Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

CPG's > Pain management > Flashcards

Pain management Flashcards

1
Q

What is the treatment for mild pain

A

Paracetamol 1000mg oral

or 500mg oral for old frail ppl

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What are the contraindications for paracetamol

A
  1. Hypersensitivity
  2. Had paracetamol in last 4 hours
  3. Exceed max dose in last 24 hours
    - 4g for adults
    - 60mg/kg for paeds
  4. Chest pain associated with ACS
  5. Children under 1 month
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What is the treatment for Moderate pain

A

IV Access available:
- IV Morphine or IV fentanyl
Morph: 5mg @5min intervals | max 20mg
Fent: 50mcg @ 5 min intervals | max 200mcg

HALF DOSE FOR OLD OR FRAIL

If IV Acess unavailable:
- Fentanyl IN
200mcg IN, repeat 50mch @ 5 mins max 400

HALF DOSE FOR FRAIL

Unable to administer IN Fent
- Methoxy 3mL
repeat 3mL to max dose of 6mL

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What is the treatment for Severe pain

A

IV Access available:
- IV Morphine or IV fentanyl
Morph: 5mg @5min intervals | max 20mg
Fent: 50mcg @ 5 min intervals | max 200mcg

HALF DOSE FOR OLD OR FRAIL

If IV Acess unavailable:
- Fentanyl IN
200mcg IN, repeat 50mch @ 5 mins max 400

HALF DOSE FOR FRAIL

Unable to administer IN Fent
- Methoxy 3mL
repeat 3mL to max dose of 6mL

OR

IM Morph
- 10mg IM
repeat 5mgIM after 15 mins

FOR ELDERLY/FRAIL
Morph 0.1mg/kg IM single dose

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What are the contraindications for Morphine

A
  1. Hypersensitivity
  2. Renail impairment
  3. Late 2nd stage labour
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

WHat are the contraindications for Fentanyl

A
  1. Hypersensitivity

2. Late 2nd stage labour

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What are the contraindications for Methoxyflurane?

A
  1. Renal impairment
  2. Muscular dystrophy
  3. Family history of Malignant hyperthermia
  4. Had 6ml in last 24 hours
  5. Concurrent use of tetracycline antibiotics
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What are the contraindications for Ketamine

A
  1. Suspected non-traumatic brain injury with severe hypertension over SBP 180
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

WHat is the dosage of IN Ketamine in the new pain management CPG

A

75mg @ 10 min intervals no max dose

FRAIL
50mg @ 10 mins no max

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What is the mild pain management for paeds?

A

Paracetamol 15mg/kg

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What is the management for Moderate pain in paeds?

A 
Fentanyl IN:
Small child (10-17kg) = 25 mcg
Medium child (18-39kg) = 25-50mcg

Repeat doses at 5-10 mins
COnsult after 3 doses

Methoxy 3ml max 6ml

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What is the treatment for severe pain in paeds

A

Fentanyl IN +- Mehoxy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What are the side effects of Morphine

A

CNS effects:

  • Drowsiness
  • Resp depression
  • Euphoria
  • Nausea & vomiting
  • Addiction
  • Pin point pupils

Cardiovascular effects:

  • Hypotension
  • Bradycardia
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What are the precautions for morphine

A
  1. elderly/frail
  2. Hypotension
  3. Respiratory depression
  4. Current asthma
  5. Respiratory tract burns
  6. addiction to opioids
  7. Acute alcoholism
  8. Pts on Monoamine oxidase inhibitors
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What are the precautions for fentanyl

A
  1. elderly/frail
  2. Impaired hepatic function
  3. Respiratory depression
  4. Current asthma
  5. addiction to opioids
  6. Pts on Monoamine oxidase inhibitors
  7. Rhinitis or facial trauma
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What are the side effects of fentanyl

A
  • Resp depression
  • Apnoea
  • Rigidity of the diaphragm
  • Bradycardia
17
Q

What are the precautions for paracetamol

A
  1. impaired hepatic function or liver disease
  2. elderly/frail
  3. malnourished
18
Q

What are the side effects of paracetamol

A

Hypersensitivity reactions

haematological reactions

19
Q

What are the precautions for methoxyflurane

A
  1. must be held by patient incase they lose consciousness
  2. pre-eclampsia
  3. concurrent use with oxytocin may cause hypotension
20
Q

What are the side effects of methoxyflurane

A
  • Drowsiness
  • Decrease BP and bradycardia
  • Exceeding max dose in 24 hours may lead to renal toxicity
21
Q

What is the onset peak and duration for fentanyl IV

A 
onset= immediate
peak= < 5mins
duration= 3-=60 mins
22
Q

What is the peak for fentanyl IN

A

peak 2 mins

23
Q

What is the onset peak and duration for morphine IV

A 
onset= 2-5mins
peak= 10 mins
duration= 1-2 hours
24
Q

What is the onset peak and duration for morphine IM

A 
onset= 10-30mins
peak= 30-60 mins
duration= 1-2 hours

CPG's (28 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions