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7 Cards in this Set
- Front
- Back
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WHY DONT MOST PEOPLE GET TREATED FOR PAIN?
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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 |
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WHEN IS THE AMOUNT OF PAIN OK
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3 OR <
4-6=MODERATE PAIN TREAT REVIEW W/IN 4 HRS 7 OR > REVIEW REVISE PLAN W/IN 1 HR-CALL MD |
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THE WHO 3 STEP ANALGESIC LADDER
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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 |
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ADJUVANTS
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1.CORTICOSTEROIDS
2.ANTICONVULSANTS 3.ANTIDEPRESSANTS-ELAVIL (FOR CHRONIC PAIN) |
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S/E OF ADJUVANTS
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CONSTIPATION
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IF PT DOESNT WANT PAIN MED IM, THEN GIVE __
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ORAL OR FENTANYL PATCH
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5 ESSENTIAL CONCEPTS OF GIVING PAIN MEDS
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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 |
