Post-Operative Pain Management
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Questions and Answers

What is the primary use of opioids in surgical procedures?

  • To manage severe surgical pain (correct)
  • To prevent reflex-induced muscle contractions
  • To prevent post-operative vomiting
  • To prevent excessive cholinergic effects

Which of the following is a post-operative side effect of opioids?

  • Increased salivation
  • Urinary retention (correct)
  • Tachycardia
  • Hypertension

What is the mechanism of action of neuromuscular blockers?

  • Enhancement of cholinergic effects
  • Stimulation of the respiratory centre
  • Blockade of nACh receptors at the neuromuscular junction (correct)
  • Blockade of muscarinic receptors

Which drug is used to prevent post-operative vomiting?

<p>Metoclopramide (B)</p> Signup and view all the answers

What is the purpose of muscarinic antagonists in anaesthesia?

<p>To prevent excessive cholinergic effects (D)</p> Signup and view all the answers

Why are opioids used pre- and post-operatively in surgical procedures?

<p>Due to the severity of surgical pain (D)</p> Signup and view all the answers

What is the primary consequence of excessive cholinergic effects in anaesthesia?

<p>Salivation and bronchial secretions (B)</p> Signup and view all the answers

Which of the following is a benefit of using muscarinic antagonists in anaesthesia?

<p>Protection of the heart from arrhythmias (A)</p> Signup and view all the answers

What is the primary mechanism of action of neuromuscular blockers in anaesthesia?

<p>Blocking synaptic transmission at the neuromuscular junction (B)</p> Signup and view all the answers

Why are antiemetic drugs used in anaesthesia?

<p>To prevent post-operative vomiting (A)</p> Signup and view all the answers

Study Notes

Analgesia

  • Opioids are the primary choice for managing severe surgical pain, used both pre- and post-operatively
  • Examples of opioids include morphine and fentanyl
  • Post-operative side effects of opioids include:
    • Constipation
    • Urinary retention
    • Respiratory depression
    • Nausea and vomiting

Muscarinic Antagonists

  • Prevent excessive cholinergic effects, such as:
    • Salivation
    • Bronchial secretions
  • Protect the heart from arrhythmias caused by certain anesthetics, such as halothane
  • Examples of muscarinic antagonists include:
    • Atropine
    • Hyoscine

Antiemetic Drugs

  • Prevent post-operative vomiting
  • Examples of antiemetic drugs include:
    • Metoclopramide
    • Prochlorperazine

Neuromuscular Blockers

  • Prevent reflex-induced muscle contractions, particularly for:
    • Abdominal surgery
    • Thoracic surgery
  • Facilitate tracheal intubation
  • Mechanism of action: block synaptic transmission at the neuromuscular junction by targeting nACh receptors

Analgesia

  • Opioids are the primary choice for managing severe surgical pain, used both pre- and post-operatively
  • Examples of opioids include morphine and fentanyl
  • Post-operative side effects of opioids include:
    • Constipation
    • Urinary retention
    • Respiratory depression
    • Nausea and vomiting

Muscarinic Antagonists

  • Prevent excessive cholinergic effects, such as:
    • Salivation
    • Bronchial secretions
  • Protect the heart from arrhythmias caused by certain anesthetics, such as halothane
  • Examples of muscarinic antagonists include:
    • Atropine
    • Hyoscine

Antiemetic Drugs

  • Prevent post-operative vomiting
  • Examples of antiemetic drugs include:
    • Metoclopramide
    • Prochlorperazine

Neuromuscular Blockers

  • Prevent reflex-induced muscle contractions, particularly for:
    • Abdominal surgery
    • Thoracic surgery
  • Facilitate tracheal intubation
  • Mechanism of action: block synaptic transmission at the neuromuscular junction by targeting nACh receptors

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Description

This quiz covers the management of pain after surgery, including the use of opioids, muscarinic antagonists, and antiemetic drugs to prevent common side effects.

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