Exam 5 - Pain Rogers (not done)

Question 1

mnemonic for subjectively assessing a patient’s pain

Answer 1

PQRSTU

Palliative or Precipitative factors
Quality of pain
Region of pain location
Severity
Time-related nature of pain
U -> impact on U

Question 2

which pain intensity scale is best for children?

a. verbal
b. numeric
c. visual
d. Wong-Baker

Answer 2

d. Wong-Baker

Question 3

acute pain is < ___ months

Answer 3

3

Question 4

chronic pain is > ___ months

Answer 4

3

Question 5

goals of therapy for pain (4 of them)

Answer 5

correct underlying cause
minimize sx
improve QOL and ADLs
limit pharmacotherapy SE

Question 6

step 1 pain tx ladder

Answer 6

non-opioid +/- adjuvant analgesic

Question 7

step 2 pain tx ladder

Answer 7

opioid for mild-moderate pain + non-opioid +/ adjuvant analgesic

Question 8

step 3 pain tx ladder

Answer 8

opioid for moderate-severe pain + non-opioid +/- adjuvant analgesic

Question 9

which is NOT considered an adjuvant therapy for pain?

a. gabapentinoids
b. NSAIDs
c. SNRIs
d. TCAs
e. muscle relaxants
f. antiepileptics
g. topical agents

Answer 9

b. NSAIDs

Question 10

max daily dose acetaminophen in adults with and w/o liver disease

Answer 10

3-4 grams/day w/o liver disease
2 grams/day with liver disease

Question 11

max daily dose acetaminophen in pediatrics

Answer 11

75 mg/kg/day or 3-4 grams/day

Question 12

acute hepatotoxicity from acetaminophen is most likely with doses of ____ grams or more

Answer 12

10

Question 13

gold standard for osteoarthritis due to fewer SE in geriatrics than NSAIDs

Answer 13

acetaminophen