PEBC Pain & Special Populations — Treatment Algorithms

20 cards

• A 54-year-old is recovering from surgery with moderate pain. They have no contraindication to acetaminophen or an NSAID. The team wants to minimize opioid exposure. What analgesic strategy best follows the source’s stepwise approach?
• A patient with acute musculoskeletal pain asks for a nonopioid analgesic that does not have clinically meaningful anti-inflammatory activity. Which drug is appropriate, and what is the key overdose concern?
• A 68-year-old with osteoarthritis, chronic kidney disease and a previous peptic ulcer requests an oral anti-inflammatory for pain. Which drug class requires particular caution, and what is the key therapeutic trade-off of a COX-2 selective option?
• A patient with severe acute pain is prescribed an opioid. They also take a benzodiazepine and drink alcohol nightly. What is the major opioid safety risk and the key counselling point?
• A patient with chronic cancer pain has been stable on high-dose opioids and needs a long-acting transdermal analgesic. Which formulation is appropriate only in opioid-tolerant patients, and what application warning is essential?

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