Pain

Question 1

Neuropathic pain

Answer 1

Adjuvant therapy
Treated with anti-convulsants, antidepressants

Question 2

Nociceptive pain

Answer 2

Treated with nonopioids , opioids, adjuvant therapy

Question 3

Pain threshold

Answer 3

Least amount of pain person can recognize

Question 4

Pain tolerance

Answer 4

Ability to withstand pain without demonstrating physical s/sx of pain

Question 5

Addiction

Answer 5

PSYCH
Obtains drug to fulfill psychic effects

Question 6

Tolerance

Answer 6

PHYSICAL
Opioids lose effect, more is needed

Question 7

Dependence

Answer 7

PHYSICAL
Withdrawal symptoms could occur if med is stopped

Question 8

Opioids

Answer 8

Morphine-gold standard
Avoid taking merperidine >2 days
Percocet= oxy+Tylenol

Question 9

What is the antidote for opioid overdose?

Answer 9

Naloxone

Question 10

Do opioids have a ceiling effect?

Answer 10

No, except for codeine

Question 11

Non-opioids

Answer 11

NSAIDS
Tylenol-no anti inflammatory

Question 12

Do non-opioids have a ceiling effect?

Answer 12

Yes

Question 13

Opioid SE

Answer 13

Sedation
Pruritis
Urinary retention
Constipation
Respiratory depression

Question 14

What is the one symptom from opioids that doesn’t develop tolerance?

Answer 14

Constipation

Question 15

NSAIDS SE

Answer 15

GI upset
Increased bleeding time
Possible renal issues

Question 16

COX2 Inhibitors

Answer 16

Increased likelihood of MI, CVA in at risk patients

Question 17

Acetaminophen SE

Answer 17

Minimal GI upset]
No anti inflammatory

Question 18

What is the max amount of acetaminophen?

Answer 18

4 g/ 24 hours

Question 19

What is Rhee antidote for acetaminophen?

Answer 19

Acetylcysteine