Pain Lecture

Question 1

pain

Answer 1

all pain is not bad, be careful about the way you describe it
“you should need a pain med” - bad

Question 2

what is pain

Answer 2

inflammation

Question 3

best anti-inflammatory drugs

Answer 3

steroids -one

Question 4

NSAIDS are not for

Answer 4

• pregenant women
• asthmatics
• on other NSAIDS or asprin treatment
• people with nasal polyps (nclex)
• if on a ppi

Question 5

NSAIDS do

Answer 5

relieve pain, reduce fever, inhibit platelets and clotting factors

Question 6

NSAIDS are hard on
tylenol is hard on

Answer 6

kidney’s and liver

Question 7

foods high in salicylates, why important

Answer 7

• prunes, raisins, black licorice, spices
• patient should mention if they might be put on an aspirin related therapy

Question 8

max dosages for nsaids

Answer 8

• 4000 mg asprin
• 2400 mg ibuprofen
• 3250 mg acetaminophen
  for people with regularly functioning kidneys, in diabetics it can be less

Question 9

purines leads to

Answer 9

uric acid build up + gout, want uric acid levels BELOW 6 mg/dl will not have gout attacks

Question 10

what precaution should you take with topical analgesic

Answer 10

never use with heating pads, can cause chemical burn!!

Question 11

antidote of acetaminophen

Answer 11

acetylcysteine (mucomyst) tricky to give

Question 12

tolerance

Answer 12

same amount of drug has a decreased effect

Question 13

dependence

Answer 13

body will show withdrawl symptoms

Question 14

addiction

Answer 14

uncontrollable need to use to drug for nonmedical reasons

Question 15

how to do tell if someone has had enough narcotics

Answer 15

hold for respirations below 12!!

Question 16

opioids are to go

Answer 16

low and slow

Question 17

never give what for head injuries (EXAM)

Answer 17

MORPHINE, no narcotics need to give Tylenol and only that
NSAIDS cannot give may not know about bleeding

Question 18

texas tea/purple drank

Answer 18

mountain dew, lifesavers and cough syrup that contains codine

Question 19

krokodil

Answer 19

contains codine and cleaner HCL that is injected, many people think they are buying heroin, makes people look zombie like

Question 20

any narcotic causes…

Answer 20

narcotics, give bowel meds

Question 21

PCAS

Answer 21

patient contolled analgesia, only the patient is allowed to push the button
dilaudid or morphine
patient given loading dose, the a basal (every hour) and break through bolus if needed