Pain killers

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Author:
jmartin9
ID:
84684
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Pain killers
Updated:
2011-05-24 04:30:42
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Pain killers
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Pain killers
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  1. What are the indications for morphine?
    Moderate to severe acute or chronic pain

    acute pulmonary odema

    relief of severe dyspnoea
  2. Precautions for Opioids?
    Renal impairment - reduce dosage

    respiratory patients

    elderly

    children
  3. Adverse effects from morphine/ codeine?
    nausea, vomiting, dyspepsia, constipation

    SIAHD, anaphylaxis, seizures
  4. Dosage of Morphine?
    5-30mg, upto 100mg
  5. Counselling for morphine?
    Controlled relase must be swallowed whole

    Do not take kapanol with alcohol

    Medication may make you feel drowsy or faint - get up slowly
  6. Dose of oxycodone?
    • 5–15 mg every 4–6 hours.
    • Start with 5 mg dose in patients >70 years
  7. Indications for buprenorphine?
    • Moderate-to-severe pain
    • Opioid dependence
  8. Adverse effects from buprenorphine?
    • Local irritation from the patch
    • Delayed local allergic reaction

    • Nausea, vomiting, constipation, drowsniess
    • confusion, seizure
  9. Dose of buprenorphine?
    5mcg/hour patch, increasing upto 20mcg/hour if required

    200-400mcg every 6-8 hours
  10. Counselling for buprenorphine?

    patch?
    Sublingual tablet
    Change patch every 7 days

    Write the time and date patch was applied with a permenant marker and apply patch to clean dry skin on the upper torso

    Don't let patch come into contact with any direct sourced of heat ie heatlamps or electric blankets

    Place tablet under the tongue and let it dissolve, do not chew it
  11. Indications for codeine?
    • Mild-moderate pain
    • Cough supressant
    • Diarrhoea
  12. Precautions for codeine?
    Renal

    epilepsy

    respiratory depression
  13. Dose of codeine?
    30-60mg every 4 hours max 240mg
  14. Counselling of codeine?
    medication may make you feel drowsy and increase the effects of alcohol
  15. Indications of diclofenac?
    • Rheumatoid arthritis
    • Osteoarthritis
    • Pain, especially due to inflammation (eg period pain)
    • Local pain and inflammation in soft tissues (1% gel)
  16. Precautions of NSAIDs?
    Asthma patients - increased risk of bronchospasm

    Cardiovascular patients - increases risk of cardiovascular events

    GI disorders - avoid use!

    Acute flare of gout
  17. Adverse effects of NSAIDs?
    nausea, dyspepsia, GI ulceration or bleeding, dizziness
  18. Dose of diclofenac?
    75-100mg daily in 2 or 3 doses
  19. Counselling for diclofenac?
    If you develop swollen ankles, difficulty in breathing, black stools or dark coffee-coloured vomit, stop taking the medicine and tell your doctor immediately.

    Do not take aspirin for pain relief as it will increase the risk of side effects with this medicine.
  20. Analgesic dose of aspirin?
    300-900mg every 4-6 hours
  21. Counselling for aspirin?
    If you develop swollen ankles, difficulty in breathing, black stools or vomit that looks like coffee grounds, stop taking the medicine and contact your doctor without delay.

    Remove tablets from packaging just before use as aspirin can break down rapidly if it isn't protected by the packaging.

    • Mix dispersible tablets in water immediately before use
    • It may be advisable to stop taking aspirin 7 days before planned surgery and some dental procedures; discuss with your doctor or dentist.
  22. Indications for meloxicam?
    • Osteoarthritis
    • Rheumatoid arthritis
  23. Dose of meloxicam?
    7.5-15mg once daily
  24. counselling for meolxicam and celecoxib?
    If you develop swollen ankles, difficulty in breathing, black stools or dark coffee-coloured vomit, stop taking the medicine and tell your doctor immediately.

    Do not take aspirin for pain relief as it will increase the risk of side effects with this medicine.
  25. Contraindications for celecoxib?
    • heart failure
    • CAGB pain
  26. Dose of celecoxib
    • For OA - up to 200mg daily
    • For Pain- 400mg then 200mg daily then after for a max of 5 days
  27. Adverse effects of Dextropropoxyphene?
    cardiac toxicity
  28. Dosae of Dextropropoxyphene?
    100mg every 4 hours
  29. Precautions of using tramadol??
    • Epilepsy
    • Other serotonin drugs
    • Renal Impairment
    • Elderly
  30. Adverse Effects of tramadol?
    headache, sweating, sleep disorder, dyspepsia

    seizure
  31. Dose of tramadol?
    • 50-100mg every 4 hours - max 400mg
    • 12h CR- 50-200mg
    • 24h CR - 100mg daily initially
  32. Counselling for tramadol?
    • his medication may make you feel drowsy and may increase the effects of alcohol. If you are affected, do not drive or operate machinery.
    • Be careful when you stand up as this medicine might make you feel dizzy if you stand up too quickly.

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