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7 Cards in this Set

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WHY DONT MOST PEOPLE GET TREATED FOR PAIN?
1.FEAR OF ADDICTION
2.CULTURE
3.COMMUNICATION
4.SOME PEOPLE MAY WANT TO SAVE THE BEST MEDS FOR LAST
5.LAWS AND REGULATIONS-DRS AND PAPERWK
WHEN IS THE AMOUNT OF PAIN OK
3 OR <
4-6=MODERATE PAIN
TREAT
REVIEW W/IN 4 HRS
7 OR > REVIEW
REVISE PLAN W/IN 1 HR-CALL MD
THE WHO 3 STEP ANALGESIC LADDER
STEP 1 (NON-OPIOID AND ADJUVANT)
-ACETAMINAPHEN
-NSAID
STEP 2 (OPIOID FOR MILD PAIN)
-CODEINE
-HYDROCODONE
STEP 3 (OPIOID FOR SEVERE PAIN)
-MORPHINE
-FENTANYL
-HYDROMORPHONE
-METHADONE
ADJUVANTS
1.CORTICOSTEROIDS
2.ANTICONVULSANTS
3.ANTIDEPRESSANTS-ELAVIL (FOR CHRONIC PAIN)
S/E OF ADJUVANTS
CONSTIPATION
IF PT DOESNT WANT PAIN MED IM, THEN GIVE __
ORAL OR FENTANYL PATCH
5 ESSENTIAL CONCEPTS OF GIVING PAIN MEDS
1.GIVE BY THE MOUTH-LEAST INVASIVE
2.BY THE CLOCK (ATC)-Q 2-3 HRS
3.BY THE LADDER-3 STEPS
SUSTAINED RELEASE-2X/DAY NOT Q 4 HRS
BETTER COMPLIANCE
4.FOR INDIVIDUAL-WHATEVER WORKS FOR THAT PERSON
5.WITH ATTENTION TO DETAIL