TAILIEUCHUNG - CLINICAL PHARMACOLOGY 2003 (PART 19)

But pain is perfect misery, the worst Of evils, and, excessive, overturns All patience. (John Milton, 1608-1674, Paradise Lost) tissue damage, or described in terms of such It is mediated by specific nerve fibres to the brain where its conscious appreciation may be modified by various factors. The word 'unpleasant' comprises the whole range of disagreeable feelings from being merely inconvenienced to misery, anguish, anxiety, depression and desperation, to the ultimate cure of • Analgesic drug: a drug that relieves pain due to multiple causes, . paracetamol, morphine. . | SECTION 4 NERVOUS SYSTEM This page intentionally left blank Pain and analgesics But pain is perfect misery the worst Of evils and excessive overturns All patience. John Milton. 1608-1674 Paradise Lost SYNOPSIS One of the greatest services doctors can do their patients is to acquire skill in the management of pain. Pain the phenomenon of pain clinical evaluation of analgesics choice of analgesics treatment of pain syndromes spasm of smooth and striated muscle neuralgias migraine Drugs in palliative care symptom control pain Narcotic or opioid analgesics agonists partial agonists antagonists morphine and other opioids classification by analgesic efficacy opioid dependence opioids used during and after surgery opioid antagonists Non-narcotic analgesics NSAIDs see Ch. 15 tissue damage or described in terms of such 2 3 It is mediated by specific nerve fibres to the brain where its conscious appreciation may be modified by various factors. The word unpleasant comprises the whole range of disagreeable feelings from being merely inconvenienced to misery anguish anxiety depression and desperation to the ultimate cure of 3 Analgesic drug a drug that relieves pain due to multiple causes . paracetamol morphine. Drugs that relieve pain due to a single cause or specific pain syndrome only . ergotamine migraine carbamazepine neuralgias glyceryl trinitrate angina pectoris are not classed as analgesics nor are adrenocortical steroids that suppress pain of inflammation of any cause. Analgesics are classed as narcotic which act in the central nervous system and cause drowsiness . opioids and non-narcotic which act chiefly peripherally . diclofenac . Adjuvant drugs are those used alongside analgesics in the management of pain. They are not themselves analgesics though they may modify the perception or the concomitants of pain that make it worse anxiety fear Pain Pain is an unpleasant sensory and emotional experience associated with actual or potential 1

• Y học thường thức
• nervous system
• Pain and analgesics
• clinical pharmacology
• sách học ngành dược
• dược lý lâm sàng
• tài liệu học dược sĩ
• bảo quản thuốc
• Lippincott’s illustrated review
• Basic neurophysiology
• The central nervous system
• The peripheral nervous system
• The visceral nervous system
• The spinal cord
• Color atlas and textbook of human anatomy
• Sensory organs
• Cerebro vascular
• Ventricular systems
• Autonomic nervous system
• Central nervous system trauma
• Neuropathology of vascular disease
• Human prion diseases
• Pathology of degenerative diseases
• The nervous system
• Human anatomy
• The brain and cranial nerves
• The endocrine system
• The respiratory system
• The lymphoid system
• Lecture Biology
• Human physiology
• The human body
• Nervous tissue
• Pathology competencies
• Organ system pathology
• Central nervous system
• Human polyomavirus 2
• Tumor Biology
• Neuropilins
• Vascular
• Monoclonal Antibodies
• Nervous system and sensory organs
• Structure of the brain
• Basic elements of the nervous system
• Spinal cord and spinal nerves
• Cranial nerves
• Domestic mammals
• Extrapyramidal feedback
• The somatic motor systems
• Autonomic components
• The central nervous system general considerations
• Imaging techniques
• BMC Pharmacology and Toxicology
• Adverse drug reactions
• Nervous system medications
• Nervous system mediations
• EudraVigilance database
• Care giving quality
• Parasympathetic nervous system
• Sympathetic nervous system
• Strange situation procedure
• Mother–child dyad
• BMC Cancer
• Central nervous system neoplasms
• Cancer registry
• Primary CNS tumors
• BMC Pulmonary Medicine
• Acute lung injury
• HCl aspiration
• Stellate ganglion block
• Non small cell lung cancer
• Versus afatinib
• Multiple central nervous system
• Confidence interval
• Primary central nervous system lymphoma
• Diffuse large B cell lymphoma
• Progression free survival
• Pediatric critical care medicine
• Central nervous systems
• The cardiovascular system
• Movement disorders in the ICU
• Status epilepticus
• Toxic metabolic encephalopathy
• Angiotensin II
• Sprague Dawley rats
• Renin angiotensin system
• Vascular hemodynamics
• Pharmacology recall
• Principles of pharmacology
• Cardiovascular system
• Respiratory system
• Gerontology
• Sexual Function
• Gastrointestinal Tract
• Pathological Changes
• System in Old Age
• The meninges
• The vertebral canal
• The nerve impulse
• The cranial nerves
• Medial lemniscal system
• The special senses
• Viva voce in medical pharmacology
• Medical pharmacology
• General pharmacology
• Cadiovascular system
• Renal system
• Gastrointestinal system
• Endocrine system
• Aids to the Examination
• Peripheral Nervous System
• health education
• health knowledge
• health
• health care
• medical research