Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

RNSG 1430 > Comfort > Flashcards

Comfort Flashcards

1
Q

PCA can only be given if pt can _________.

A

Self administer

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What is the name of the theory that suggests that the spinal cord contains a neurological “gate” that controls pain signals to the brain?

A

Gate Theory

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Describe gate theory.

A

Spinal cord contains neurological “gate” that controls pain signals to the brain.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What medications make up the 1st line of analgesics?

A

NSAIDS: Ibuprofen, Aspirin, Naproxen

Non Opioid Acetaminophen: Tylenol

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

NSAIDS and Non Opioid Acetaminophen are ____ line of defense medications.

A

1st

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What medications are used for mild to moderate pain?

A

Non opioid analgesics: Acetaminophen and NSAIDS

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What medications make up the 2nd line of opioids?

A

Fentanyl, morphine, and hydrocodone.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What medications are used for severe pain?

A

Opioid analgesics such as morphine, fentanyl, oxycodone, and hydrocodone.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

NSAIDS posses a risk for what?

A

GI Bleeding risk.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Opioid used increases the risk for what?

A

Constipation.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What is the antidote for opiate overdose?

A

Narcan/Naloxone

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What are the two types of nociceptive pain?

A

Visceral and Somatic.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Describe visceral pain?

A

Pain that stems from organs and is poorly localized.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What is the name for the type of pain that is poorly localized and stems from organs?

A

Visceral pain.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Describe somatic pain?

A

Pain that stems from bone or tissue and is localized to one area.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What is the name for the type of pain that is localized to one area, and stems from bone or skin injury?

A

Somatic Pain.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

What are examples of somatic pain?

A

Arthritic pain, joint pain, laceration, bone fracture.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

How does somatic pain feel?

A

Well localized, dull, aching, throbbing, sharp pain.

19
Q

How does visceral pain feel?

A

Poorly localized, dull, aching, vague pain that is distant from source of pain.

20
Q

What are examples of visceral pain?

A

Back pain resulting from kidney damage.

21
Q

What is nociceptive pain?

A

The pain you feel after an injury.

22
Q

What is neuropathic pain?

A

Pain that results from damage to the nervous system.

23
Q

Difference between how children experience pain vs older adults?

A

Children lack the neurological development to sense pain and can experience frustration when trying to express it.

24
Q

Define acute pain?

A

Short lived pain, results from tissue damage or disease, varies in intensity.

25
Q

Define chronic pain?

A

Pain that lasts >3 months, periods or remission and exacerbation, difficult to describe, poorly localized.

26
Q

How does pain affect the endocrine system?

A

Pain increases endocrine activity that results in increased metabolism leading to weight loss.

27
Q

What is the name of care that considers the person as a whole person (body, mind, spirit)?

A

Hollistic care

28
Q

What are common pharmacologic strategies available for pain relief?

A

Non-opioid analgesics, NSAIDS, IV meds, antidepressants, topical analgesics, PCA, local anesthesia.

29
Q

When should a nurse re-evaluate the patient’s pain after giving medication?

A

30min-1hr

30
Q

Hepatic toxicity, CV risk, GI risk are all adverse effects of _____ medications.

A

oral pain medications

31
Q

What is PCA?

A

Patient Controlled Analgesia

Method of drug delivery that allows the patient to self-administer opioids.

32
Q

What are the most common medications used for patient controlled analgesia?

A

morphine, and hydromorphone

33
Q

Side effect of PCA that is of most concern?

A

Constipation

34
Q

Opioid analgesics are typically classified as _____ or _______.

A

Agonist and antagonists.

35
Q

Agonist medications act on the ______ at the receptor site.

A

neurotransmitter

36
Q

Examples of agonist medications?

A

Morphine, fentanyl, hydromorphone, oxycodone and hydrocodone.

37
Q

Significant drop in HR, BP and low tissue perfusion with cold sweaty hands, weak pulse, thirst, dizziness and decreased urine output is a sign of what?

A

Shock.

38
Q

What is the adverse effect of opioid use?

A

Respiratory depression.

39
Q

What is the plan of care for a patient with neuropathic pain?

A

Anti-depressants, pain relieving numbing meds, Injections, opioids, physical therapy, counseling, relaxation/massage therapy, acupuncture, and or devices that affect nerve signals.

40
Q

What is mixed pain?

A

Both neuropathic and nociceptive pain.

41
Q

What are symptoms of mixed pain?

A

Poorly defined pain, fibromyalgia pain, pain with HIV.

42
Q

What medications are used for mixed pain?

A

antidepressants and anticonvulsants

43
Q

What does the FLACC scale stand for?

A

Pain assessment in children, (Face, Legs, Activity, Cry, Consolability).

44
Q

Degenerative disk disease is an example of _______ pain.

A

Neuropathic pain.

RNSG 1430 (8 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions