Mod 4 pain Flashcards
Acute pain
sudden, short duration
sharp, intense and can be pinpointed
chronic pain
> 3-6 months with or without link to tissue injury
achy, dull, stabbing, burning and icy hot
neuropathic pain
associated with damage or disease affecting the somatosensory nervous system
chronic malignant pain
rapidly dividing associated with cancer growth invade and distort bne & other cells causing pain
nociceptive pain
stimulation of peripheral nerve fibers
cutaneous pain
superficial tissues
somatic pain
joints bones & muscles
visceral pain
organs
peripheral generated neuropathic pain
peripheral tissues like phantom limb pain, diabetic and alchohol indued neuropathy, chemotherapy induced
centrally generated neuropathic pain
injuries to spinal cord or brain like fibromyalgia
nociceptors
sensory receptor for painful stimuli
allodynia
pain from a stimuli that doesnt normally cause pain
clothes after sunburn
Neuromuscular blockage usage
help with ET tubation
provide skeletal muscle relaxation during surgery to decrease metabolic demand
Depolarizing
act as acetylcholine receptors
Succinylcholine
only med to be given IM for airway
monitor K+ for hyperkalemia
avoid with CKD, burn, spinal cord injuries or neuro injuries
Nondepolarizing meds
function as competitive antagonists : block transmission of nerves impulses to muscles
avoid with ALS;MS myasthenia gravis, spinal musular atrophy or Hx of malignant hyperthermia
long active NMB meds
pancuronium
pipercuronium
intermediate NMB meds
verconium, recuronium, atraurim
Short acting NMB med
mivacurium
Propofol
non barbituate sedative that binds to GABA receptors
Propofol s/e
resp depression
bradycardia
hypotension
increased risk for bacterial infection
s/s of propfol infusion syndrome
metabolic acidsosi
hepatomegaly
cardiac arrhythmias
hyperkalemia
lipemia
AKI
