Analgesics
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Analgesics. Those who do not feel pain seldom think it is felt. Samuel Johnson. Pain. Pain is subjective and difficult to quantify Pain scale, 1-10 McGill Pain Q. Analog scale. Patient Responses. MD & ATC must accept patients response to pain Must be observant

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Analgesics

Analgesics


Those who do not feel pain seldom think it is felt

Those who do not feel painseldom think it is felt

Samuel Johnson


Analgesics 1198664

Pain

  • Pain is subjective and difficult to quantify

    • Pain scale, 1-10

    • McGill Pain Q.

    • Analog scale


Patient responses

Patient Responses

  • MD & ATC must accept patients response to pain

    • Must be observant

    • Does injury match pain level reported?

    • Know athlete & personality


Pain management

Pain Management

  • Must be individualized to patient based on:

    • Cause

    • Severity of pain

    • Chronicity


Chronic pain syndrome

Chronic Pain Syndrome

  • Must evaluate especially non-athletes

    • workers comp

  • Emotional state

  • Personality


Non pharm alternatives

Non-Pharm Alternatives

  • TENS

  • Electric Stimulation

  • Relaxation Therapy

  • Nerve Block


Analgesics1

Analgesics

  • MILD - TX of mild to moderate pain

    • Dec. sensitivity of pain receptors

    • Minor side effects

  • STRONG - TX of moderate to severe pain

    • Inc pain tolerance


Anagelsics

Contain different compounds for short and long lasting relief

Strong Anagelsics will produce pain tolerance and dependence w/n 1 week

Anagelsics


Admin methods

Admin Methods

  • Oral

  • Injection

  • IV - Continuous or intermittent


Common analgesics

Narcotic

Morphine

Codeine

Propoxyphene

Oxycodone

Meperidine

Pentazocine

Non-Narcotic

Aspirin

Acetaminophen

Ibuprofen

Common Analgesics


Acetaminophen

Acetaminophen

  • Tylenol or Datril

  • Antipyretic & analgesic effects

  • Minimal AI activity

  • Minimal side effects


Narcotic analgesics

Narcotic Analgesics

  • Pharmacologically similar to opium or morphine

  • Primary analgesics but can be used for cough suppressants and control diarrhea

  • Provides analgesia w/o antipyretic effect

  • Common error - overestimation of the drug needed for analgesia


Peak analgesia

Peak Analgesia

  • Oral Dose

    • 1-2 hours

  • Duration of Action

    • 3-6 hours

  • Tissue build-up normally does not occur

  • Metabolized in the liver


Codeine

Codeine

  • Given in combination w/ aspirin or acetaminophen

  • Tylenol 3 or Tylenol 4

  • Provides enhanced pain relief

  • Used as cough suppressant


Codeine dosage

Pain Relief

30-60 mg

Cough Suppressant

15-30 mg

Codeine Dosage


Adverse effects

Nausea

Vomiting

Dizziness

Mental clouding

Dysphoria

Constipation

Delirium

Addiction

Withdrawal

Seizures

Adverse Effects


Withdrawal symptoms

Drug seeking behavior

Lacrimation

Phinorrhea

Yawning

Sweating

Restlessness

Mydriasis

Tremors

Nausea

Tachycardia

MM cramps/spasms

General CNS hyperexcitability

Potential CV collapse

Withdrawal Symptoms


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