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Post-Operative Pain Management

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DauntlessShark9501
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10 Questions

What is the primary use of opioids in surgical procedures?

To manage severe surgical pain

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

Urinary retention

What is the mechanism of action of neuromuscular blockers?

Blockade of nACh receptors at the neuromuscular junction

Which drug is used to prevent post-operative vomiting?

Metoclopramide

What is the purpose of muscarinic antagonists in anaesthesia?

To prevent excessive cholinergic effects

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

Due to the severity of surgical pain

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

Salivation and bronchial secretions

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

Protection of the heart from arrhythmias

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

Blocking synaptic transmission at the neuromuscular junction

Why are antiemetic drugs used in anaesthesia?

To prevent post-operative vomiting

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

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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