#36 Pain Management: 5 Pearls Segment

Core IM | Internal Medicine Podcast

Core IM Team

Mental Health, Education, Health & Fitness, Medicine

4.8 • 1K Ratings

🗓️ 13 March 2019

⏱️ 31 minutes

🔗️ Recording | iTunes | RSS

🧾️ Download transcript

Summary

Solidify your knowledge on inpatient pain management! Quiz yourself on the 5 pearls we will be covering: * 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) For full transcript of the audio and show notes: https://www.coreimpodcast.com/2019/03/13/5-pearls-on-pain-management/ Find the best disability insurance for you: https://www.patternlife.com/disability-insurance?campid=497840 Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy

Transcript

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0:00.0	This is CoreI Am Five Pearls Podcast.
0:05.0	This is Dr. Marty Freed.
0:09.0	Dr. Schreia Trevetti and Dr. Alexis Bien.
0:12.0	This is Core I Am 5 Pearls podcast.
0:14.7	Bringing you high yield evidence-based pearls.
0:17.4	Today we're discussing pain control in the hospital.
0:20.2	And we're specifically focusing on opioids.
0:23.2	Here's why.
0:24.4	About a quarter of patients who are opioid naive
0:27.4	prior to hospitalization end up receiving opioids
0:31.0	after discharge or on discharge by virtue of filling an opioid
0:35.1	script in the week following discharge and then of those almost half of
0:38.8	them are still using opioids more than 90 days later. Oh snap, who was that?
0:44.6	Yeah, that is one of our outstanding peer reviewers
0:47.5	Dr. Shawnee Herzig.
0:49.1	She's the director of Hospital Medicine Research
0:51.6	at Beth Israel Deaconess Medical Center,
0:54.0	Assistant Professor of Medicine at Harvard Medical School and a practicing
0:57.8	hospitalist.
0:58.8	All of this taken together leads me to believe that hospitalization has been under-recognized as a site
1:06.4	that really matters in the overall trajectory of opioid use for patients in our country.
1:10.7	Okay, so if I wasn't listening before I certainly am now and we are
	...

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