Pain Management

Question 1

What the 3 stages of pain management?

Answer 1

Recognise
Assess
Treat

Question 2

Name some ways of assessing pain?

Answer 2

Verbal rating - mild, moderate, severe
Numeric rating scale - 0 to 10
Visual - visual analogue score, faces pain scale

Question 3

What is chronic pain?

Answer 3

Pain lasting more than 3 months
Pain lasting after normal healing
Sometimes no identifiable cause

Question 4

What are the two types of pain?

Answer 4

Nociceptive

Neuropathic

Question 5

If which patients should paracetamol be used with caution?

Answer 5

Liver failure

Pts weighing less then 50 Kg

Question 6

What are the cautions with NSAIDS?

Answer 6

Renal failure, bleeding conditions, bronchospasm/asthma, GI disturbance, pts on anticoagulants

Question 7

Name some weak opioids

Answer 7

Codeine

Tramadol

Question 8

What is the caution with Tramadol?

Answer 8

Makes older people crazy

Addiction

Question 9

Name some S/E of opiates?

Answer 9

Resp depression 
N/V
Sedation 
Constipation 
Itching 
Immunosuppressive 
Tolerance/addiction 
Withdrawal

Question 10

Name some “Adujvent analgesia”

Answer 10

Amitryptyline
Gabapentin
Pregabalin
Carbamazepine

Question 11

Name some local anaesthetics for pain management in one area of the body?

Answer 11

Lidocaine, bupivacaine

Question 12

Name some non-pharmacological therapies for pain management?

Answer 12

Stabilisation 
Reduction of pressure 
TENS - transcutaneous electrical nerve stimulation 
Acupuncture 
Psychological support

Question 13

Name some forms of psychological support

Answer 13

Counselling
CBT
Pain management courses
Support groups/shared experiences