This is a review of Pain Management for the Correctional Nurse. You must answer 80% of the questions correctly to continue to the next lesson.
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Non-opioid analgesics include acetaminophen, aspirin, and non-steroidal anti-inflammatory drugs. For these medications, the effect is directly related to their dosage, and there is no maximum dosage beyond which there is no increase in pain relief.
NSAIDs may be used in conjunction with renal failure and anticoagulants without concern.
Opioid medications are categorized by the Drug Enforcement Agency based upon their potency.
Opioids should never be used with non-opioid medications.
There are no ceiling doses for µ agonist-only agents except for codeine, and dose titration can continue until adequate pain relief is achieved, or unmanageable or intolerable adverse effects occur.
The most common side effects of the opioid medications include nausea, vomiting, pruritus, constipation, dizziness, fatigue, dry mouth, sweating, and sedation.
Co-analgesics/adjuvant medications most often used in the correctional environment include antidepressants, muscle relaxers and anticonvulsants.
Dual-mechanism analgesics include morphine, tramadol and tapentadol.