Pain Flashcards

1
Q

Cutaneous Pain

A

superficial pain, usually involving the skin or sq tissue

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2
Q

Somatic Pain

A

deep, scattered and originates in the tendons, ligaments, bones, blood vessels and nerves. Strong pressure on bone or damage to tissue that occurs with a sprain.

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3
Q

Visceral Pain

A

Poorly localized and originates in body organs. One of the most common types of pain produced by disease and occurs as the organs stretch abnormally

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4
Q

Neuropathic Pain

A

pain caused by a lesion or disease of the peripheral or central nerves

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5
Q

Psychogenic Pain

A

physical cause for pain cannot be identified

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6
Q

Neuromodulators

A

naturally present morphine-like chemical regulators in the spinal cord and brain. Examples: endorphins, dynorphin and enkephalins

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7
Q

Enkephalins

A

less potent than endorphins. Widespread throughout the brain and dorsal horn of the spinal cord. Reduce pain by inhibiting release of substance P

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8
Q

Endorphins

A

Pain blocking chemicals

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9
Q

Intractable Pain

A

pain resistant to therapy

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10
Q

Cutaneous Stimulation

A

techniques that stimulate the skin’s surface (think Gate control theory). Can be accomplished by massage, heat/cold application, acupressure, transcutaneous electrical nerve stimulation. Pain must be localized

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11
Q

TENS

A

transcutaneous electrical nerve stimulation. Non-invasive alternative to acupuncture. Pain must be localized

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12
Q

Biofeedback

A

uses a machine to monitor for physiologic responses through electrode sensors on the skin. Transforms physiologic data into visual display of their respirations, muscle tensions, sweat response and/or heart rate

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13
Q

Adjuvant

A

anticonvulsants, antidepressants, multi purpose drugs. Used to enhance effect of opioids

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14
Q

Rhizotomy

A

killing nerve fibers-minimally invasive

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15
Q

Cordotomy

A

neurosurgical procedure in which an image-guided needle is used to make a very precise lesion (tissue change) in the spine. The procedure treats chronic pain by targeting and disabling specific nerves that are sending pain signals.

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16
Q

Sympathetctomy

A

surgeon cuts or clamps sympathetic nerve chain

17
Q

Vicodin

A

hydrocodone and acetaminophen

18
Q

Percocet

A

oxycodone and acetaminophen

19
Q

Percodan

A

oxycodone and aspirin

20
Q

Empirin

A

codeine and aspirin

21
Q

Pain Process

A

Transduction-activation of pain receptors
Transmission-pain reception sent to spinal cord/brain
Perception of pain: sensory process that occurs
Modulation of pain: neuromodulators are released to inhibit or modify pain

22
Q

Behavioral responses to pain

A

Voluntary: moving away, grimacing, moaning, crying, restlessness, protecting the painful area and refusing to move

23
Q

Physiologic responses to pain

A

Involuntary: increased BP, pulse, RR, pupil dilation, muscle tension, pallor, increase blood glucose and adrenaline

24
Q

Affecting responses to pain

A

Psychological: withdrawal, stoicism, anxiety, depression, fear, anger, anorexia, fatigue, hopelessness, powerlessness

25
Q

Respiratory Opioid Scale

A

S= sleep, easy to arouse: no action necessary
1=awake and alert:no action necessary
2=occasionally drowsy but easy to arouse, no action necessary
3=frequently drowsy and drifts to sleep during conversation: decrease opioid dose
4= somnolent with minimal or no response to stimuli: discontinue opioid and consider use of naloxone