Surgery - Pain Control Flashcards

1
Q

what drug is used for post operative pain

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

A

b.paracetemol

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2
Q

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

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

A

d.4g

(1g/6 hrs)

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3
Q

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

a.hepatic disturbance

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4
Q

which drugs are used for neuropathic pain

A

gabapentin and amyltripptiline

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5
Q

diclenofac is an example of which drug class

a/nsaids
b.weak opioids
c.strong opioids

A

a/nsaids

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6
Q

what is the mechanism of action of NSAIDs

a.cox inhibitor
b.mu receptor agonist

A

a.cox inhibitor

cox 2 inhibitor
also inhibit housekeeping cox 1

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7
Q

what is the main side effect of NSAIDs

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

A

a.peptic ulcer

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8
Q

NSAIDs should be used in caution in those with ..

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

A

b.severe asthma

must be stopped in AKI as nephrotoxic

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9
Q

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

a.yes
b.no

A

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

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10
Q

codeine is a ..

a.strong opiod
b.weak opiod

A

b.weak opiod

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11
Q

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

a.ondesetron
b.lactulose
c.naloxone

A

a.ondesetron

anti emetic

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12
Q

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

a.ondesetron
b.lactulose
c.naloxone

A

b.lactulose

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13
Q

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

a.ondesetron
b.lactulose
c.naloxone

A

c.naloxone

given for overdose

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14
Q

oxycodone and moprhine are examples of which type of opiod

a.strong
b.weak

A

a.strong

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15
Q

oramorph and shortec r are ……… opioids

a.long acting
b.short acting

A

b.short acting

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16
Q

mst and long tech are ……… opioids

a.long acting
b.short acting

A

a.long acting

17
Q

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

A

c.give paracetamol IV

18
Q

a patient with an epidurals sensory level is tested with what

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

A

a.cold sensation

19
Q

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

A

b.call pain team

20
Q

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

A

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

21
Q
A