Brainscape's Knowledge GenomeTM

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


See full index

D2: 622 Oral Surgery > Pain Management and Wound Healing > Flashcards

Pain Management and Wound Healing Flashcards

1
Q
  1. Highly variable and depends on patient’s preoperative frame of mind
  2. Spending enough time discussing post op course helps greatly
  3. Usually not severe and can be managed with mild analgesics in most patients
  4. Peak pain 12 hours after extraction then diminishes rapidly
  5. Pain from extraction rarely persists longer than 2 days
A

Characteristics of Post op pain

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q
  1. First dose of analgesic should be taken before anesthetic wears off
  2. This will avoid sharp, intense pain
  3. This helps control pain with milder meds
  4. Post op pain is harder to beat if administration of analgesics is delayed
A

Post op pain tips

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

Pain that occurs within the normal course of a disease or condition or as the result of surgery for which controlled substances may be prescribed for no more than 3 months

A

Acute Pain

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

Non-malignant pain that goes beyond the normal course of a disease or condition.

Controlled substances may be prescribed for a period greater than 3 months

A

Chronic Pain

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

MME

A

Morphine milligram equivalent

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Drugs listed in the Drug Control Act of the Code of Virginia in Schedules II through IV

A

Controlled Substance

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

The electronic system within thhe department of health professions that monitor the dispensing of certain controlled substances

A

Prescription Monitoring Program

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What is the goal for managing postprocedural dental pain or pain from limited pathological conditions

A

Minimize or Limit the pain

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What might happen if you don’t tell the patient that the goal is not to fully eliminate pain

A

They may self prescribe

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

These drugs work peripherally, interfering with prostaglandin synthesis

A

Non-narcotics

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

What is a good alternative if a patient cannot tolerate aspirin

A

acetaminophen

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

What is the primary disadvantage of aspirin

A

potential for postop bleeding

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

What is the DOC for mild to moderate pain after tooth extraction

A

NSAIDs

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

Adult Dosage and Max Daily Dosage for Tylenol

A

500-1000 mg q4h

MAX: 4000 mg

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Adult Dosage and Max Daily Dosage for Aspirin

A

500-1000 mg q4h

MAX: 4000 mg

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Adult Dosage and Max Daily Dosage for Diflunisal

A

500 mg q8h

MAX: 1500 mg

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Adult Dosage and Max Daily Dosage for Ibuprofen

A

200-800 q4-6h

MAX: 3200 mg

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Most commonly used drugs of this class are codeine and the codeine congeners like oxycodone, hydrocodone, dihyrocodeine

A

Centrally Acting Analgesics

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Opiods are rarely used alone…what are they typically paired with

A

Aspirin, Tylenol, or Advil

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

1 Codeine

A

7.5 mg

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

2 Codeine

A

15 mg

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

3 Codeine

A

30 mg

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

4 Codeine

A

60 mg

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

Dosage of Oral Codeine

A

30 mg q4h

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Dosage of Oxycodone
5 mg q4h
26
Dosage of Hydrocodone
5 mg q4h
27
Dosage of Dihydrocodone
30 mg q4h
28
Dosage of pentazocine
50 mg q4h
29
Dosage of Meperidine
100 mg q4h
30
If pairing Aspirin with Codeine, how much aspirin is prescribed
325 mg
31
How much Tylenol is prescribed when paired with ceodeine
Phenopehn: 325 Codeine: 300 Darvocet N1000: 650
32
What government agency controls Narcotic Analgesics?
DEA
33
What do you need to write a script for Narcotics?
DEA permit and number
34
In 2014 more Virginians died from Opioid overdoses than.....
Car accidents
35
What percent of fatal drug overdoses are due to opioids?
61%
36
With over 52,000 deaths in 2015, what was the leading cause of accidental death in the USA
Drug OD
37
Of the 52,000 deaths, how many of them were due to opioids
13,000
38
In 2012, how many opioid prescriptions were written in the USA
259 million
39
What percent of heroin users used opioids as a gateway
80%
40
Why do people move from Opioids to heroin?
Heroin is cheaper and easier to get
41
What subpopulation is at an especially high risk for opioid OD
12-17 year old adolescents
42
Where do most teens get their hands on opioids?
They are given to them by relatives
43
Why are women at a higher risk for opioid dependence than men
More likely to have chronic pain May become dependant on Rx drugs more quickly then men
44
Between 1999 and 2010, the number of narcotic pain med OD's for men increased 237% for men......what was the increase for women?
400%
45
How much have fatal heroin OD's among women increased from 2010-2013
Tripled
46
What Virginia laws apply to prescribing narcotics for dentists
none
47
1. Perform a health history and physical examination appropriate to the complaint 2. Query the Prescription Monitoring Program 3. Conduct an assessment of the patient's history and risk of substance abuse
Things that need to be done before prescribing a narcotic analgesic
48
1. Description of the pain 2. Presumptive diagnosis for the origin of the pain 3. An examination appropriate to the complaint 4. Treatment plan 5. The medication prescribed (date, type, dosage, strength, and quant)
Information to be included in patient records
49
If an opioid is considered, what type should it be
Short acting Lowest effective dose Fewest number of days Max 7 days
50
Careful and thorough documentation must be maintained if prescription is higher than ________
50 MME/day
51
What is the threshold dose that requires referral to a pain management physician
120 MME/day
52
1. Patient be evaluated again, and decision to prescribe again documented 2. Check patient's prescription history in the Prescription Monitoring Program
Steps required if a new prescription is required beyond initial 7 days
53
Rx for Mild PO Pain
Ibuprofen 200-400 mg q4-6 prn (as needed)
54
Rx for Moderate PO Pain
Ibuprofen 400-600 mg q6h for 24 hrs Then: Ibuprofen 400 mg q4-6h prn
55
Moderate to Severe Pain
Ibuprofen 400-600 mg + APAP 500 mg every 6 hours for 24 hours Then: Ibuprofen 400 mg + APAP 500 mg every 6 h prn
56
Severe Acute Post-Op Pain
Ibuprofen 400-600 mg + APAP 325 mg hydrocodone 5mg q6h for 24-48 hrs Then: Ibuprofen 400-600 mg + APAP 500 mg q6h prn
57
What is APAP?
acetyl-para-aminophenol (Tylenol and Oxycodone) 325mg/5mg
58
What is the max dose for APAP
3000 mg
59
What is Viviprofen
Rescue med in case patient experiences breakthrough pain
60
What is the max dose of Ibuprofen (Daily). Who can prescribe a higher dose?
2400 mg | Physician for osteoarthritis
61
What is a long acting local anesthetics
Marcaine
62
What is the Rx for preemptive analgesics
600 mg Ibuprofen 1 hour before surgery
63
1. Dexamethasone IV | 2. Medrol Pack
Corticosteroids
64
These have unlimited efficacy in providing pain relief
Opioids
65
As doses of opioids increase, so does their effectiveness at reducing pain, why not just up the dosage?
Because SE's and toxicity also icrease
66
Opioids are identical in their analgesic efficacy at _______ doses
equipotent
67
What is considered to be the conventional standard for relief of moderately sever pain
Morphine: 10 mg IM 30 mg Oral
68
What are the multipliers for equipotent (to morphine) doses of Hydromorphone Codeine Hydrocodeine Oxycodone
Hydromorphone: 4 (30/4 = 7.5 mg) Codeine: 0.15 (30/0.15 = 180-200 mg) Hydrocodone: 1 (30/1 = 30 mg) Oxycodone: 1.5 (30/1.5 = 20 mg)
69
Formula for DME
Daily Morphine Equivalents = (Strength x Multiplier x Quantity)/Days
70
For our purposes: Who prescribes for acute pain, and who prescribes for chronic pain
``` Dentist = Acute Doc = Chronic ```

D2: 622 Oral Surgery (7 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions