Acute Pain Management: A Practical Guide by Pamela E. Macintyre PDF

By Pamela E. Macintyre

ISBN-10: 1482233495

ISBN-13: 9781482233490

Highly counseled, BMA scientific ebook Awards 2015

Comprehensive acute ache administration now not potential merely taking good care of sufferers with discomfort due to postoperative and trauma-related causes―it now contains dealing with sufferers with acute soreness bobbing up from a wide selection of stipulations.

Acute soreness administration: a realistic Guide

offers healthiness pros with basic and functional details to aid them deal with sufferers with acute discomfort thoroughly and successfully. The ebook additionally is helping them to spot and deal with acute discomfort in additional advanced sufferers, for whom potent remedy may be challenging.

In this new version, chapters were revised and up-to-date, frequently widely, to mirror present wisdom and perform. This source will absolutely be useful to numerous pros in assessing and handling acute soreness.

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These are a central depression of the respiratory center, which can lead to a decreased respiratory rate and/or tidal volume; depression of the CNS in general, leading to reduced consciousness (sedation); and depression of supraglottic airway muscle tone, leading to upper airway obstruction—if obstruction is not complete the patient may snore. indb 22 30-10-2014 22:03:50 Assessment and monitoring Chapter 3 Excessive doses of opioid may affect any or all of these aspects of ventilation, leading to both a rise in carbon dioxide (which can further increase sedation) and a fall in oxygen blood levels.

Health. pdf. Accessed February 2011. indb 27 30-10-2014 22:03:51 This page intentionally left blank Pharmacology of opioids 4 CHAPTER Opium and its many preparations have been used for the treatment of pain for over 2000 years. Many of its pharmacological effects, such as euphoria and sedation, appear to have been known as far back as at least 3000 bc, at the time of the ancient Sumerians and Minoans, and mention is made of its analgesic effect in Egyptian mythology (Benedetti and Premuda, 1990).

2 Effects of opioids As the main effects of most opioids are mediated via their activity at the μ-opioid receptor, both their analgesic effect and the spectrum of possible adverse effects are very similar. The adverse effects reviewed below relate to the use of opioids in the acute pain setting and in the short term. , 2012). 1 Analgesia The major desirable effect of opioids is analgesia, which is mediated mainly via the μ receptor, although δ and κ receptor effects can also contribute to pain relief.

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Acute Pain Management: A Practical Guide by Pamela E. Macintyre


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