Pain Management Flashcards
1
Q
2 major types of pain
A
- nociceptive
- neuropathic
2
Q
Denifition of nociceptive pain
A
Normal pain processing that occurs when free nerve endings are activated by tissue damage or inflammation
3
Q
4 processes of nociceptive pain
A
- transduction
- transmission
- perception
- modulation
4
Q
Definition of neuropathic pain
A
Abnormal processing of stimuli from the PNS or CNS that serves no useful purpose
5
Q
Types of pain assessment tools
A
- universal pain assessment tool
- pain rating scale
- visual analogue scale
6
Q
Types of adjuvant pain medications
A
- TCAs
- Anticonvulsants
7
Q
TCAs used in pain control
A
- amitryptyline
- Imipramine
8
Q
Anticonvulsatns used in pain control
A
- carbamazepine
- valproic acid
- gabapentin
- pregabalin
9
Q
MOA of paracetamol
A
Inhibitrs prostaglandin synthesis centrally
10
Q
Cautions for paracetamol use
A
- overdose = liver failure (NAPQI = toxic)
- nephropathy with chronic use
- caution in renal and hepatic impairment
11
Q
Classification of NSAIDs
A
- COX-1 selective
- Non-selective
- COX-2 selective
12
Q
Contra-indications for NSAIDS
A
- hypersensitivity
- acute PUD
13
Q
Cautions for NSAIDS
A
- renal and hepatic impairment
- dyspepsia
- cardiac failure
- hypertension
- bleeding disorders
- asthma
14
Q
Features of selective COX-2 inhibitors
A
- less GI effects
- increased CVS risk
- needs to be taken with meals
15
Q
Adverse effects of NSAIDS
A
- bronchoconstriction
- fluid retention
- nephropathy and ARF
- bleeding
- hypersensitivity
- dyspepsia and PUD
- hepatotoxicity
