Term
| what NT is involved in anxiety and has a release factor at pain receptors? |
|
Definition
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|
Term
| why does pain often get undertreated? |
|
Definition
| can't measure pain objectively |
|
|
Term
|
Definition
| well localized, visible damage, linked to anatomic structures |
|
|
Term
|
Definition
| poorly localized, may be referred |
|
|
Term
| what is neuropathic pain? |
|
Definition
| may be spontaneous w/out evidence of injury, increased sensitivity, often burning sensation, asymmetry in skin temperature - usually involved w/ANS. |
|
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Term
|
Definition
| pain w/o evidence of injury which also seems out of proportion. fibromyalgia is an example. |
|
|
Term
| does chronic pain usually have increased sympathetic activity? |
|
Definition
| no - but it does have psychiatric implications such as comorbid depression |
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Term
| can BZDs and anticonvulsants be used to tx chronic pain? |
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Definition
|
|
Term
| what is the analgesic ladder approach to treating pain pharmacologically? |
|
Definition
| mild pain: NSAIDs/acetaminophen. if still painful, add an adjuvant, usually a TCA. moderate pain: codeine/oxycodone + NSAIDs + adjuvant. more severe pain: adjuvant + stronger opioids. |
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Term
| what does chronic pain therapy need to include? |
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Definition
|
|
Term
| what can be used to tx neuropathic pain? |
|
Definition
|
|
Term
| can NSAIDs enhance the effect of opioids? |
|
Definition
|
|
Term
| what is the most common side effect of opioids? |
|
Definition
|
|
Term
| what is the most serious side effect of opioids? |
|
Definition
|
|
Term
| what opioid is often used for chronic pain? |
|
Definition
| methadone, usually for 1 month |
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