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assessment > exam 2 pain management > Flashcards

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

A

opiates

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

A

perineum

24
Q

Sensory dermatome S1

A

lateral foot

25
Q

Sensory dermatome L3-L4

A

knee and distal thigh

26
Q

Sensory dermatome T12

A

inguinal ligament

27
Q

Sensory dermatome T10

A

umbilicus

28
Q

Sensory dermatome T4

A

Nipple

28
Q

Sensory dermatome T1-T2

A

inner aspect of forearm

29
Q

Sensory dermatome T6

A

Tip of xyphoid process

30
Q

bicep tendon action

A

contraction of bicep

31
Q

Sensory dermatome C6-7

A

thumb and index finger

32
Q

Sensory dermatome C5-C4

A

shoulder clavicle

33
Q

bracioradialis tendon action

A

elbow flexion and/or forearm pronation

34
Q

triceps tendon action

A

elbow extension or contraction of the triceps muscle

35
Q

patellar tendon action

A

knee extension

36
Q

Tibialis posterior tendon action

A

plantar flexion/inversion of the foot

37
Q

achiles tendon action

A

plantar flexion of the foot

38
Q

OPQRST stands for

A

onset of event
provocation and palliation of s/s
quality
region and radiation
severity
timing

39
Q

cautious with toradol why?

A

bleeding bc it alters plt function

40
Q

anyone you give ketamine to in large doses you need?

A

a. drying agent, they drool

prolly glyco

assessment (4 decks)

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