Page 10 - EADS Scientific Magazine .... 1st Edition

2) Opioids are the most Opioids can contribute Opioids may be neces-
common drug class for to significant sary after appropriate

analgesia, particular- complications with cir- nonpharmacologic and

ly moderate and severe rhosis, including precip- nonopioid treatments
pain or pain not relieved itating encephalopathy, have produced inade-

by acetaminophen and and may be quate results.
NSAIDs , they should be affect reversed with nal- Opioids.

used cautiously and initi- oxone, while compli-
ated with immediate-re- cations of untreated or

lease products at low dos-

es with extended intervals undertreated
and close monitoring pain may be significant.

Remember : All pain medications should be titrated carefully to
Remember : All pain medications should be titrated carefully to
achieve safe andadequate pain relief in patients with hepatic impair-
achieve safe andadequate pain relief in patients with hepatic impair -
ment
ment

References

https://www.medicinenet.com/drug_induced_liver_disease/article.htm
https://gi.org/topics/medications-and-the-liver/

https://www.uspharmacist.com/article/pain-management-consider-

ationsincirrhosis https://www.mayoclinic.org/diseases-conditions/hepati-
tisb/diagnosistreatment/drc-20366821

Swollen face and pericoronitis
Swollen face and pericoronitis
Case summary: History of chief com- Associated phenom-

A 23-year-old woman plaint: enon: pain – fever –
presents in your hospi- Onset: the same day, lymphadenitis

tal casualty department Duration: short,

with a painful swelling of severity: severe
the right side of the face Location and site: face /

and neck. lower right side, Distri-
- Chief complaint: Swell-

ing bution: unilateral,
months ago.