Term
| NSAID, when to avoid them |
|
Definition
| HF, GI diseases, Renal Failure |
|
|
Term
| In what age should ASA be avoided ? |
|
Definition
|
|
Term
| Adverse Effects of Opioids |
|
Definition
| Constipation (codeine bigtime), nausea, sedation, respiratory depression, tolerance, dependence, withdrawal |
|
|
Term
| REVIEW algorithm on pg 232 |
|
Definition
| REVIEW algorithm on pg 232 |
|
|
Term
| What should accompany a script for codeine, especially in the elderly? |
|
Definition
| Stool softener and/or bulk forming laxatives |
|
|
Term
| What nonopioid analgesic irreversibly inhibits platelet function for the lifetime of the platelet (8-10 days) ? |
|
Definition
|
|
Term
Tramadol -
Analgesic effect vs opioids ?
Nausea vs opioids ?
How should it be accompanied? |
|
Definition
Tramadol -
Analgesic effect vs opioids - LESS
Nausea vs opioids - MORE NAUSEA
How should it be accompanied - with APAP |
|
|
Term
| Will opioid overdose occur if the patient still has pain? |
|
Definition
|
|
Term
| What should be given in opioid overdose? |
|
Definition
|
|
Term
Ketorolac
When is it used ? |
|
Definition
Ketorolac
Use in Renal Colic, or when opioids are contraindicated |
|
|
Term
| When to avoid using Meperidine |
|
Definition
| Renal OR hepatic insufficiency, MAOI use in last 14 days, and elderly |
|
|
Term
Fentanyl duration of action?
Hemodynamic effects?
What can rapid IV administration cause? |
|
Definition
Fentanyl
VERY short duration: 30-60 minutes
NO hemodynamic effects or histamine release (unlike Morphine or Meperidine)
Rapid IV administration can cause chest wall rigidity |
|
|
Term
| What topical analgesic is frequently used for minor procedure? |
|
Definition
Lidocaine
Can use with Epinephrine to give higher lidocaine dose |
|
|
Term
What is EMLA ?
What topical is superior in children to reduce pain associated with needle insertion? |
|
Definition
Eutectic Mixture of Local Anesthetic
Can contain a variety of anesthetics
Amethocaine is superior |
|
|
Term
|
Definition
| Altered consciousness, maxillofacial injuries, pulmonary edema, pneumothorax, shock, decompression sickness, bowel obstruction, major head injury |
|
|
Term
Analgesics in pregnancy
Preferred agent?
What should NOT be used in 3rd trimester? |
|
Definition
Preferred - APAP
DO NOT use NSAIDS in 3rd trimester - abortive |
|
|
Term
| Can opioids be used during pregnancy? |
|
Definition
| YES - All stages of pregnancy, if used near end of pregnancy, monitor baby for respiratory depression |
|
|
Term
Analgesics and breastfeeding
Preferred agents?
What should be avoided?
What should be monitored if the mother is taking opioids ? |
|
Definition
Analgesics and Breastfeeding
Preferred agents are APAP or NSAIDS
Because of potential Toxicity, avoid meperidine and codeine
Monitor baby for respiratory depression if mother is taking opioids |
|
|
Term
|
Definition
| Sedation & Constipation, Respiratory depression (excluding morphine) |
|
|
