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Pharmacology > Pain management > Flashcards

Pain management Flashcards

1
Q

Paracetamol dose

A

1g QDS

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2
Q

Ibuprofen Cautions

A

Elderly
renal impairment
GI tract disease
Avoid in dehydrated patients

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3
Q

Ibuprofen Dose

A

400 mg TDS

Consider prescribing PPI

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4
Q

Ibuprofen Disadvantages

A

GI and renal side effects

bleeding risk

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5
Q

Diclofenac Caution

A

Elderly
renal impairment
GI tract disease
Avoid in dehydrated patients

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6
Q

Diclofenac dose

A

25-50 mg TDS

consider prescribing PPI

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7
Q

Weak Opioids

A

Codeine

Dihydrocodeine

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8
Q

Partial opioids

A

Tramadol

Buprenorphine

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9
Q

Full opioids

A 
Morphine
Oxycodone
Fentanyl
Methadone
Pethidine
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10
Q

Pain ladder

A

1) paracetamol +/- NSAID
2) Add a weak opioid (codeine, dihydrocodeine) or tramadol
3) Replace weak with strong opioid (morphine)

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11
Q

Regular pain relief for No pain

A

Nil

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12
Q

PRN for no pain

A

Paracetamol 1g Q6h

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13
Q

Regular pain relief for mild pain

A

Paracetamol 1g Q6h

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14
Q

PRN pain relief for mild pain

A

Codeine 30 mg Q6h

OR tramadol

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15
Q

Regular pain medication for severe pain

A

Co-codamol 30/500 2 tablets Q6h

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16
Q

PRN pain relif for severe pain

A

Morphine sulfate 10 mg Q6h

17
Q

Neuropathic pain

A

amitryptyline 10 mg nocte

Pregabalin 75 mg Q12

18
Q

Painful diabetic neuropathy

A

duloxetine 60 mg

19
Q

Daily paracetamol maximum

A

4g

20
Q

Rule for PRN morphine

A

PRN morphine dose is calculated as 1/6th the total daily dose, given every 4-6hours
If changing the PRN dose, must also change daily dose

21
Q

Tramadol side effects

A

agitation/hallucination particularly in elderly

22
Q

Codeine side effect

A

Constipating

23
Q

Maximum codeiene dose

A

240 mg

24
Q

Max tramadol

A

400 mg

25
Q

Occasional pain

A

PRN

26
Q

Constant pain

A

Regular

27
Q

WHO pain ladder step 2

A

Weak opioids such as codeine or tramadol + paracetamol and NSAID for moderate to severe pain

28
Q

WHO pain ladder step 3

A

Strong steroid such as morphine in addition to paracetamol for severe pain

29
Q

Safe in pregnancy

A

Codeine

Pharmacology (17 decks)

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