Pain Management Flashcards
ASA usual and max dose
Usual- 325-1000 q4-6 hrs
Max 4,000
What happens when you take Mg anything?
Liquid from your bum
Tylenol usual and max dose
Usual- 325-1000 q4-6 hrs
Max 4,000
Ibuprofen usual and max dose
Usual 200-400 q4-6 hrs
Max 3,200
Ketoprofen usual and max dose
Usual 25-50 q6-8 hrs
Max 300
Naproxen Max dose
1,000
What is the max length you can use Ketorolac- parental?
5 days
Celebrex max dose
400
Can you take steroids for pain?
Yes, DON’T TAKE WITH NSAIDS
Name an opioid antagonist
Naloxone
Opioid side effects
- Histamine Release (give Benadryl)
- Tolerance
- Constipation
What don’t you do to a patient thats on Opioids?
Stop abruptly
Mild Pain
- 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
Moderate Pain
- Acetaminophen/hydrocodone
- 24 hr coverage
- add in a PRN for break through pain
Severe Pain
- Opiod (fentanyl, morphine)
- 24 hrs + PRN
- monitor side effects
Low Back Pain
Acetaminophen or opioids for flare up (can combine)
Fibromyalgia
- NSAIDs
- TCA, SNRIs
Neuropathic Pain
- Lyrica
- Gabapentin
- Amitriptyline
- Cymbalta
Schedule I drugs
- Mary Jane
- Mexican Black Tar Heroin
Schedule II drugs
- Norco
- Hydrocodone
Schedule IV
- Tramadol
- Benzos
What metabolizes codeine and hydrocodone?
CYP2D6
What can you do for arthritis pain?
- Intra-articular injections of sodium hyaluronate.
- intra-articular injections of corticosteroids.
Chronic arthritis pain?
- Acetaminophen
- DMARDS
Chronic Lower Back Pain?
Short term muscle relaxants
Sickle cell disease pain?
Short term on sedatives
Peripheral Neuropathy pain?
Local anesthetics
Name Muscle Relaxers (4)
- Flexeril
- Skelelaxin
- Soma
- Methacarbamol
Hydromorphone oral parental ratio
7.5:1.5
Morphine oral parental ratio
30:10 aka 3:1
