Pharmacology of Pain Flashcards

1
Q

what pain do C neurones stimulate

A
  • sharp and prickling
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2
Q

what pain do A neurones stimulate

A
  • sore, dull, aching and heavy
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3
Q

what is the function of analgesia

A
the suppression of the sensation of pain from 
- spinal cord 
- thalamus 
- cerebral cortex 
and reaction to pain 
- cerebral cortex 
- other limbic areas
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4
Q

what are the main effects of an opioid analgesic

A

CNS

  • depression of cough reflex
  • depression of respiratory centres, vasomotor centre
  • stimulates vomiting

PNS

  • decreased mobility
  • increased tone of GI tract and closure of sphincters
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5
Q

list the opiod receptors

A
  • mu
  • kappa
  • sigma
  • delta
  • epsilon
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6
Q

what is the therapeutic use of an analgesic

A

relief of visceral and traumatic pain

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7
Q

what is the therapeutic use of anxiolytic

A

allay anxiety in dying

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8
Q

what is the therapeutic use of antitussive

A

surpasses cough

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9
Q

what is the therapeutic or relief dyspnoea

A

stabilise breathing

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10
Q

what are the 2 classifications of opioid drugs and give an example

A
  1. Morphine Analogues e.g. morphine, heroine

2. Synthetic Derivitus e.g. fentanyl

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11
Q

what is a morphine-like opioid agonist

A

acts primarily on U receptors to decrease activity of neurones in

  • slowing gut
  • respiratory
  • perception of pain
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12
Q

what is the use of an opioid antagonist

A
  • treatment in opioid overdose

- restores respiration

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13
Q

what is a prostaglandin

A

inflammatory mediators and pain receptor stimulates

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14
Q

what is the function of an anti-pyretic analgesic

A

reduce the synthesis of prostaglandins

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15
Q

list 2 examples of nocioceptive and inflammatory pain

A
  • osteoarthritis

- cancer

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16
Q

give an example of peripheral neuropathic pain

A

diabetes and lower back pain

17
Q

give an example of central neuropathic pain

A

post stroke, SCI MS

18
Q

give an example of mixed neuropathic pain

A
  • migrane
  • IBS
  • non cardiac chest pain
19
Q

what is the role of glial cells in chronic pain

A

recognise chemical signals that modulate communication between nerves

  • can result in over exaggeration of pain