Question

31)Describe what type of pain Opioids are most often used for.

32)Methadone is often given to patients with an opioid addiction. What type of EKG changes can methadone cause?

33)Review what the best type of pain medication is used in neuropathic pain.

34)Review the best pain medication to use with persistent, severe pain in patients already opioid tolerant

35)Review why using a continued-release preparation such as Oxycontin may give more continuous relief then giving the medication prn. Do patients become tolerant of the medication and over time need an increase in dosage?

36)Review what happens when a patient develops tolerance to their opioid medication.

37)Review important educational points to teach a patient about the use of a buprenorphine [Butrans], transdermal patch for pain.

38)Review the key teaching points regarding the patient use of the patient-controlled analgesia pump (PCA)

39)Review COX-1 and COX 2 inhibitors

The review questions you can just give me some information about them, since they are not really questions

Answer 1

31A) opioid are strong analgesics. They can releave dull and poorly localised pain better than sharp defined pain. Pain arising from peripheral nerves(nocioceptive pain) is relieved better than neuritic pain like trigeminal neuralgia

32A) methadone chemically different from opioid but pharmacologically similar to opiods. ECG Changes are prolongs QT interval

33A) neuropathic pain is usually treated by giving antidepressants and anticonvulsant along with Non steroidal anti inflammatory drugs

34A) methadone is used

35A) oxycontin is a opioid analgesic. Continuous using causes tolerance and dose should be increased for relieving pain

36A) when pt develops opioid tolerance his body stop to respond to same dose and he needs higher dose to respond

37A) oral opioid should be discontinued. It's should worn for 7 days. If patch should be discontinued the dosage should gradually reduced for every 7 days

38A) concomitant anagesics should be avoided by the patient

39A) COX-1 , COX-2inhibitors are anti inflammatory drugs usually called as NSAIDS