RTS - muscoskeletal pain Flashcards

1
Q

Three main types of pain

A
  • Nerve pain
  • Organ pain
  • Body pain
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2
Q

Name the three types of analgesics

A

Analgesics are defined as medicine which relieves pain

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3
Q

Pain management steps in terms of medication

A
  1. Paracetamol QDS
  2. Substitute paracetamol with iburpofen
  3. Paracetamol added to ibuprofen
  4. Paracetamol with an NSAID
  5. Paracetamol with a weak opioid
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4
Q

Legal restrictions on paracetemol and aspirin

A

Cant sell more then 100

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5
Q

Legal restrictions on mild opioids

A

Max OTC supply is 32

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6
Q

Why is caffeine often included in medication?

A
  • It enhances pain relief especially headaches
  • It improves the absorbtion of the actual analgesic (e.g. paracetamol) by lowering gastric pH
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7
Q

Patient with activity related injury to: ankle, knee, elbow and shoulder, whats the most likely cause of each one?

A
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8
Q

Stages of healing of an activity related injury

A
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9
Q

What is rubefa, how do they work and examples?

A
  • Examples.. methyl salicylate, nicotinates, camphor and methanol
  • They work by causing redness and warming of skin through vasodilation - increasing blood flow
  • E.g. deep heat
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10
Q

Red flag for muscoskeletal pain

A
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11
Q

Advice for sprain and strain

A
  • Sprain DO NOT immobilise injured join
  • Strain immobilise the injured joint
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12
Q

What is the cause of bruising and its treatment

A
  • Caused by breakage to local capillaries causing RBC to leak
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13
Q

Causes and treatment of lower back pain

A
  • Causes due to lifting, gym, bad posture, sciatica, pregnancy, slipped disk
  • NSAID and paracatemol
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14
Q

What is and treatment of rheumatism/arthritis

A
  • Painful joints, swelling, inflammation, stiffness
  • Glucosamine (anti-inflammatory properties and help cartilage regeneration)
  • Chondroitin (helps retain water)
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15
Q

Name three common types of headaches - brief description of each

A
  1. Tension - back of head
  2. Migraine - entire left or right side of face
  3. Cluster - around eye
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16
Q

Treatment for headaches

A
  • Remove cause e.g. dehydration, eating, cold etc.
  • First line NSAIDs
  • Second line paracetamol
  • Specifc OTCs for migraines - migraleve, sumatripin or buccastem
17
Q

Treatment of dental pain

A
  • 1st line NSAIDs
  • 2nd line paracetmol