OA (vivien tham)

Question 1

Pain relief

1. mild to moderate pain:
2. moderate to severe pain:
3. severe pain:

Answer 1

1. mild to moderate pain: NSAIDs or paracetamol
2. moderate to severe pain: mild opioids (Eg. codeine, tramadol)
3. severe pain: strong opioids (eg. morphine, fentanyl)

Question 2

Avoid _____ while taking paracetamol

Answer 2

drinking alcohol

Question 3

Overdose of paracetamol might have some signs of liver injury/failure:

Answer 3

nausea
vomiting
stomach pain
jaundice
gastric bleeding
confusion (accumulation of toxin)

Question 4

Max. dose/24hrs for paracetamol is

Answer 4

4g

Question 5

Paracetamol is given every ___ hrs

Answer 5

4

Question 6

Contraindications of NSAIDs

Answer 6

Asthmatic patient
impaired Renal function
Gastric irritation/ulcer
worsen Heart function

(ARGH)

Question 7

NSAIDs (topical) are better for pain ________, while oral is better for ________.

Answer 7

near the surface;

body wide pain

Question 8

Caution of NSAIDs

Answer 8

Caution while on anticoagulation or antiplatelet as it may increase risk of bleeding

Question 9

Non-selective NSAIDs need to be taken before/after food. This minimises ________ (due to COX-1 irriation).

Answer 9

Non-selective NSAIDs need to be taken after food. This minimises gastric irritation (due to COX-1 irriation).

Question 10

S&S of opioids

Answer 10

drowsiness
nausea
vomiting
reduced RR
constipation

Question 11

Opioids increase risk of ________ , ________ and ________ in elderly

Answer 11

sedation, fall & fractures

Question 12

Triamcinolone is a ________.

Only used for patients with ______ pain.

Answer 12

glucocorticoid.

moderate to severe pain

Question 13

Triamcinolone lasts for up to ___ wks.

Answer 13

6

Question 14

Triamcinolone effects are only limited to the ______

Answer 14

joints

Question 15

Do not administer Triamcinolone & Hyaluronic acid if patient has _________

Answer 15

joint infection

Question 16

Hyaluronic acid is for ________ OA

Answer 16

symptomatic