Pain Management

  • Created by: LBCW0502
  • Created on: 12-11-18 20:45
What does SOCRATES stand for?
Site, onset, character, radiating, associations, time, exacerbating and severity
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Outline the components of chronic pain
Red block represents persistent pain. Spikes of breakthrough pain (over various times of the day). Possible to take analgesic before doing activity which causes pain (able to apply to those with background chronic pain)
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Describe how to obtain information about severity of pain
Patient gives subjective descriptions which can be converted into objective pain scores (used as an indication is a treatment is having a therapeutic effect e.g. pain score decreases)
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What are the advantages of using the Wong-Baker FACES pain rating scale?
Can be used when patient is unable to describe pain using words. Useful for cases with language barrier. Suitable for children. Can be converted to numeric score
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Outline the analgesic ladder
Bottom (non-opioids, paracetamol, NSAIDs, COXIBs)m middle (weak opioids, codeine, dihydrocodeine, tramadol), top (strong opioids, morphine, oxycodone, fentanyl, diamorphine, pethidine, buprenorphine)
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Why is it important to stick with the doses stated in the BNF for codeine and dihydrocodeine?
Has a ceiling effect
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Can a patient with a history of GI bleed use NSAIDs?
Yes - if they are also taking a PPI to reduce irritation of GI
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Do NSAIDs interact with methotrexate?
Yes - can increase levels of methotrexate by causing vasoconstriction in the kidneys and restrict excretion of methotrexate
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Application of knowledge to case studies
Refer to 2 case studies in lecture notes
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What is a laparotomy?
Surgical incision in abdominal cavity
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What is a PCA?
Patient controlled analgesia
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What are the advantages of using a PCA?
Patient can administer medicine quickly when nurses are busy, fast onset due to using IV injection (F = 1.0), 5 min lock out
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What are the disadvantages of using a PCA?
Patient may not know how to use it, patient need to be educated, patient may not be able to press the button (e.g. OA)
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What are the treatment options for neuropathic pain?
Amitriptyline, gabapentin and duloxetine
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What is the main factor to consider when choosing the most suitable treatment?
Patient specific requirements
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Other cards in this set

Card 2

Front

Outline the components of chronic pain

Back

Red block represents persistent pain. Spikes of breakthrough pain (over various times of the day). Possible to take analgesic before doing activity which causes pain (able to apply to those with background chronic pain)

Card 3

Front

Describe how to obtain information about severity of pain

Back

Preview of the front of card 3

Card 4

Front

What are the advantages of using the Wong-Baker FACES pain rating scale?

Back

Preview of the front of card 4

Card 5

Front

Outline the analgesic ladder

Back

Preview of the front of card 5
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