Pain Flashcards
What does COLDERR stand for?
Character, Onset, Location, Exacerbation, Relief, Radiation
What does PQRSTU stand for?
Provoke/Palliate, Quality, Region/Radiation, Severity (0-10 or faces), Timing (time of day better/worse, intermittent or constant), “U” (You – how the patient is affected)
Sedation Scale: S
Sedated
Sedation Scale: 1
Awake & Alert
Sedation Scale: 2
Slightly drowsy, easily aroused
Sedation Scale: 3
Frequently drowsy, drifts off to sleep during conservation
Sedation Scale: 4
Somnolent, minimal/no response to physical stimulation
Assessment finding of 3 or 4 on sedation scale
3: reduce opioid use, 4: discontinue opioid use/ administer Narcan if needed
Client pain goals should include…
focus on return to activity, promote function, agree on reasonable pain goal
Non-pharma pain interventions
Distraction
Prayer
Guided imagery
Relaxation
Music
Therapeutic touch
Transcutaneous Electrical Nerve Stimulation (TENS)
Pharma pain interventions
opioids, non-opioids, adjuvants
Non-opioids
acetaminophen, NSAIDs, can be given with opioids, acetaminophen + NSAID = effectiveness of opioids
Opioid side effects
Constipation
Nausea/vomiting
Sedation
Respiratory depression
Pruritis
Urinary retention
Risk of dependence
Pruritis
Itching
Tolerance to pruritis develops after 3-5 days
Not necessarily an allergy
Instruct client not to scratch
Offer cool packs/lotion/distraction/diphenhydramine
Adjuvant pain interventions
Drugs originally created to treat a different condition: anti-depressants, anti-convulsant, calcitonin for bone pain
