Pain Management.pptx
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This document outlines the 4 steps for pain management: 1) non-opioids like ibuprofen and paracetamol, 2) weak opioids like codeine and tramadol, 3) non-pharmacological options like acupuncture, yoga, and nerve blocks, and 4) strong opioids like morphine and oxycodone as a last resort. Each step provides examples of options, associated side effects to consider, and important notes. The overall approach emphasizes non-opioid and non-pharmacological strategies first due to current opioid crises before considering stronger opioids.
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Hiranandani Hospital in Powai, Mumbai, is a premier healthcare institution that has been serving the community with exceptional medical care since its establishment. As a part of the renowned Hiranandani Group, the hospital is committed to delivering world-class healthcare services across a wide range of specialties, including kidney transplantation. With its state-of-the-art facilities, advanced medical technology, and a team of highly skilled healthcare professionals, Hiranandani Hospital has earned a reputation as a trusted name in the healthcare industry. The hospital's patient-centric approach, coupled with its focus on innovation and excellence, ensures that patients receive the highest standard of care in a compassionate and supportive environment.
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These lecture slides, by Dr Sidra Arshad, offer a simplified look into the mechanisms involved in the regulation of respiration:
Learning objectives:
1. Describe the organisation of respiratory center
2. Describe the nervous control of inspiration and respiratory rhythm
3. Describe the functions of the dorsal and respiratory groups of neurons
4. Describe the influences of the Pneumotaxic and Apneustic centers
5. Explain the role of Hering-Breur inflation reflex in regulation of inspiration
6. Explain the role of central chemoreceptors in regulation of respiration
7. Explain the role of peripheral chemoreceptors in regulation of respiration
8. Explain the regulation of respiration during exercise
9. Integrate the respiratory regulatory mechanisms
10. Describe the Cheyne-Stokes breathing
Study Resources:
1. Chapter 42, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 36, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 13, Human Physiology by Lauralee Sherwood, 9th edition
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- 1. PAIN MANAGEMENT Dr Manzoor Hussain Narejo MBBS
- 2. Pain Management THERE ARE 4 STEPS FOR PAIN MANAGEMENT NON-OPIOIDS WEAK OPIOIDS NON-PHARMACOLOGICAL STRONG OPIOIDS
- 3. NON-OPIOIDS This is 1ST STEP OF pain management It includes NSAIDS i.e IBUPROFEN, NAPROXEN, PARACETAMOL SIDE EFFECTS: Gastric ulcers, increase risk of bledding, decrease renal blood flow CONTRAINDICATION: Chronic kidney disease, heart failure, chirrhosis, asthma ( severe) NOTE: Paracetamol is contraindicated in liver diseases
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