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Therapeutics - Pain 1
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In pain assessment what does PQRST stand for?
P
: Palliative/Provoking factors (What makes it better or worse)
Q
: Quality (Describe)
R
: Radiation (where is it)
S
: Severity (How is it now compared to previously)
T
: Temporal (intensity change with time)
Is PQRST objective or subjective?
Both
Numeric or Wong faces pain scales assess what factor of pain?
Intensity/Severity
What is a mild pain score on an 11 point scale?
1-3
What is a Moderate pain score on an 11 point scale?
4-6
What is a Severe pain score on an 11 point scale?
7-10
What are the general treatments for Mild pain?
Non-opioid:
APAP
ASA
NSAIDs
What are the general treatments for mild-moderate pain?
Opioids with or without an adjuvant
Codeine
Tramadol
What are the general treatments for moderate-severe pain?
Opioids with or without an adjuvant
Morphine
Fentanyl
What are the most common routes of administration for acute pain?
Parenteral or Oral
What are the most common routes of administration for Chronic pain?
Oral or Transdermal
What is the Therapeutic goal for acute pain?
Pain relief
What is the Therapeutic goal for chronic pain?
Pain prevention
What is the desired duration of pain control for acute pain?
2-4 hours
What is the desired duration of pain control for chronic pain?
As long as possible
What is the frequency of pain control dosing for acute pain?
As needed
What is the frequency of pain control dosing for chronic pain?
Scheduled
How is the dose generally calculated for acute pain?
Standard calculations
How is the dose generally calculated for chronic pain?
Individually titrated
Is adjuvant medication common for acute pain?
No
Is adjuvant medication common for chronic pain?
Yes
Does acute pain require rapid OOA?
Yes
Does chronic pain require rapid OOA?
No
What is the mainstay for pain management?
OTC analgesics
What is the pediatric dosing for APAP or IBU?
10 mg/kg
(APAP can be 10-15 mg/kg)
Q4-6 hours
APAP has what therapeutic properties?
Antipyretic and analgesic
Does APAP have Anti-inflammatory properties?
No
APAP is indicated for what severity of pain?
Mild to moderate
APAP is indicated for moderate to severe pain in what situation?
In combination
What is the maximum dose of APAP?
4000 mg (3000 mg is become more common)
325 mg in Combination products
What score should you evaluate if a person in on APAP?
Child Pugh score
What is the brand name for the IV APAP formulation
Ofirmev
What is the conc. of Ofirmev?
1000 mg/100 mL APAP
What is the age range for Ofirmev?
>2 years
What are the indications for Ofirmev (APAP IV)?
Mild to moderate pain
Moderate to severe pain with adjunctive meds
Reduction of fever
How long can you use Ofirmev (APAP IV) after surgery?
Up to 24 hrs
What are the advantages/benefits of using Ofirmev (APAP IV)?
Opioid sparing
No 1st pass
Safe/tolerable
NPO patients
Post surgery
What are the cons of Ofirmev (APAP IV)?
Mask fever
APAP is centrally or peripherally acting?
Centrally
NSAIDs are centrally or peripherally acting?
Both
NSAID have antipyretic, analgesic or anti-inflammatory effects?
All
What are the indications for NSAIDs?
Mild to moderate pain, including:
Soft tissue injury
Sprains
Dose sparing with opioids
How long should you use an NSAID to verify that it has failed?
2 weeks
Author
kyleannkelsey
ID
282528
Card Set
Therapeutics - Pain 1
Description
Therapeutics - Pain 1
Updated
2014-09-09T19:16:04Z
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