Pain Management

Question 1

what chemicals are released at sight of tissue damage?

Answer 1

bradykinins and prostaglandins

Question 2

what do Cox 1s do?

Answer 2

protect against pain in GI tract and blood thinners

Question 3

what do cox 2s do?

Answer 3

prostaglandins in the periphery,

Question 4

what drug pain reliever is cox 2 specific?

Answer 4

celebrex

Question 5

what happens to patient’s naturally released opiates when they are in chronic pain?

Answer 5

acute pain with little history of pain= body can write a big fat opiate check to cover the pain all at once, hx of chronic pain= opiates savings account is all used up and they dont have enough to cover the pain now…

Question 6

how do opiates treat pain?

Answer 6

change mind’s perception of pain, don’t do anything to the actual source of the pain

Question 7

how long does aspirin stay in ur system?

Answer 7

the life of the platelet, 10-13 days, all other pain relievers only last for the halflife of the drug, 4-12 hours!

Question 8

tylenol+hydrocodone=?

Answer 8

vikoden/ loritab

Question 9

what do SNRIs do?

Answer 9

block the reuptake of norepinephrine but its also an opioid

Question 10

schedule 1=
schedule 2=
schedule 3=

Answer 10

1= illegal, marijuana, cocaine
2= have to see whites of their eyes to prescribe it again, no refills= morphine
3= call it in, hydrocodone

Question 11

what is WILDA?

Answer 11

assessment of pain
Words
Intensity
Location
Duration
Aggravating/alleviating factors

Question 12

burning vs. pressure

Answer 12

burging= neuropathic
pressure= visceral

Question 13

common side effect of opioids?

Answer 13

constipation, visceral pain

Question 14

types of pain responsive to NSAIDS/Cox-2s/opioids

Answer 14

nocioceptive:

somatic (mmsk), and visceral

Question 15

neuro pain is responsive to what?

Answer 15

anticonvulsants/antidepressants (gabapenten)

Question 16

IV fentenol is available in 2-4 mins, when is this rapid delivery of medication, as well as possibly sedation desireable?

Answer 16

with acute pain, not chronic, chronic u want long term effects, rapid onset not as important and sedation is undesireable

Question 17

what two meds should never be mixed?

Answer 17

opioids and benzodiazapines= can’t sigh to get more O2, dangerous!

Question 18

what drug can ppl die from if u don’t do the math right?

Answer 18

methadone!

Question 19

what should almost always be part of a pain reduction medication plan?

Answer 19

NSAIDS or acetominophen