Perioperative Pain : Definisi Tujuan Assessment Tools VAS PAIN FACES PAINAD FLACC WHO 3-Step Ladder Step 1 (Mild Pain) (1-3) Non-opioid Add adjuvant analgesic agent (ice or heat for example) Step 2 (mild to moderate pain) Pain scale (4-7) Adding on to step 1 Treat with opioid combination drug (for example hydrocodone/acitominophen) Define ceiling effect?? Step 3 Severe pain (8-10) Opioids Add adjuvant anti anxiety, anti emetics, muscle relaxants. NSAIDS Farmakologi obat nsaids How it works in our body Effect of nsaids on hepar, ginjal, cardiovascular, etc. Tabel Contoh2 obat dan tabel dosis, half time, dll Special considerations for NSAIDS Opioids Farmakologi How it effects our organs Liver Hepar Cardiovascular Kidneys Brain dst Tabel Isinya contoh obat Dosis Half time Efek samping