Chronic Pain Management Flashcards
Caused by the activation of pain receptors in either the cutaneous (the body surface) or deeper tissues (musculoskeletal tissues).
is?
somatic pain
Nature: Crampy, pressure, deep, dull to sharp, diffuse, referred are all as?
Visceral Pain
Dull to sharp, throbbing, achy, localized is the nature of which pain?
somatic
what is the Patient Description of Neuropathic Pain?
Burning, electric, searing, tingling, and migrating or traveling
what are the Physiological Effects Of Pain?
Increased catabolic demands
increased risk of DVT/PE
Shallow breathing, tachypnea, cough suppression with high risk of pneumonia & atelectasis.
Increased sodium and water retention (renal)
Decreased gastrointestinal mobility.
Tachycardia and elevated blood pressure
Negative emotions
Existential suffering
what are the Interventional pain management?
Nerve blocks
Transcutaneous electrical stimulation (TENS) for chronic pain
Spinal cord stimulation
Nerve blocks are generally most useful when ?
specific nerve or limb is affected.
activation of descending modulating systems and inhibition of sympathetic outflow is the mechanism of?
Spinal Cord Stimulation
Scald burns are?
Mainly superficial to partial
Very young and elderly
Tea/coffee, bath/shower
Most _____ burns mainly deep partial to full thickness
fill in the blank
flame
Contact burns can be caused by?
irons, oven doors and exhaust pipes
what are the types of Chemical burns?
Alkaline
Acid
Phosphorus
- Low voltage –Household 240 to 415 volts
- High voltage –1000 to 33000 volts
- Lightening –extremely high voltage and amperage but extremely short duration
can cause?
electrical burns
Treadmills, gravel, MBA can cause which type of burns?
friction
Sunburn, IPL, laser, radiotherapy
and Predominantly superficial is the radiation type of burns
true or false?
true
frostbite burns happen due to ?
rapid drop in temperature.
what are the burns levels?
superficial 1st
superficial partial 2a
deep partial 2b
deep 3- tissue grafting is needed
4th- bone is visible so amputation is needed
age, nutrition, and hydration levels,
location and depth of the wound,
medications, and co-morbidities.
are extrinsic factors
\true or false?
false, intrinsic
support surfaces,
friction, and shear and
effective repositioning schedules.
what are these factors?
extrinsic
what are Complications of Healing in Burn Patients ?
Oedema
Hypertrophic scarring
contractures
positioning is done in the chronic stage
true or false?
false in the acute first and second stages
Dorsal hand burn resulting in ?
claw deformity
Feet should be kept at 90
Neutral position of hips
Care must be taken to reduce the risk of pressure sores
are which type of management for edema?
elevation
list how we can manage the edema of the acute burns
Oedema Glove
Digi Sleeve
elevation
