Basics of pain assessment Flashcards
believed to express their pain more frequently and effectively
females
underlying etiology
refers to the source of the experienced pain
temporal nature
refers to the duration of the pain
nociceptive pain
the result of direct tissue injury from a noxious stimulus, further classified as somatic or visceral
inflammatory
result of released inflammatory mediators that control nociceptive input and are released at sites of tissue inflammation
neuropathic pain
result of injury to nerves leading to an alteration in sensory transmission, it can be central or peripheral
somatic pain
also known as musculoskeletal pain, pain that occurs from injury to skin, muscle, bone, joint, connective tissue and deep muscle, typically well-localized, sharp and worse w/ movement
visceral pain
internal pain and typically occurs from internal organs or tissues that support them, usually poorly localized and described as vague deep aches, colicky, or cramping
acute pain
lasting less than 3 months and is a neurophysiological response to noxious injury that should resolve with normal healing
chronic pain
lasting more than 3 months or beyond the expected course of an acute disease or after complete tissue healing
acute on chronic pain
times of acute exacerbations of a chronic painful syndrome or new acute pain in a person suffering from a chronic condition
OPQRST
Onset, Provocation & palliation, Quality, Region & radiation, Severity, Timing
PO dose for pediatric for Tylenol?
15 mg/kg 4-6 h
Max 90 mg/kg/d
dose for ketorolac for adults
15-30 mg IV/IM (q6h)
Max 120 mg/d x5 d
how long post op is when patients experience the most pain?
12-24 hours