Comfort

Question 1

Non-Pharm methods

Answer 1

reposition, pillows, massage, ice/heat, distraction, guided imagery

Question 2

PAD

Answer 2

place in neutral or dependent position to get blood flow to feet
ambulate, rest w/pain
hydrocodone/acetaminophen or
oxycodone/acetaminophen
adjuvents for neuropathy

Question 3

PVD

Answer 3

elevate feet above heart level
discourage sitting and tight clothing
ambulate
not as painful as PAD
adjuvents for neuropathic pain

Question 4

Controlled Substance Schedule

Answer 4

I: No medical use (heroin)
II: medically approved, high abuse potential (oxycodone, MS, hydromorphone, fetanyl)
III: moderate to low potential for abuse (codeine, hydrocodone/acetaminophen)
IV: low potential for abuse (anxiolytics, alprazolam)
V: Some vague abuse potential (Rx cough meds)

Question 5

populations that require more focused pain assessment

Answer 5

babies, elderly, sedated, impaired

Question 6

types of pain from surgery

Answer 6

–

Question 7

pain pathways

Answer 7

transduction-NSAIDs, topical
transmission-opioids
perception-behavioral strategies (distraction, relaxation)
modulation-adjuvents (venlafaxine, duloxetine, amitriptyline)

Question 8

best schedule for acute pain

Answer 8

around the clock

Question 9

nursing interventions for pain (non pharm)

Answer 9

massage, exercise, transcutaneous electrical nerve stimulation (TENS), acupuncture, heat, cold, distraction, hypnosis, relaxation

Question 10

hydrocodone v. oxycodone

Answer 10

hydrocodone - moderate pain, short term

oxycodone-severe pain

Question 11

Sickle Cell pain drugs

Answer 11

IV fluids(to help thin out blood) and continuous opioids and PCAs for breakthrough
morphine and hydromorphone
 NSAIDs
 Rest
 Hydration
 Elevate & support swollen joints
 Heat
 Massage
 Relaxation and breathing techniques
 Distraction
 Physical Therapy
 Whirlpool baths
 TENS
 Support groups