Pain Management

Question 1

Acute pain

Answer 1

• Surgery
• Broken Bones
• Child birth
• Procedural pain

Question 2

Chronic pain

Answer 2

• > 3 months of pain

Question 3

Common chronic pain conditions

Answer 3

• Fibromyalgia
• RA
• OA
• Trigeminal neuralgia
• Low back pain

Question 4

Types of pain

Answer 4

1. Nociceptive: regular pain
   ex. hit w/ baseball
2. Neuropathic pain: neuropathy
   ex. burning, numbness, pins & needles

Question 5

APAP

Answer 5

• max dose 3g per day (if healthy liver)
• <2 g if cirrhosis
• # 1 cause of liver damage

Question 6

NSAID/ COx2 inhibitors

Answer 6

MOA- anti inflammatory

Ex. Ibuprofen, Naproxen

Question 7

Contraindications to NSAID/ COx2 inhibitors

Answer 7

• Open heart surgery
• CKD
• GI bleed

Question 8

MOA of opioids

Answer 8

• Bind to opioids receptors and produce analgesics

Question 9

Examples of opioids (4)

Answer 9

1. Fentanyl
2. Oxycodone
3. Hydromorphone
4. Hydrocodone

Question 10

Antidote to Opioids

Answer 10

Narcan

Question 11

Side effects to opioids

Answer 11

• Resp depression
• RR<8
• Low BP

Question 12

Antiseizure meds examples (3)

Answer 12

1. Gabapentin
2. Tegretol (trigemina neuralgia)
3. Lyrica

Question 13

Antidepressant example (1)

Answer 13

Cymbalta

Question 14

TCA’s

Answer 14

• Neuropathic pain
• Migraine prophylaxis
• Off label: sleep

Question 15

Skeletal muscle relaxers example (3)

Answer 15

1. Flexeril
2. Baclifen
3. Soma

Question 16

Programming PCA’s

Answer 16

• Basal rate
• Demand dose
• Lock out
• Max dose
• *requires check from other nurse**