It's a 10
What is the pain dose of ketamine?
0.15-0.4 mg/kg over 10 mins
This chronic pain syndrome is common in patients who had an amputation of an extremity and present with pain in their amputated extremity.
Phantom Limb Pain
This sedation medication commonly used for moderate and deep sedation for its quick on and quick off properties can not be used in someone who is allergic to eggs or soy products
Propofol
Which nerve will you anesthetize when performing a REGIONAL nerve block for the pinky finger?
Ulnar
"Go straight home."
DP
Codeine is not a reliable analgesic... why?
The analgesic effect of codeine is highly dependent on the metabolic conversion to the active metabolites; 10% of the population is deficient in the enzyme for this conversion
This chronic pain syndrome is defined as widespread muscular pain involving greater than 6 body areas out of 19 total regions and severe symptoms involving fatigue, sleep disturbance and cognitive dysfunction.
Fibromyalgia
What level of sedation is defined as a depressed level of consciousness and a slower but purposeful motor response to simple verbal or tactile stimuli?
Moderate
Adding this to an injection of lidocaine will decrease the pain of injection
Sodium Bicarbonate
Resident- "Patient in bed 1 was ejected from a vehicle that hit a pole going 140mph in a police chase, all other passengers were killed. I had to cric the patient, needle decompress them and they currently have bilateral chest tubes."
Attending - "What color was the car?"
AE
This topical pain medication's #1 adverse reaction is burning to the skin and it is derived from chili peppers.
Topical capsaicin
Chronic pain is defined as pain lasting for greater than ____ months?
3
This sedation medication suppresses the adrenal-cortical axis, and when used for rapid-sequence induction in critically ill patients, is associated with adrenal insufficiency and increased mortality
Etomidate
Patient has a laceration to the hand that will need sutured, they are allergic to Lidociane. What medication will you use to anesthetize the area?
Ester class local anesthetic
(Benzocaine, Chloroprocaine, Cocaine, Proparacaine, Tetracaine)
Resident - "8 year old has a cough runny nose slight fever acting normally, tested positive for the flu, here for Tamiflu."
Attending- "Do you think we need to get a d-dimer?"
DZ
Will also accept SL
Tramadol binds to which receptors?
Mu
Name at least 3 objective findings for acute pain
Tachycardia, Diaphoresis, Hypertension, Tachypnea, Acute muscle spasm
You are sedating a pediatric patient with fentanyl when the IV is accidentally flushed quickly. The patient becomes apneic and you are unable to bag the patient. What happened and how do you treat it?
Rigid chest syndrome
Paralyze and intubate
Maximum dose of lidocaine for a 10kg child
40 mg
(4mg/kg)
"Just go see the patient"
DV
Tramadol may induce serotonin syndrome. What is its pharmaceutical treatment?
Benzodiazepines, Cyproheptadine, possibly paralytics
What are differences in the inciting events for Chronic Regional Pain Syndromes I and II?
Type I is from prolonged immobilization or disuse, as after stroke
Type II is from a peripheral nerve injury (e.g., due to fracture or gunshot)
This commonly used sedation medication can cause an increase in intraocular pressure and should be avoided in patients with eye injuries or glaucoma
Ketamine
You accidentally inject a large amount of bupivacaine into the carotid while doing a dental block. The patient seizes and is now unresponsive. What is the treatment?
IV 20% lipid emulsion
"So young doctor, you have a 55 year old here with CP with a history of aortic dissection; on HD with bilateral LE amputations and one eye; but otherwise healthy young man..."
FS