pain management

Question 1

what are the 3 analgesic groups? examples of each?

Answer 1

1) non-opiods (acetaminophen, ASA (advil), NSAID (naproxen)
2) opioids (dialudid, morphine, fentanyl codeine)
3) adjuvants (corticosteroids, TCA, anticonvulsant, local anesthetic
- Can give bcz each meds attacks the pain from diff
pathways

Question 2

why is demerol no longer given (opioid)?

Answer 2

high risk of neurotoxicity (seizures)

Question 3

what are adjunctive anesthetic drugs? use?

Answer 3

drugs that are administered in addition to general anesthesia

such as:
1) anticholinergics
2) msk relaxant
3) benzodiazepine
4) opioids

Question 4

how is the WHO ladder for pain meds organized?

Answer 4

mild pain= non opioid +/- adjuvant

moderate pain= opioids for mild to moderate pain +/- non opioids +/- adjuvant

severe pain= opioid for moderate to severe pain +/- non opioids +/- adjuvant