Chapter 30 Flashcards

1
Q

What is the most common behavioral pain measure tool used?

A

FLACC

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2
Q

What does FLACC stand for and how is it scored?

A
Face 0-2
Legs 0-2
Activity 0-2
Cry 0-2
Consolability 0-2
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3
Q

Which pain measurement scale is used for pts in the critical care area (unconscious or intubated)

A

COMFORT

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4
Q

What is the most frequently used pain scale for children age 3-4?

A

The faces pain scale

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5
Q

What scale is appropriate to use for children >8?

A

The numerical scale

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6
Q

What are some non-pharmacological techniques to help c pain?

A

distraction, relaxation, guided imagery, touch

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7
Q

What can be given to a crying neonate to help sooth?

A

Sucrose

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8
Q

What analgesic is used for mild to moderate pain?

A

Nonopioids like acetaminophen (tylenol, paracetamol) and NSAIDs

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9
Q

What analgesic is used for moderate to severe pain?

A

Opioids are used

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10
Q

What are the drugs known as that are used c opioids to control pain?

A

Adjuvant analgesics

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11
Q

Why is constipation a common side-effect of opioids?

A

They slow peristalsis, and increase anal sphincter tone

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12
Q

What effect does surgery and traumatic injuries have on the body?

A

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

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13
Q

vocalization, facial expression, and body movements that have been associated with pain is?

A

Distress behaviors

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14
Q

Distraction, relaxation, and guided imagery to help reduce pain is called?

A

Nonpharmacologic techniques of pain control

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15
Q

What is kangaroo care?

A

The skin-to-skin holding of an infant

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16
Q

What is EMLA?

A

Eutectic mixture of local anesthetics; it is a topical cream that consists of 2.5% Lidocaine, and 2.5% prilocaine

17
Q

When pain is not relieved by the usual dosing of pain meds this is referred to as?

A

breakthrough pain

18
Q

What is multimodal analgesia?

A

When the use of swaddling, non-nutritive sucking, and concentrated oral sucrose are used to calm a newborn

19
Q

What are 2 common adjuvant drugs used?

A

Typically drugs that relieve anxiety, cause sedation, and provide amnesia like diazepam(Valium) or Midazolam (Versed)

20
Q

What is a needle free system that contains 1% lido that is used to relieve pain during PIV insertion in children called?

A

j-tip