Tx of Pain (left 18/19) (MC)

Question 1

Goals with analgesic therapy is to

Answer 1

provide comfort (acute pain) and improve quality of life (chronic pain

Question 2

Strategies for perioperative pain management

Answer 2

pre-emptive analgesia, regional analgesia, continuous rate infusions.

Question 3

Duration of opioids depends on

Answer 3

dose and route of administration

Question 4

_______ = Bupivacaine >ropivacaine > lidocaine >mepivacaine

Answer 4

Systemic Toxicity

Question 5

What is the treatment of mild to moderate pain (surgical acute or chronic pain – OA).

Answer 5

NSAIDs

Question 6

Ketoprofen is a ______ inhibitor

Answer 6

Non selective

Question 7

Firocoxib and Deracoxin are contraindicated in what species

Answer 7

cats

Question 8

Asprin is a _______ inhibitor

Answer 8

non selectiveNOT FDA approved

Question 9

NSAID toxicity

Answer 9

Does NOT cause bradycardia, anesthesia may cause hypotension. Hypotension + NSAID means a risk of acute renal failure. Avoid in patients with renal disease of hypovolemia. Adequately hydrate patients and maintain BP during anesthesia.

Question 10

When to avoid NSAIDs

Answer 10

impaired renal/liver function, hypovolemia or hypotension during anesthesia. Preexisting GI intolerance, decreased platelet count or function

Question 11

NEVER use NSAIDs with ______

Answer 11

corticosteroids

Question 12

Length of NSAID washout

Answer 12

4 - 14 days