Pain: Patient Education

Question 1

acetylsalicylic acid

Answer 1

• max 4000 mg day (watch kidneys)
• no other NSAIDS can be given (watch for creams)
• stop prior to surgery’s

Question 2

ibuprofen

Answer 2

• max 2400 mg day
• take with food, causes GI distress

Question 3

naproxen

Answer 3

• max 1400 mg
• easier on the heart compared to ibuprofen
• take with food, causes gi distress

Question 4

celecoxib

Answer 4

prescription only and can be more expensive

Question 5

methotrexate

Answer 5

need to supplement with folic acid, takes 3-6 weeks to work and have decreased pain

Question 6

entanercept

Answer 6

patient needs to be tests for TB and fungal infections prior to start bc of immunosuppressants, may work in 2-3 days
NOT TESTED

Question 7

indomethacin

Answer 7

short term medication, must take with food can erode the stomach

Question 8

colchicine

Answer 8

take with food to avoid GI distress, 1:4 get diarrhea

Question 9

allpurinol

Answer 9

• patient need yearly eye exams (on exam)
• increase fluids to increase uric acid sectetion
• scary blood issues need cbc
• need to screen for the HLA-B allele (are you of korean or thai decent)

Question 10

sumatriptan

Answer 10

DO NOT USE IN: smokers (causes vasoconstriction) elderly, diabetic, hypertension

Question 11

acetaminophen

Answer 11

• max 3250 mg/day
• low gi distress compared to ibuprofen
• safe for use in pregnancy, always make sure to talk to OB
• heavy drinkers need to stay again

Question 12

hydrocodone

Answer 12

always a combination, watch for daily limits of acetaminophen or ibuprofen

Question 13

morphine

Answer 13

never crush pill, need to be swallowed whole

Question 14

all opioids

Answer 14

• can cause mental cloudiness
• need to be taking bowel medication, will cause severe constipation
• chronic medications should be taken as scheduled even if “pain free” as pain may come back