pain control in surgical patient presented by dr azza serry
TRANSCRIPT
![Page 1: PAIN CONTROL IN SURGICAL PATIENT PRESENTED BY DR AZZA SERRY](https://reader036.vdocuments.us/reader036/viewer/2022062408/56649e3b5503460f94b2df4f/html5/thumbnails/1.jpg)
PAIN CONTROL IN SURGICAL PATIENT
PRESENTED BY
DR AZZA SERRY
![Page 2: PAIN CONTROL IN SURGICAL PATIENT PRESENTED BY DR AZZA SERRY](https://reader036.vdocuments.us/reader036/viewer/2022062408/56649e3b5503460f94b2df4f/html5/thumbnails/2.jpg)
LEARNING OBJECTIVES
• PAIN DEFINITION AND TYPES
• PHYSIOLOGICAL EFFECTS OF PAIN
• PAIN PATHWAY
• PAIN ASSESSMENT SCALE
• PAIN ANALGESIA
![Page 3: PAIN CONTROL IN SURGICAL PATIENT PRESENTED BY DR AZZA SERRY](https://reader036.vdocuments.us/reader036/viewer/2022062408/56649e3b5503460f94b2df4f/html5/thumbnails/3.jpg)
PAIN • It is an unpleasant sensory and emotional experience associated with tissue damage
• It is a protective mechanism warns the body of something that requires attention .
![Page 4: PAIN CONTROL IN SURGICAL PATIENT PRESENTED BY DR AZZA SERRY](https://reader036.vdocuments.us/reader036/viewer/2022062408/56649e3b5503460f94b2df4f/html5/thumbnails/4.jpg)
TYPES OF PAIN
•Acute pain
•Chronic pain
![Page 5: PAIN CONTROL IN SURGICAL PATIENT PRESENTED BY DR AZZA SERRY](https://reader036.vdocuments.us/reader036/viewer/2022062408/56649e3b5503460f94b2df4f/html5/thumbnails/5.jpg)
ACUTE PAIN
•It follows the injury ,resolves when body injury heals , associated with tachycardia , hypertension , pallor .
•Examples , broken leg ,tooth infection
![Page 6: PAIN CONTROL IN SURGICAL PATIENT PRESENTED BY DR AZZA SERRY](https://reader036.vdocuments.us/reader036/viewer/2022062408/56649e3b5503460f94b2df4f/html5/thumbnails/6.jpg)
CHRONIC PAIN
• It is a persistent pain lasting for more than three months, that can disrupt sleep, mood and normal living activities, not associated with sympathetic hyperactivity .
•Example : joint pain , back pain .
![Page 7: PAIN CONTROL IN SURGICAL PATIENT PRESENTED BY DR AZZA SERRY](https://reader036.vdocuments.us/reader036/viewer/2022062408/56649e3b5503460f94b2df4f/html5/thumbnails/7.jpg)
PHYSIOLOGICAL EFFECTS OF PAIN
• Hypertension, ↑ heart rate
•↑ respiratory rate, splint chest wall → atelectasis
•Anxiety , sleeplessness
•Decrease mobility ( increase risk of deep venous thrombosis)
•Urinary retention ,
![Page 8: PAIN CONTROL IN SURGICAL PATIENT PRESENTED BY DR AZZA SERRY](https://reader036.vdocuments.us/reader036/viewer/2022062408/56649e3b5503460f94b2df4f/html5/thumbnails/8.jpg)
PAIN PATHWAY
![Page 9: PAIN CONTROL IN SURGICAL PATIENT PRESENTED BY DR AZZA SERRY](https://reader036.vdocuments.us/reader036/viewer/2022062408/56649e3b5503460f94b2df4f/html5/thumbnails/9.jpg)
PAIN ASSESSMENT SCALES
• VERBAL SCALE :
• None , mild , mild , severe
• VISUAL ANALOGUE SCORE :
• Ranging from worst pain ever (10 ) , to no pain at all ( 0 ) .
![Page 10: PAIN CONTROL IN SURGICAL PATIENT PRESENTED BY DR AZZA SERRY](https://reader036.vdocuments.us/reader036/viewer/2022062408/56649e3b5503460f94b2df4f/html5/thumbnails/10.jpg)
![Page 11: PAIN CONTROL IN SURGICAL PATIENT PRESENTED BY DR AZZA SERRY](https://reader036.vdocuments.us/reader036/viewer/2022062408/56649e3b5503460f94b2df4f/html5/thumbnails/11.jpg)
PAIN ANALGESIA
• ANALGESIA IS ABSENCE OF PAIN
• FOLLOW ANALGESIC LADDER
![Page 12: PAIN CONTROL IN SURGICAL PATIENT PRESENTED BY DR AZZA SERRY](https://reader036.vdocuments.us/reader036/viewer/2022062408/56649e3b5503460f94b2df4f/html5/thumbnails/12.jpg)
TYPES
•SIMPLE ANALGESICS
•OPIODS
![Page 13: PAIN CONTROL IN SURGICAL PATIENT PRESENTED BY DR AZZA SERRY](https://reader036.vdocuments.us/reader036/viewer/2022062408/56649e3b5503460f94b2df4f/html5/thumbnails/13.jpg)
SIMPLE ANALGESICS
• Paracetamol mild pain analgesic , antipyretic , oral , intravenous
• Overdose → liver failure
![Page 14: PAIN CONTROL IN SURGICAL PATIENT PRESENTED BY DR AZZA SERRY](https://reader036.vdocuments.us/reader036/viewer/2022062408/56649e3b5503460f94b2df4f/html5/thumbnails/14.jpg)
NSAIDSNON –STEROIDAL ANTI- INFLAMMATORY DRUGS
• Ibuprofen, diclofenac
•Reduce pain sensation, reduce inflammation that accompanies and worsens pain
•Used in mild to moderate pain, oral , injectable
• Increase bleeding tendency, nephrotoxic, bronchospasm.
![Page 15: PAIN CONTROL IN SURGICAL PATIENT PRESENTED BY DR AZZA SERRY](https://reader036.vdocuments.us/reader036/viewer/2022062408/56649e3b5503460f94b2df4f/html5/thumbnails/15.jpg)
OPIOID ANALGESICS
•Morphine, fentanyl, analgesia, euphoria, cerntral and peripheral receptors ( opiate receptors ) .
• Used in severe pain, oral, injectable,
• Can cause respiratory depression , nausea ,vomiting , hypotension ,addiction .