Trigger - Pain + Wound Care Flashcards
which NSAID has no bronchospasm risk
ASA
do you base pain assessment/treament on provider impression or on patients subjective report of pain
patients subjective reports
which of the following are NOT associated with variation in pain reduction on a dose of opioid:
A. previous/chronic opioid exposure
B. Initial pain severity
C. Gender
D. Age
E. Body Mass
Gener and body mass are NOT associated with variation of pain reduction on opioids
used for breakthrough pain in cancer patients
fentanyl
This pain medication can contribute to serotonin syndrome
tramadol
should be avoided in patients with suspected digital vascular injury or in pts with vascular disease like raynauds or bergers
epinephrine injections
how long does it take to develope a dependence on opioids
4-6 weeks
How long does it take to develope addiction
can occur after even 1 dose
What are examples of local injections
Lidocaine, bupivocaine, epinephrine
What is the goal when using a buried dermal suture
reduce tnesion on the wound and close dead spaces
these sutures are good in thin/lax skin such as over the shin
vertical mattress sutures
does NOT cause wound distortion and therefore is preferred for complicated lacerations, abscesses, fractures, debridement, and dislocations
Nerve blocks!
anything that would cause ALOT of subdermal injection
when/where do you use staples
linear, non facial lacerations
“useful for scalp lacerations”
T/F sutures have higher infections rates/cosmentic outcomes in comparison to sutures
FALSE
it says infection rates and cosmetic outcomes are similar!
also says staples hurt more when being removed!
how close to the medial canthus do eyelid injuries have to be to risk canalicular laceration
6-8mm