Pain Flashcards

1
Q

Local anesthetic

Action

A

inhibit transport of ions across neuronal membranes

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2
Q

Ketamine action

A

produces a cataleptic-like state in which the patient is dissoviated from the surrounding environment by action on cortex and limbic system

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3
Q

How long does IM anesthetic take to take effect

A

3-4 minutes

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4
Q

Ketamine adverse reaction

A

CNS :prolonged emergence

Hullicinations

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5
Q

Ketamine contraindication

A

hypersensitivity

scenerios where hypertension would be dangerous

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6
Q

Ketamine patient management

A

continous vitals monitoring

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7
Q

ketamine iv dose pain

A

10-20mg

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8
Q

Ketamine anesthesia dose iv

A

1-2mg/kg

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9
Q

Ketamine IM dose

A

20-40mg

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10
Q

Salicylate action

A

inhibits prostaglandins and dilates blood vessels

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11
Q

Salicylate use

A

Mild to moderate pain
reduction of temp
inflammatory conditions
decrease risk of MI

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12
Q

Salicylate adverse effects

A

May cause Reye syndrome in children with chicken pox

Gastric upset, heartburn, nausea vomiting and GASTRO BLEEDING

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13
Q

Salicylate contraindications

A

bleeding disorder

preg(D)

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14
Q

Salicylate example

A

Aspirin

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15
Q

Non-Salicylate action

A

analgesic and antipyretic

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16
Q

Non-Salicylate use

A

mild to moderate pain
antipyretic
arthritis

17
Q

Non-Salicylate adverse effects

A

hepatoxicity

18
Q

Non-Salicylate contraindications

A

Hepatoxicity

Pregnancy (B)

19
Q

Non-Salicylate patient management

A

assess for alcohol use

20
Q

Non-Salicylate examples

A

Acetaminophen

21
Q

Nsaids Action

A

inhibits the enzyme cyclooxygenase (cox1 and cox2 non selective) or Cox 2 selective) which is responsible for prostaglandin synthesis

22
Q

NSAIDS use

A

mild to moderate pain
Fevers
Dysmenorrhea

23
Q

Nsaids contraindications

A

Celecoxib allergy to sulfonamides

Ibuprofen Peptic ulcers, GI bleed, hypertension

24
Q

NSAIDS patient management

A

stop if prolonged bleeding or dark stools
Long term use can cause gi bleed
take with food or milk