Chronic Pain Management

Question 1

Caused by the activation of pain receptors in either the cutaneous (the body surface) or deeper tissues (musculoskeletal tissues).
is?

Answer 1

somatic pain

Question 2

Nature: Crampy, pressure, deep, dull to sharp, diffuse, referred are all as?

Answer 2

Visceral Pain

Question 3

Dull to sharp, throbbing, achy, localized is the nature of which pain?

Answer 3

somatic

Question 4

what is the Patient Description of Neuropathic Pain?

Answer 4

Burning, electric, searing, tingling, and migrating or traveling

Question 5

what are the Physiological Effects Of Pain?

Answer 5

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

Question 6

what are the Interventional pain management?

Answer 6

Nerve blocks

Transcutaneous electrical stimulation (TENS) for chronic pain

Spinal cord stimulation

Question 7

Nerve blocks are generally most useful when ?

Answer 7

specific nerve or limb is affected.

Question 8

activation of descending modulating systems and inhibition of sympathetic outflow is the mechanism of?

Answer 8

Spinal Cord Stimulation

Question 9

Scald burns are?

Answer 9

Mainly superficial to partial

Very young and elderly

Tea/coffee, bath/shower

Question 10

Most _____ burns mainly deep partial to full thickness
fill in the blank

Answer 10

flame

Question 11

Contact burns can be caused by?

Answer 11

irons, oven doors and exhaust pipes

Question 12

what are the types of Chemical burns?

Answer 12

Alkaline
Acid
Phosphorus

Question 13

1. Low voltage –Household 240 to 415 volts
2. High voltage –1000 to 33000 volts
3. Lightening –extremely high voltage and amperage but extremely short duration
   can cause?

Answer 13

electrical burns

Question 14

Treadmills, gravel, MBA can cause which type of burns?

Answer 14

friction

Question 15

Sunburn, IPL, laser, radiotherapy
and Predominantly superficial is the radiation type of burns
true or false?

Answer 15

true

Question 16

frostbite burns happen due to ?

Answer 16

rapid drop in temperature.

Question 17

what are the burns levels?

Answer 17

superficial 1st
superficial partial 2a
deep partial 2b
deep 3- tissue grafting is needed
4th- bone is visible so amputation is needed

Question 18

age, nutrition, and hydration levels,
location and depth of the wound,
medications, and co-morbidities.

are extrinsic factors
\true or false?

Answer 18

false, intrinsic

Question 19

support surfaces,
friction, and shear and
effective repositioning schedules.
what are these factors?

Answer 19

extrinsic

Question 20

what are Complications of Healing in Burn Patients ?

Answer 20

Oedema
Hypertrophic scarring
contractures

Question 21

positioning is done in the chronic stage
true or false?

Answer 21

false in the acute first and second stages

Question 22

Dorsal hand burn resulting in ?

Answer 22

claw deformity

Question 23

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?

Answer 23

elevation

Question 24

list how we can manage the edema of the acute burns

Answer 24

Oedema Glove
Digi Sleeve
elevation

Question 25

Medical grade silicone products are generally used to ?

Answer 25

soften red, raised or thickened (hypertrophic) scars.