Surgery - Pain Control Flashcards
what drug is used for post operative pain
a.brufen
b.paracetemol
c.codeine
d.morphine
b.paracetemol
how many grams of paracetamol can be given over 24 hour period
a.1g
b.2g
c.3g
d.4g
d.4g
(1g/6 hrs)
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
a.hepatic disturbance
which drugs are used for neuropathic pain
gabapentin and amyltripptiline
diclenofac is an example of which drug class
a/nsaids
b.weak opioids
c.strong opioids
a/nsaids
what is the mechanism of action of NSAIDs
a.cox inhibitor
b.mu receptor agonist
a.cox inhibitor
cox 2 inhibitor
also inhibit housekeeping cox 1
what is the main side effect of NSAIDs
a.peptic ulcer
b.renal impairment
c.hepatic disturbance
a.peptic ulcer
NSAIDs should be used in caution in those with ..
a.AKI
b.severe asthma
c.under 50kg
b.severe asthma
must be stopped in AKI as nephrotoxic
if a patient is already taking cocodamol should you prescribe them extra paracetamol ?
a.yes
b.no
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
codeine is a ..
a.strong opiod
b.weak opiod
b.weak opiod
what is given to treat nausea as a side effect of opioids
a.ondesetron
b.lactulose
c.naloxone
a.ondesetron
anti emetic
what is given to treat constipation as a side effect of opioids
a.ondesetron
b.lactulose
c.naloxone
b.lactulose
what is given to treat respiratory reduction as a side effect of opioids
a.ondesetron
b.lactulose
c.naloxone
c.naloxone
given for overdose
oxycodone and moprhine are examples of which type of opiod
a.strong
b.weak
a.strong
oramorph and shortec r are ……… opioids
a.long acting
b.short acting
b.short acting
mst and long tech are ……… opioids
a.long acting
b.short acting
a.long acting
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
c.give paracetamol IV
a patient with an epidurals sensory level is tested with what
a.cold sensation
b.heat sensation
c.soft touch
d.pinprick sensation
a.cold sensation
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
b.call pain team
if a patients block has gone too high with an epidural and the patient has a hx of anticoagulants what should be done ]
stop anticogulants could be a haematoma at needle putting pressure on spinal cord
