 4 different times
Or taking any hepatotoxic drugs
Don’t fuck with Tylenol if you have liver problems

PCP Pharm 💜💊 (6 decks)

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