Pain Management Flashcards

1
Q

ASA usual and max dose

A

Usual- 325-1000 q4-6 hrs

Max 4,000

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2
Q

What happens when you take Mg anything?

A

Liquid from your bum

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3
Q

Tylenol usual and max dose

A

Usual- 325-1000 q4-6 hrs

Max 4,000

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4
Q

Ibuprofen usual and max dose

A

Usual 200-400 q4-6 hrs

Max 3,200

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5
Q

Ketoprofen usual and max dose

A

Usual 25-50 q6-8 hrs

Max 300

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6
Q

Naproxen Max dose

A

1,000

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7
Q

What is the max length you can use Ketorolac- parental?

A

5 days

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8
Q

Celebrex max dose

A

400

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9
Q

Can you take steroids for pain?

A

Yes, DON’T TAKE WITH NSAIDS

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10
Q

Name an opioid antagonist

A

Naloxone

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11
Q

Opioid side effects

A
  • Histamine Release (give Benadryl)
  • Tolerance
  • Constipation
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12
Q

What don’t you do to a patient thats on Opioids?

A

Stop abruptly

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13
Q

Mild Pain

A
  • Tylenol or nsaid,q4-6
  • Around the clock 24hrs
  • No prn
  • Max out dose 4000 tylenol, 3200 ibuprofen
  • liver dz→use nsaid
  • ckd, mi→no nsaid
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14
Q

Moderate Pain

A
  • Acetaminophen/hydrocodone
  • 24 hr coverage
  • add in a PRN for break through pain
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15
Q

Severe Pain

A
  • Opiod (fentanyl, morphine)
  • 24 hrs + PRN
  • monitor side effects
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16
Q

Low Back Pain

A

Acetaminophen or opioids for flare up (can combine)

17
Q

Fibromyalgia

A
  • NSAIDs

- TCA, SNRIs

18
Q

Neuropathic Pain

A
  • Lyrica
  • Gabapentin
  • Amitriptyline
  • Cymbalta
19
Q

Schedule I drugs

A
  • Mary Jane

- Mexican Black Tar Heroin

20
Q

Schedule II drugs

A
  • Norco

- Hydrocodone

21
Q

Schedule IV

A
  • Tramadol

- Benzos

22
Q

What metabolizes codeine and hydrocodone?

A

CYP2D6

23
Q

What can you do for arthritis pain?

A
  • Intra-articular injections of sodium hyaluronate.

- intra-articular injections of corticosteroids.

24
Q

Chronic arthritis pain?

A
  • Acetaminophen

- DMARDS

25
Q

Chronic Lower Back Pain?

A

Short term muscle relaxants

26
Q

Sickle cell disease pain?

A

Short term on sedatives

27
Q

Peripheral Neuropathy pain?

A

Local anesthetics

28
Q

Name Muscle Relaxers (4)

A
  • Flexeril
  • Skelelaxin
  • Soma
  • Methacarbamol
29
Q

Hydromorphone oral parental ratio

A

7.5:1.5

30
Q

Morphine oral parental ratio

A

30:10 aka 3:1