Comfort Flashcards
Vital signs during pain
Can fluctuate and increase heart rate, respiratory rate and bloop pressure
When should pain meds be admitted prior to a dressing change and PT?
PO: 45 minutes to an 1hour to have its full effect
IV: 5-30 minutes will the effects be clearly seen
Treating neuropathic pain
examples include degenerative disk disease
Nerve damage related diseases or injuries such as sciatica,
Pregabalin and Gabapeptin
Antiepilectic
Anticonvulsants
Antidepressants
Topical agents
Steroidal agents Injections or hylaronic acid injected between joints for osteoarthritis
Nonpharmacological aspects to treat neuropathic pain
PT, PRN medication prior to activity and then ice therapy, guided imagery, TENS,
Referred pain
Pain that radiates in another location such as a UTI can then manifest pain into the back area
PCA pump
Side effects, constipation, urinary failure, nausea vomiting ,
OD is prevented via having a frequency and dosage amount pre programmed at when it will be administered
Exercises for osteoarthritis
PT is recommended then having light bearing exercises to avoid any stress on the bones such as swimming or yoga, this can also help with losing weight as an additional form of control management
Morphine IV
opioid short acting, can cause respiratory depression , analgesic, constipation meant to relieve acute pain , MOA: starts to stimulate central opioid receptor , avoid heavy machinery, some vomiting
Naloxone
Adminstered in case of overdose , opioid antagonist, instead blocks the central opioid receptor
Fentanyl TD
Transdermal patch: analgesic, opioid long acting here stimulates the receptor, meant to placed changed every 72 hours, clean area and marked when it was changed treat CHRONIC pain , avoid putting hot or cold onto patches