Pharmacology | Neuropathic Pain | Chronic Pain | Hospice | Acute Post Operative Pain |
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What is Morphine?
This opioid is considered “Gold Standard”
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What is Low Back Pain?
With over 2 Million cases per year in the US, this condition is quite prevalent.
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What are Sympathetic and Parasympathetic?
______ is to “flight or flight” whereas
______ is to “rest and digest” |
What are Quality and Quantity?
Palliative care focuses improving the patient’s _______ of life rather than ______ of life
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What is Chronic?
Unrelieved acute post-traumatic and postoperative pain are risk factors for developing ________ pain
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What are Severity, Source of pain, Time (chronic/acute), age, comorbidities?
5 Basic principles of choosing an analgesic
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What is Diabetic peripheral Neuropathy?
Both Duloxetine and pregablin are approved to treat neuroatphic pain associated with this condition
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What are Soma, Dendrites, Axon, Terminal Boutons?
These are the 4 components that make up the functional unit of the nervous system
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What is all four?
Routine care, General In-Patient care, Continuous care, Respite care. Of the above, indicate how many falls under Hospice Care
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What is Preventive Analgesia?
This type of analgesia is provide longer duration of effective analgesia in the perioperative and can be administered before or after surgery
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What are Opioids analgesics and NSAIDS?
Although Visceral and Somatic pain are nociceptive pain. But Visceral pain responds to _______ whereas Somatic (nociceptive) pain responds to ________
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What is Post Herpatic Neuralgia (PHN)?
Gabapentin, Pre-gabalin, Lidocaine patch, and Capsaicin have been FDA approved to treat neuropathic pain in this condition
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What are receptor fields?
These fields are found more densely as you travel more distal from the body
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What is 13 months?
In the third phase of Hospice care, hospices are required to provide bereavement services for at least this many months to all families/friends of patients who have died under hospice care.
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What is Pre-emptive analgesia?
1) Blocking transmission to the spinal cord
2) Preventing wind-up 3) Modifying pain processes withiin the spinal cord and brain Are these goals of Pre-emptive analgesia vs. Preventive analgesia? |
What are NSAIDS?
Administer with food; beware of GI pain and bleeding; renal impairment – these are common concern when taking this class of drug?
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What are Transduction, Transmission, Modulation, Perception?
What are the 4 physiological steps in Pain Perception?
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What is A-beta?
Between A-beta, A-delta, and C fibers, which fiber is the fastest
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What is 6 months?
For a patient to be eligible to receive and remain on hospice care, the referring/certifying physician must state that in their best medical judgment that: “with the usual course of their illness, the patient is likely to die within ___ months
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What is PCA?
Between NSAIDS, COX-2 inhibitors, and PCA, only one of these treatment should be consider for acute pain in elderly
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Who are Elderly Patients?
Due to reduced renal function and susceptibility to CNS adverse effects, “start low/go slow” is the best approach when treating this group of patients
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What is Carbamazepine?
This medication is FDA approved to treat neuropathic pain in Trigeminal Neuralgia (TGN)
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What are A-delta and C-fiber
With nociception, the “first pain” is mediated by this ____ fiber and “second pain” is mediated by this _______ fiber.
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What are Nurse, Social Worker, Chaplain, Medical Director, Volunteer Coordinator, Bereavement Coordinator?
At the minimum, these 6 professionals must be included in a hospice Interdisciplinary team
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What are sensation (anaesthesia) and pain (analgesia)?
By blocking the transmission of signals through nerves in or near the spinal cord, the injection of local anesthetics can cause both a lost in _________ and _________?
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