exam 2 pain management Flashcards

1
Q

Physiologically unstable patients are least likely

A

to receive a standardized pain assessment and to receive pain medications

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2
Q

A patient’s response to prescribed pain treatment can be influenced by factors unrelated to actual pharmacological treatments.

These factors include:

A

Perceived effective communication

Perceived responsiveness

Perceived empathy

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3
Q

Pain catastrophizing

A

is an exaggerative cognitive response to an anticipated or actual painful stimulus and affects how individuals experience and express pain.

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3
Q

Examples Of Catastrophizing

A

Magnification: the response that symptoms that can be or are greater than expected. Ex: “I´m afraid that
something serious might happen”

Rumination: when an individual focuses repeatedly on attributes of an event that evoke a negative emotional response. Ex: “I can´t stop thinking about how much it hurts“

Helplessness: the belief that there is nothing that anyone can do to improve a bad situation. Ex: “There is nothing I can do to reduce the intensity of my pain”.

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4
Q

Caucasian and African American populations have approximately equal proportions of fast and slow metabolizers, whereas nearly ___of certain Asian groups are fast acetylators

A

90%

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5
Q

4 pain classifications

A

underlying etiology, anatomic location, temporal nature
intensity

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6
Q

tylenol adult dose

A

325-650 mg PO q 4-6h

max: 4g/day

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7
Q

tylenol pediatric dose

A

15mg/kg PO q 4-6h

max: 90mg/kg/day

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8
Q

is the result of direct tissue injury from a noxious stimulus. can be further classified as somatic or visceral pain.

A

nociceptive pain

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9
Q

result of released inflammatory mediators that control nociceptive input and are released at sites of tissue inflammation

A

inflammatory pain

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10
Q

result of injury to nerves leading to an alteration in sensory transmission. It can be central or peripheral in nature

A

neuropathic pain

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11
Q

A-delta-fiber activity located in peripheral tissues

A

somatic

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12
Q

C fiber activity located in deeper tissues such as organs

A

visceral pain

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13
Q

pharm tx for nociceptor pain

A

May include both opiate and non-opiate medications depending on injury.

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14
Q

pharm tx for inflammatory pain

A

Anti-inflammatory agents

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15
Q

pharm tx for neuropathic pain

A

Tricyclic,
selective norepinephrine
reuptake inhibitors
gabapentinoids,
or antidepressants

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16
Q

pharm tx for somatic pain

A

Topical and/or local anesthetics, opiates,
non-opiates

17
Q

pharm tx for visceral pain

18
Q

pharm tx for acute pain

A

opiates, non-opiates

19
Q

pharm tx for chronic pain

A

depends on nature of pain

20
Q

A neurophysiological response to noxious injury that should
resolve with normal wound healing.

A

acute pain

21
Q

Pain that extends beyond the time for normal wound healing with resultant development of multiple neurophysiological changes

A

chronic pain

22
Q

An acute exacerbation of a chronic pain syndrome

A

acute on chronic pain

23
Q

Sensory dermatome S2-S4

24
Sensory dermatome S1
lateral foot
25
Sensory dermatome L3-L4
knee and distal thigh
26
Sensory dermatome T12
inguinal ligament
27
Sensory dermatome T10
umbilicus
28
Sensory dermatome T4
Nipple
28
Sensory dermatome T1-T2
inner aspect of forearm
29
Sensory dermatome T6
Tip of xyphoid process
30
bicep tendon action
contraction of bicep
31
Sensory dermatome C6-7
thumb and index finger
32
Sensory dermatome C5-C4
shoulder clavicle
33
bracioradialis tendon action
elbow flexion and/or forearm pronation
34
triceps tendon action
elbow extension or contraction of the triceps muscle
35
patellar tendon action
knee extension
36
Tibialis posterior tendon action
plantar flexion/inversion of the foot
37
achiles tendon action
plantar flexion of the foot
38
OPQRST stands for
onset of event provocation and palliation of s/s quality region and radiation severity timing
39
cautious with toradol why?
bleeding bc it alters plt function
40
anyone you give ketamine to in large doses you need?
a. drying agent, they drool prolly glyco