Pain part 4 - Dr. Rodgers

Question 1

Recommended Treatments for Low Back Pain

Answer 1

Non pharm: exercise, CBT

FIRST LINE:
acetaminophen
NSAID
Second line:
SNRIs
TCAs

Question 2

Recommended Treatments for Osteoarthritis

Answer 2

exercise weight loss, patient education

First line: acetaminophen, oral or topical NSAIDS

Second line
Intra-articular hyluronic acid
Capsaicin

Question 3

Recommended Treatments for Fibromyalgia

Answer 3

Low impact aerobic exercise, swimming, brisk walking

FDA approved meds: pregabalin, duloxetine
Other options: TCAs, gabapentin, Venlafaxine

Question 4

Recommended Treatments for Neuropathic Pain

Answer 4

First line: SNRIs, Gabapentin/ pregabalin

Second line: topical lidocaine, TCAs

Question 5

Treatment of hospice Pain relief and Air hunger

Answer 5

Morphine IV or solution (20mg/mol) under tongue
Could use fentanyl or hydromorphone

Question 6

Treatment of hospice anxiety/agitation

Answer 6

Lorazepam IV or SL as needed

Question 7

Treatment of hospice Nausea/vomiting

Answer 7

Ondansetron ODT

Question 8

Treatment of hospice secretions

Answer 8

Atropine ophthalmic drops under tongue
Glycopyrrolate IV as needed
Scopolamine Patch