Pain Pathways | Types of Pain | Receptors and Neurotransmitters | Pharmacology of Opioids | Potpourri |
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What are nociceptors?
Peripheral neurons that transmit noxious stimuli to the CNS
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What is allodynia?
When a normally, non-painful stimulus is perceived as painful.
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What are glutamate and Substance P?
These are the two most influential excitatory neurotransmitters involved in pain transmission.
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What are morphine and meperidine?
These two opioid agonists are known to produce active metabolites after hepatic biotransformation and should be used with caution in elderly and renal patients.
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What is respiratory depression?
Action on mu and delta receptors results in this centrally-mediated side effect.
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What is transmission?
This phase of the pain pathway involves conduction of the action potential from the periphery to the CNS
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What is neuropathic pain?
This type of pain is the result of damage to peripheral or central neural tissue.
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What is the delta receptor?
This opioid receptor is responsible for negative side effects such as respiratory depression and physical dependence.
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What is lipid-solubility?
One of the most important pharmacokinetic parameters for the action of opioids that determines the speed of absorption.
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What is the intrathecal route?
Administration of opioid agonists via this route generally require a much smaller dose than systemic administration?
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What is the spinothalamic (or anterolateral) pathway?
The name of the primary sensory, dorsal, afferent pathway.
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What is referred pain?
Pain that is felt in a part of the body remote from the actual source.
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What are endorphins?
The endogenous opioid agonists that best pair with the Mu receptor.
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What is remifentanil?
This opioid agonist is unique in that it is primarily metabolized by hydrolysis in the plasma, requiring a constant infusion to be effective.
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What is sensory homunculus?
The cortical representation of body parts where pain is perceived in the somatosenory cortex.
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What are a-delta and c-fibers?
These two types of neurons are responsible for the transmission of pain signals.
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What is visceral pain?
The type of pain that is associated with the distention of a hollow body cavity.
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What are the arachidonic acid pathway and prostaglandin?
Inhibition of this pathway interrupts the synthesis of what peripheral mediator of pain. (2 answers)
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What is pharmacogenetics?
This principle explains individual differences in the speed with which opioids are metabolized.
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What are wide dynamic range neurons?
These neurons, abundant in the dorsal horn of the spinal cord, are sensitive to both noxious and non-noxious stimuli and associated with wind-up phenomenon.
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What are the periaqueductal gray and raphe magnus nucleus?
Descending modulation of pain originates in these two areas of the medulla.
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What is opioid-induced hyperalgesia?
A type of pain that is caused by rapidly escalating doses of potent mu-receptor agonists.
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What is the kappa receptor?
Due to its antinociceptive activity and low abuse potential, this receptor is the focus of analgesic pharmacologic development.
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What is non-ionized drug?
An opioid with a pKa much lower than physiologic pH (7.4) will have much greater fraction of:
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What is Suboxone?
This combination agonist-antagonist/antagonist drug is used in medication-assisted therapy for patients with a history of opioid dependence.
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