Pharmacotherapy Back Pain The WHO analgesic ladder in popular culture Hospice Acute Postoperative Pain
100
What is Morphine?
This drug is considered the “Gold Standard” of opioids.
100
What are "red flags" for low back pain?
They include back pain that doesn't improve after a month, back pain that doesn't improve with lying down, and patients who also present with unexplained weight loss.
100
What was "The Wire"?
This HBO classic depicted the narcotics trade in Baltimore from a different perspective in each season.
100
What are quality and quantity?
Palliative care focuses on improving the patient’s _______ of life rather than ______ of life.
100
What is chronic pain?
Unrelieved acute post-traumatic and postoperative pain are risk factors for developing this type of pain.
200
What is severity?
The WHO analgesic ladder bases drug choice on this aspect of pain.
200
What is "ineffective"?
Prolonged bed rest, passive treatments and gabapentin have all been shown to be this for LBP.
200
What is heroin?
The Velvet Underground sang about this diacetyl derivative of morphine on their debut album.
200
Who is Dame Cicely Saunders?
This clinician is considered the mother of the modern hospice movement.
200
What is codeine?
This opioid is no longer recommended for postoperative pain in children due to fatalities in "ultra-rapid" metabolizers.
300
What are nonopioids?
Neuropathic pain typically does not respond well to this class of drugs.
300
What is back strain or sprain?
85% of patients have this diagnosis for their first complaint of back pain
300
What is ketorolac?
This injectable NSAID is thought to be responsible for several cases of renal failure in NFL athletes.
300
What is 13 months?
Under Medicare law, all hospices are required to provide bereavement services for at least this amount of time to all families/friends of patients who have died under hospice care.
300
What is multimodal analgesia?
This approach to perioperative analgesia employs a variety of agents in small doses to block pain perception at different sites.
400
What are NSAIDS?
It is important to administer these drugs with food. They may cause gastrointestinal irritation or bleeding.
400
What is 6 months?
LBP is considered to be chronic after this time period
400
Who is Sherlock Holmes?
This famous fictional British detective from the turn of the 20th Century indulged in both cocaine and morphine.
400
What is 6 months?
For a patient to be eligible to receive and remain on hospice care, the referring/certifying physician must state in their best medical judgment that “with the usual course of their illness" the patient is likely to die within this time period.
400
What are NSAIDs?
If possible, this class of analgesics should be avoided postoperatively in the elderly due to concerns about bleeding and damage to the kidney.
500
Who are the elderly?
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.
500
What are "barriers" to effective therapy of LBP?
These include problems with the healthcare system, with the patient, or with the clinician.
500
Who is Steve Earle?
This country singer correctly interpreted the WHO ladder, when singing "Cocaine cannot kill my pain".
500
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
500
What is the epidural route?
Sepsis is an absolute contraindication to the use of this route of administration of analgesia.






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