Surgery - Pain Control

Question 1

what drug is used for post operative pain

a.brufen
b.paracetemol
c.codeine
d.morphine

Answer 1

b.paracetemol

Question 2

how many grams of paracetamol can be given over 24 hour period

a.1g
b.2g
c.3g
d.4g

Answer 2

d.4g

(1g/6 hrs)

Question 3

paracetamol should be given in caution to those under 50 kg due to increased likelihood of which side effect

a.hepatic disturbance
b.kidney damage
c.GI upset
d.bleeding

Answer 3

a.hepatic disturbance

Question 4

which drugs are used for neuropathic pain

Answer 4

gabapentin and amyltripptiline

Question 5

diclenofac is an example of which drug class

a/nsaids
b.weak opioids
c.strong opioids

Answer 5

a/nsaids

Question 6

what is the mechanism of action of NSAIDs

a.cox inhibitor
b.mu receptor agonist

Answer 6

a.cox inhibitor

cox 2 inhibitor
also inhibit housekeeping cox 1

Question 7

what is the main side effect of NSAIDs

a.peptic ulcer
b.renal impairment
c.hepatic disturbance

Answer 7

a.peptic ulcer

Question 8

NSAIDs should be used in caution in those with ..

a.AKI
b.severe asthma
c.under 50kg

Answer 8

b.severe asthma

must be stopped in AKI as nephrotoxic

Question 9

if a patient is already taking cocodamol should you prescribe them extra paracetamol ?

a.yes
b.no

Answer 9

b.no

cocodamol contains paracetamol

8:500
15:500
30:500

codeine mg:paracetemol mg

usually given 2x500mg paracetamol tablets at a time
have to give less than 8 tablets /24 hrs

as 8x500 mg - 4g

Question 10

codeine is a ..

a.strong opiod
b.weak opiod

Answer 10

b.weak opiod

Question 11

what is given to treat nausea as a side effect of opioids

a.ondesetron
b.lactulose
c.naloxone

Answer 11

a.ondesetron

anti emetic

Question 12

what is given to treat constipation as a side effect of opioids

a.ondesetron
b.lactulose
c.naloxone

Answer 12

b.lactulose

Question 13

what is given to treat respiratory reduction as a side effect of opioids

a.ondesetron
b.lactulose
c.naloxone

Answer 13

c.naloxone

given for overdose

Question 14

oxycodone and moprhine are examples of which type of opiod

a.strong
b.weak

Answer 14

a.strong

Question 15

oramorph and shortec r are ……… opioids

a.long acting
b.short acting

Answer 15

b.short acting

Question 16

mst and long tech are ……… opioids

a.long acting
b.short acting

Answer 16

a.long acting

Question 17

if a patient is on patient controlled analgesia and is experiencing breakthrough pain what should be done

a.give further opioids 1/6 daily dose
b.call pain team
c.give paracetamol IV

Answer 17

c.give paracetamol IV

Question 18

a patient with an epidurals sensory level is tested with what

a.cold sensation
b.heat sensation
c.soft touch
d.pinprick sensation

Answer 18

a.cold sensation

Question 19

if a a patient has an epidural but the block has gone too high what should be done

a.give further opioids 1/6 daily dose
b.call pain team
c.give paracetamol IV
d.give naloxone
e.remove epidural

Answer 19

b.call pain team

Question 20

if a patients block has gone too high with an epidural and the patient has a hx of anticoagulants what should be done ]

Answer 20

stop anticogulants could be a haematoma at needle putting pressure on spinal cord