cancer pain mgmt

Question 1

prostaglandins

Answer 1

increase sensitivity of pain receptors

Question 2

endorphins/enkephalins

Answer 2

suppress pain reception

Question 3

nociceptors

Answer 3

pain receptors

Question 4

effects of chronic pain

Answer 4

depression
disability
suppressed immunity
sleep disturbance

Question 5

nonpharmacologic interventions

Answer 5

cutaneous stimulation, massage
thermal therapies
electrical nerve stimulation
distraction/relaxation techniques
guided imagery, hypnosis
music therapy
alternative therapies

Question 6

characteristics of pain

Answer 6

intensity
timing
location
quality
personal meaning
aggravating/alleviating factors

Question 7

physiologic pain relief

Answer 7

opioid analgesics to inhibit ascending nociceptive pathways
NSAIDs to inhibit cyclooxygenase (an enzyme involved in prostaglandin production)
local anesthetics

Question 8

nursing process for pain mgmt

Answer 8

1. assess pain (level, type, location)
2. identify goals of pain mgmt
3. provide physical care
4. provide pain mgmt strategies

Question 9

pharmacologic pain mgmt

Answer 9

PRN medications
PCA
local anesthetics
topical/transdermal patches

Question 10

adverse effects of analgesic agents

Answer 10

respiratory depression
sedation
n/v
constipation
pruritis