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Anästhesie, Notfall, Intensiv > Schmerztherapie > Flashcards

Schmerztherapie Flashcards

1
Q

Mainzer Stadiensystem der Schmerzchronifizierung

A

Achse I: Zeitliche Aspekte des Schmerzes

Achse II: Räumliche Aspekte des Schmerzes

Achse III: Medikamenteneinnahmeverhalten

Achse IV: Inanspruchnahme des Gesundheitswesens

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2
Q

Morbus Widal

A

= Samter Trias

ASS/ NSAR Unverträglichkeit
Polyposis nasi
Asthma bronchiale

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3
Q

Kombi Metamizol + sympatholytika >

A

> verstärkte Hypotension!

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4
Q

KI Diclofenac

A

Herzinsuffizienz NYHA II-IV
KHK
pAVK
zerebrovaskuläre Erkrankung

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5
Q

niedrig potente Opioide

A

Tramadol
Tilidin
Dihydrocodein

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6
Q

hoch potente Opioide

A 
Morphin
Oxycodon
Levomethadon
Hydromorphon
Fentanyl
Piritramid
Pethidin
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7
Q

Remifentanil

A

Inaktivierung durch unspezifische Esterasen im Blut
–> Sehr kurze Wirkdauer

Keine Kumulation, kein Überhang nach der Narkose

Keine Dosisanpassung bei Leber-/Niereninsuffizienz erforderlich :)

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8
Q

Welches Opioid hat die höchste zugelassene Potenz?

A

Sulfentanil

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Anästhesie, Notfall, Intensiv (5 decks)

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