Fibromyalgia Flashcards

1
Q

When is pain classified as wide spread pain?

A

When it involves both sides of the body and above and below the waist

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2
Q

Back 18 trigger points from top to bottom

A
  • Occiput
  • trapezius
  • Supraspinatus
  • Gluteal
  • Greater trochanter
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3
Q

Front 18 trigger points from top to bottom

A
  • Low cervical
  • Second rib
  • Lateral epicondyle
  • Knee
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4
Q

Indications of sucessful treatment of fibromyalgia

A
  • Your client has decreased pain
  • Your client has decreased fatigue
  • You client reports healthy sleep patterns
  • Your client has improved strength and function
  • Your client has stable weight, adequate nutrition and hydration
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5
Q

use of cold packs for painful what?

A

joints

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6
Q

Use of heating pads for painful what?

A

muscles

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7
Q

Nursing diagnosis for fibromyalgia

A
  • Chronic pain r/t disease process
  • Ineffective coping skill r/t chronic pain
  • Depressed mood r/t chronic pain
  • Ineffective sleep patterns r/t chronic pain
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8
Q

Priority Nursing assessments for fibromyalgia

A

Vitals
affect
pain

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9
Q

Pharmacological treatments for fibromyalgia

A

Antidepressants – Duloxetine (Cymbalta); Amitriptyline (Elavil)
Antiseizures – Pregabalin (Lyrica)
Serotonin
Non-opioids analgesics/NSAIDs

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10
Q

Non-pharm treatments for fibromyalgia

A

Physical therapy
Strength training
Aerobic exercise
Cognitive behavioral therapy
Education
Self-management

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11
Q

Point out pressure points on the back of the body

A
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12
Q

Point out pressure points on the front of the body

A
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13
Q

pain that involves both sides of the body and above and below the waist.

A

widespread pain

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14
Q

How do fibromyalgia patients describe their pain?

A

Stabbing and burning

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15
Q

How to diagnose fibromyalgia

A

testing 18 pressure points and pain must be felt at 11 or more. Assessment is one by applying 4kg of presssure at specific points

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16
Q

The following are all clinical manifestations of what?

  • Widespread pain – sometimes described as stabbing or burning pain
  • Insomnia
  • Fatigue
  • Stiffness
  • Cognitive dysfunction – also known as “Fibro-fog”
  • Depression and anxiety
  • Headache
  • Abdominal pain – painful menstrual cramps
  • Increased sensitivity to heat, cold, pressure
  • Numbness in hands and feet
  • Restless leg syndrome
A

Fibromyalgia

17
Q

Triggers for fibromyalgia

A
  • Stress
  • Physical/emotional trauma
  • Infection
  • Menstral Cramps in women
18
Q

Risk factors for fibromyalgia

A

Rheumatoid Arthritis
Systematic Erythematosus
Sjorgen’s syndrome

19
Q

What is fibromyalgia?

A

Disorder of the soft connective tissue

20
Q

List clinical manifestations of fibromyalgia

A
  • Widespread pain – sometimes described as stabbing or burning pain
  • Insomnia
  • Fatigue
  • Stiffness
  • Cognitive dysfunction – also known as “Fibro-fog”
  • Depression and anxiety
  • Headache
  • Abdominal pain – painful menstrual cramps
  • Increased sensitivity to heat, cold, pressure
  • Numbness in hands and feet
  • Restless leg syndrome