2023-11-26T01:47:25+03:00[Europe/Moscow] en true <p>Pain </p>, <p>100 million </p>, <p>$500-600 billion </p>, <p>c</p>, <p>a</p>, <p>b</p>, <p>burning, tingling, shooting, electric-shock, numbness </p>, <p>diabetes, infections(herpes zoster), tumor, autoimmune disease, amputation, drugs/alcohol </p>, <p>pain &gt;=3 months, regional pain distribution, pain that can't be explained by nociceptive/neuropathic mechanisms, show signs of pain hypersensitivity </p>, <p>&lt; 30 days </p>, <p>&gt; 3 months </p>, <p>symptoms, mental/emotional factors, lab test</p>, <p>vitamin D deficiency, hypo/hyperthyroidism, B12 deficiency </p>, <p>patient's self-report</p>, <p>onset, location, duration, character, alleviating factors, radiation, temporal pattern, symptoms </p>, <p>number of pains, origin, palliates vs. potentiates, quality (stabbing/throbbing), radiation, severity, timing/trends, how is it affecting you</p>, <p>facial expression, body movement, compliance w/ventilator, muscle tension</p>, <p>&gt;2</p>, <p>nonpharmacological approaches </p>, <p>severe (8-10)</p>, <p>slower</p>, <p>NSAIDs, smooth muscle relaxants </p>, <p>topical NSAIDs, trigger point injections</p>, <p>oral ibuprofen/acetaminophen; can take both </p>, <p>intranasal/IV opioids, ketamine</p>, <p>IV acetaminophen + IV morphine; titrated</p>, <p>oral acetaminophen + codeine; percocet </p>, <p>oral acetaminophen </p>, <p>&lt; 2 weeks</p>, <p>frail or older adults w fractures; increases their risk for MI, stroke, GI bleed, renal impairment </p>, <p>lay on side w/ pain, fluids, NSAIDs</p>, <p>ibuprofen, ketorolac, diclofenac, naproxen </p>, <p>morphine sulfate </p>, <p>prior</p> flashcards
Acute Pain (Therapeutics)

Acute Pain (Therapeutics)

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  • Pain

    -unpleasant sensory and emotional experience associated with, or resembling actual or potential tissue damage

  • 100 million

    How many people in the US have chronic pain?

  • $500-600 billion

    What is the annual economic burden for chronic pain?

  • c

    This pain is the result of a tissue injury.

    a) neuropathic

    b) nociplastic

    c) nociceptive

  • a

    This pain is caused by nerve irritation/damage.

    a) neuropathic

    b) nociplastic

    c) nociceptive

  • b

    This pain is caused when the CNS doesn't work properly and amplifies pain.

    a) neuropathic

    b) nociplastic

    c) nociceptive

  • burning, tingling, shooting, electric-shock, numbness

    What are common verbal cues of neuropathic pain? (5)

  • diabetes, infections(herpes zoster), tumor, autoimmune disease, amputation, drugs/alcohol

    What are causes of Neuropathic pain? (6)

  • pain >=3 months, regional pain distribution, pain that can't be explained by nociceptive/neuropathic mechanisms, show signs of pain hypersensitivity

    How is Nociplastic pain clinically classified? (4)

  • < 30 days

    How long does acute pain last?

  • > 3 months

    How long does Chronic pain last?

  • symptoms, mental/emotional factors, lab test

    How do we approach a pain assessment? (3)

  • vitamin D deficiency, hypo/hyperthyroidism, B12 deficiency

    When assessing a patient's labs, what do we want to rule out as possible causes of their pain? (3)

  • patient's self-report

    _________ is the most reliable pain indicator.

  • onset, location, duration, character, alleviating factors, radiation, temporal pattern, symptoms

    OLDCARTS=

  • number of pains, origin, palliates vs. potentiates, quality (stabbing/throbbing), radiation, severity, timing/trends, how is it affecting you

    NOPQRSTU =

  • facial expression, body movement, compliance w/ventilator, muscle tension

    What are the 4 main domains of Critical Pain Observation Tool (CPOT)?

  • >2

    Which score in the CPOT requires pain management?

  • nonpharmacological approaches

    The WHO analgesic ladder does not include ___________.

  • severe (8-10)

    Which form of Acute pain requires the use of opioids?

  • slower

    The longer-acting the NSAID, the ________ onset of action.

  • NSAIDs, smooth muscle relaxants

    Which medications are used to treat Acute Back Pain?

  • topical NSAIDs, trigger point injections

    What are the treatment options for patients with Acute-Back Pain that have contraindications for oral NSAIDs? (2)

  • oral ibuprofen/acetaminophen; can take both

    What are the treatment options for Fractures with mild-moderate pain (Children <16yo)?

  • intranasal/IV opioids, ketamine

    What are the treatment options for Fractures with moderate-severe pain (Children <16yo)? (2)

  • IV acetaminophen + IV morphine; titrated

    What are the treatment options for Fractures with severe pain (Adults)?

  • oral acetaminophen + codeine; percocet

    What are the treatment options for Fractures with moderate pain (Adults)

  • oral acetaminophen

    What are the treatment options for Fractures with mild pain(Adults)

  • < 2 weeks

    How long should NSAIDs be used?

  • frail or older adults w fractures; increases their risk for MI, stroke, GI bleed, renal impairment

    Who should NOT receive NSAIDs? Why?

  • lay on side w/ pain, fluids, NSAIDs

    What is the initial treatment for Renal Colic?

  • ibuprofen, ketorolac, diclofenac, naproxen

    Which NSAIDs are used in treating Renal Colic? (4)

  • morphine sulfate

    What is the DOC for severe Renal Colic?

  • prior

    Pain management occurs often starts _________ to surgery.