Supportive Care II (Weddle) Flashcards
Describe nociceptive pain.
tissue injury that activates specific pain receptors (nociceptors) that are sensitive to stimuli
What are the two subtypes of nociceptive pain?
somatic and visceral pain
Describe somatic pain.
associated with receptors on surface tissues/deep tissues such as bones, joints, muscle, or connective tissue
Describe visceral pain.
associated with receptors located in the viscera (internal organs)
A patient presents to your pharmacy complaining of a burning feeling in his right leg. Is this pain most likely nociceptive or neuropathic?
neuropathic
A patient presents to your pharmacy complaining of stabbing abdominal pain. Is this pain most likely nociceptive or neuropathic?
nociceptive
Many cancer patients will have a combination of ________ and ________ pain.
acute; chronic
What does OPQRSTU stand for?
- What is the onset of the pain?
- What provokes it?
- What is the quality of the pain?
- Does the pain radiate?
- How severe is the pain?
- Time of the pain
- Understanding and impact
Can morphine be used in renal insufficiency? Hepatic insufficiency?
no; use caution
Can hydromorphone be used in renal insufficiency? Hepatic insufficiency?
yes but use lower doses/longer intervals; use caution
Which opioid product is not available in an IV formulation?
oxycodone
What adverse effects are associated with the use of oxycodone in renal failure patients?
oversedation and CNS toxicity
What is the only opioid that is safe for renal and liver dysfunction?
fentanyl
What is (arguably) the #1 benefit of methadone?
low cost
Can methadone be used in patients with renal failure? Liver dysfunction?
yes; not advised