WHO Ladder Regional Anaesthesia Adjuncts Examples NSAIDs Opiates Central Neuraxial Blockade Local Infiltration Peripheral nerve block Routes Pain "An unplesant sensory and emotional experience associated with actual or potential tissue damage, or described in terms of such damage."
- International Association for the Study of Pain PCA IV Oral IM PR Paracetamol Nausea Constipation Puritis Reduced cough Euphoria Depressed GCS Reduced resp rate Types of pain Chronic Acute Somatic Visceral Neuropathic Psycogenic Phantom Local Anaesthetics
Antidepressants
Anticonvulsants
Corticosteroids
TENs
Acupuncture
CBT
N2O
Resp
Ineffective cough
Atelectasis CVS
Increased O2 consuption
Risk of DVT/PE GIT
N&V
Ileus Decreased mobility Take a history from this patient Prescribe Ibuprofen How would you mangage this patient with chest pain 72 yr male, 1d post-laparotomy, epidural, hypotensive You have prescribed morphine, what would you tell the patient? What else might you prescribe? Explain how to use a PCA Explain how to use Entenox Patient in severe pain: refuses to take paracetamol, asthmatic, alergic to morphine...what would you do? Humane?
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