Pain

Question 1

Nociceptive Pain

Answer 1

results from injury to tissues
called somatic or visceral pain
Responds to opioids, NSAIDs, acetaminophen depending on tissue type

Question 2

Neuropathic pain

Answer 2

results from injury to peripheral nerves

responds poorly to opioids

Question 3

Non pharamlogical ways for pain management

Answer 3

hot/cold
repositioning
message
distraction
acupuncture
spiritual practices
TENS

Question 4

Opioid recepters

Answer 4

Mu
Kappa
Delta

Question 5

Mu

Answer 5

2 types

• brain, spinal chord, peripheral nervous system
• produces analgesia and sedation

Question 6

Kappa

Answer 6

brain, spinal chord, PNS

produces analgesia and sedation

Question 7

Delta

Answer 7

located in the brain and PNS

Analgesia, antidepressant effects

Question 8

Morphine

Answer 8

binds to Mu and Kappa receptors to produce analgesia

Question 9

Caffeine

Answer 9

used to enhance the distribution and absorption of the analgesic

relief of head aches (vasoconstrict and decrease intracranial pressure)

Question 10

Tolerance

Answer 10

increasing doses to obtain same response

Question 11

Addiction

Answer 11

the continued used of a substance despite its negative health and social consequences

Question 12

Physical dependence

Answer 12

people with this experience highly uncomfortable symptoms that make them want to continue to use them

Question 13

Meds used to “get off”

Answer 13

methadone, buprenophine suboxone

uses different receptors

Question 14

Prostaglandins and Cox 1 and 2

Answer 14

promote inflammation for healing, but cause pain and fever

cox 1: supports blood clotting and protects the lining of the stomach

Question 15

NSAIDs and COX

Answer 15

NSAIDs block the COX enzymes and reduce prostaglandins throughout the body

Question 16

What to assess with acetominophine

Answer 16

liver function

Question 17

What to assess with NSAIDs

Answer 17

GI bleeding

Question 18

lab values to check prior to admin of NSAIDs are…

Answer 18

eGFR, Creatinine

Question 19

When to go to PRN meds

Answer 19

when pain is greater than 4/10

Question 20

ASA side effects

Answer 20

gastric ulcers
bleeding
renal failure

Question 21

Side effect occurring in children taking ASA

Answer 21

Reyes syndrome

Question 22

Narcan

Answer 22

opioid antagonist

Question 23

Migraine tx

Answer 23

begins with acetaminophen or NSAIDs

then triptans

then alkaloids

Question 24

Triptans

Answer 24

quiets down overactive brain nerves

Question 25

Sumatriptan

Answer 25

people are more at risk of myocardial infarction

Question 26

Local anesthetics

Answer 26

produce a rapid loss of sensation to a limited part of the body by blocking the entry of sodium ions into neurons by blocking sodium ion channels