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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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Presentation Transcript
slide3
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