Answers
Cutaneous pain - ANS superficial tissue pain, minor cuts and bruises
Deep somatic pain - ANS ligaments, tendons, bones, blood vessels, nerves
dull, poorly localized pain
Visceral pain - ANS deep organs
Referred pain - ANS pain that is felt in a location other than where the pain originates
Phantom pain - ANS pain or discomfort felt in an amputated limb
WHO analgesic ladder - ANS Step 1: mild to moderate pain
-Non-opioid analgesic: NSAIDs and acetaminophen
Step 2: moderate to severe pain
-Opioid analgesic: oxycodone, hydrocodone, codeine
+/- nonopioid adjuvants
Step 3: severe pain
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, -Powerful opioid: morphine, fentanyl
+/- nonopioid adjuvants
What is the purpose of adjuvant meds? - ANS Amplify analgesic effect of pain meds
What are types of adjuvant medications? - ANS anticonvulsants (neuropathic pain),
antidepressants, corticosteroids, local anesthetics (prevent nerve depolarization), topical pain
relievers, cannabinoids
What are side effects of opioids? - ANS D- Dizziness
A - Addiction
N - Nausea
C - Constipation
E - Euphoria
R - Respiratory depression
S - Sedation
When are opioids most effective? - ANS when given before pain onset
Naloxone (Narcan, Evzio) - ANS Reverses adverse effects of narcotics; diagnoses suspected
acute narcotic overdose
Naltrexone (ReVia) - ANS Used orally in the management of alcohol or narcotic dependence
Signs and symptoms of GERD - ANS Heartburn, dysphagia, epigastric pain, regurgitation,
dyspepsia (acid indigestion)
How do you diagnose GERD? - ANS endoscopy and manometry
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