Medication Education - Pain

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Author:
VASUpharm14
ID:
280671
Filename:
Medication Education - Pain
Updated:
2014-08-15 17:40:50
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im too cool
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Description:
Pain Ch. 27
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  1. Pain Ch. 27
  2. Treatment principles
    • 1. pain is subjective - based on patient's own report and using pain scales as guide
    • 2. treat severe pain at initial onset
    • 3. non-opioids and nonmedication techniques are preferred
    • 4. distinguish between physiological adaptation and addiction
    • 5. don't scold the patient - determine aspect of pain that is inadequately controlled 
    • 6. convert to longer acting vs combo and short acting
    • 7. tolerance - distinguish if condition worsened or medication is decreased in effectiveness
    • 8. opioid hyperalgesis - chronic opioid use may worsen pain sensitivity
    • 9. see how often breakthrough pain occurs
    • 10. give constipation prophylaxis
    • 11. IV opioids - monitor for sedation = predicting respiratory depression and overdose
  3. acetaminophen
    • mild pain
    • DI: DOC with warfarin, but alter INR over time
    • - avoid/limit ETOH = hepatotoxicity
    • Counseling: 1) many products contain acetaminophen - NTE limits 4 g/day
    • 2) avoid ETOH (1 women, 2 men) - kidney damage and harm the liver
  4. Aspirin and NSAIDs
    • mild pain
    • DI: additive bleeding risk with antiplatelet and anticoagulants, and ginko biloba
    • - don't double up
    • - INC levels of lithium and methotrexate
    • - caution aspirin with ototoxic agents (AMG, IV loop)
    • Counseling: 1)

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