Chapter 30 Flashcards
What is the most common behavioral pain measure tool used?
FLACC
What does FLACC stand for and how is it scored?
Face 0-2 Legs 0-2 Activity 0-2 Cry 0-2 Consolability 0-2
Which pain measurement scale is used for pts in the critical care area (unconscious or intubated)
COMFORT
What is the most frequently used pain scale for children age 3-4?
The faces pain scale
What scale is appropriate to use for children >8?
The numerical scale
What are some non-pharmacological techniques to help c pain?
distraction, relaxation, guided imagery, touch
What can be given to a crying neonate to help sooth?
Sucrose
What analgesic is used for mild to moderate pain?
Nonopioids like acetaminophen (tylenol, paracetamol) and NSAIDs
What analgesic is used for moderate to severe pain?
Opioids are used
What are the drugs known as that are used c opioids to control pain?
Adjuvant analgesics
Why is constipation a common side-effect of opioids?
They slow peristalsis, and increase anal sphincter tone
What effect does surgery and traumatic injuries have on the body?
They generate a catabolic state which increases secreation od catabolic hormones and lead to alterations in blood flow, coagulation, fibrinolysis, substrate metabolism, and F&E balance. Also increases demand on the cardiovascualr and respiratory systems
vocalization, facial expression, and body movements that have been associated with pain is?
Distress behaviors
Distraction, relaxation, and guided imagery to help reduce pain is called?
Nonpharmacologic techniques of pain control
What is kangaroo care?
The skin-to-skin holding of an infant
What is EMLA?
Eutectic mixture of local anesthetics; it is a topical cream that consists of 2.5% Lidocaine, and 2.5% prilocaine
When pain is not relieved by the usual dosing of pain meds this is referred to as?
breakthrough pain
What is multimodal analgesia?
When the use of swaddling, non-nutritive sucking, and concentrated oral sucrose are used to calm a newborn
What are 2 common adjuvant drugs used?
Typically drugs that relieve anxiety, cause sedation, and provide amnesia like diazepam(Valium) or Midazolam (Versed)
What is a needle free system that contains 1% lido that is used to relieve pain during PIV insertion in children called?
j-tip
