Brainscape's Knowledge GenomeTM

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


See full index

IP > Pain Meds > Flashcards

Pain Meds Flashcards

1
Q

What screening tool can you use to detect opioid abuse

A

Opioid risk tool

A score of 3 or lower indicates low risk for future abuse

A score 4-7 indicates moderate risk for opioid abuse

A score 8 or higher indicates a high risk for opioid abuse

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

Complementary therapies for pain

A

Acupuncture
Biofeedback
Energy therapies
Guided imagery and visualization
Heat or cold
Hypnosis
Massage
Meditation
Music therapy
Reiki
Tai chi
Tens
Yoga

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

What’s the withdrawal scale to use

A

COWs

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

First line for mild to moderate acute pain (NRS <7 )

A

Non opioid analgesics
(Tylenol or NSAIDS)

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

What if your pt with acute pain has severe pain. What medications do you recommend

A

Opioids

-codeine (Tylenol #3)
- morphine
-hydromorphone
-oxycodone

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

First line for chronic neuropathic pain

A

TCA, gabapentinoids or SNRI

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

Which two meds should you not combine

A

SNRI and TCA

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

What if a first line agent was not effective for neuropathic pain?

A

Try a different first line agent

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

Second line for neuropathic pain

A

Tramadol
Topical lidocaine

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

What are Nonpharm alternatives to neuropathic pain

A

Physio
Mindfulness
Yoga
Exercise
Psychotherapy

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

What do you keep your MED for non cancer pain

A

< 90 MED

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

Do you prescribe opioids to no cancer pain with a history of SUD? What about if they have active SUD

A

History- nonopioid meds should be optimized

Active SUD- never prescribe

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

Acute pain from herpes zoster virus what do you prescribe ?

A

Oral antivirals

Pain
#1 amitriptylline or gabapentin

If necessary could do opioids

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

First line for trigeminal neuralgia

A

Carbamazepine

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

First line for nerve root compression

A

Tylenol or NSAIDs

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

First line for CRPS or chronic neuropathic pain

A

Gabapentinoids
SNRI
TCA

17
Q

How do you taper an opioid?

A

5-10% Q2-4 weeks

18
Q

What are stages of change?

A

Precontemplation
Contemplation
Preparation
Action
Maintenance
Relapse

19
Q

Can use motivational interviewing to switch pt to the next stage of change

A
20
Q

Acute withdrawal treatment first line

A

Methadone
Or
Buprenorphine
+
Clonidine

21
Q

Maintenance treatment for OUD

A

Buprenorphine/naloxone (suboxone) 8-24mg

-need to be >12-24 hours opioid free

Or

Methadone 60-120mg
-can start immediately

Or

Slow release morphine
-used as adjunct during methadone initiation or standalone if failed both

22
Q

What’s the recommended length of time for OUD therapy

A

12 months but could be on long term

Optimal results = opioid maintenance combined with Nonpharm with as psychoed , group psychotherapy, relapse prevention, training and peer support

23
Q

Read:
Concurrent psych problems should be treated in tandem with OUD

A
24
Q

Low back pain treatment what is first line

A

Nonpharm
- physio
-massage therapy
-acupuncture
-spinal manipulation
-motor control exercises

25
Q

Pharm approaches to low back pain. What is first line

A

1

NSAIDs > Tylenol
Can also use muscle relaxants if diagnosed with spastic component to their back pain
-baclofen, cyclobenzaprine

26
Q

When do you use opioid therapy for low back pain?

A

When Nonpharm and pharm approaches have been optimized

It is last resort

D/c if no effect in 3-6 months

27
Q

What are red flags for low back pain

A

Rapid wt loss
Fever
Neurological deficits (cause equina)
Inflammatory disorder

28
Q

First line for muscle cramps

A

Nonpharm

-stretching
-hot pack or hot bath
-icing can be used
-reassure benign in nature

29
Q

Pharm approaches for muscle cramps

A

No med found to be clearly beneficial

30
Q

What labs should you check for muscle cramps

A

CBC
Iron
GFR
SCr
a1C
TSH
LFT
CK

31
Q

First line for mild restless leg syndrome

A

Mental alertness activities
Abstain from alcohol, caffeine, nicotine
Take hot baths
Stretch and exercise moderately
Yoga might also help
Discontinue meds that might contribute to (mirtaZapine, metochlopramide, topiramate, Benadryl, seroquel, olanzapine and clozapine)
Minimize sleep deprivation

32
Q

Intermittent restless leg syndrome <2x per week.

What are pharm approaches

A
  1. Levodopa
  2. Benzodiazepines
  3. Low potency opioids (codeine)
33
Q

Chronic / persistent restless leg first line treatment

A

2 - GABA derivatives

Dopamine agonist
-pramipexole
-rotigotine
-ropinirole

SE= increased risk of developing high risk behaviors like pathological gambling and hyper sexuality
-needs to be tapered off

34
Q

What must you rule out in blood work for RLS

A

Iron deficiency

IP (16 decks)

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