Core IM: 5 Pearls on Pain Management

March 22, 2019

CORE IM Podcast 3 min read

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For a transcript of the podcast and show notes: https://www.coreimpodcast.com/2019/03/13/5-pearls-on-pain-management/

Time Stamps

  • How effective are non-opioids? ( 3:17)
  • Are NSAIDs contraindicated in patients with kidney, liver or heart disease? If not, how can we use them safely? (10:51)
  • What are the best practices for patients who require opioid analgesia? (19:00)
  • When prescribing opioids at discharge what can we do to minimize harm? (25:02)
  • Throwback to mechanism of acetaminophen and NSAIDs (27:14)
  • How do we believe tylenol works and how does that compare to NSAIDS? (28:27)

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References

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  • Sriperumbuduri et al. The case for cautious consumption: NSAIDs in chronic kidney disease. Curr Opin Nephrol Hypertens. 2018 Dec 5.
  • Herzig et al. Safe opioid prescribing for acute noncancer pain in hospitalized adults: A systematic review of existing guidelines. J Hosp Med. 2018 Apr; 13(4) 256-262.
  • Grennan et al. Dose response study with ibuprofen in rheumatoid arthritis: Clinical and pharmacokinetic findings. Br J Clin Pharmac 1983, 15, 311-316.
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