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Nursing 1st Fall Semester > Pain! > Flashcards

Pain! Flashcards

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1
Q

What is pain

A

Whatever the person experiencing it says it is, and it exists wherever the person says It does
can be due to actual or potential tissue damage

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2
Q

Describe Pain components

A

Location: where it is
Radiation: Where it spreads or extends to other area
Referred: Appears in very different area of the body from where its actually occurring
Quality

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3
Q

Describe Quality of pain

A

Stabbing, Burning, Itchy, Tingling, Cramping, aching, Dull, Shooting, Numb, Throbbing

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4
Q

What is the nurses role in helping with pain

A

Diagnose pain
Monitor for pain management
Evaluate level of pain relief
Advocate for the patient
Educate patient about treatment options for pain managment

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5
Q

Nonciceptive Pain

A

Results from external stimuli ( Toe stubbing, Sport injury )

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6
Q

Nonciceptive Pain examples

A

Is sharp, aching, throbbing pain
Visceral, Somatic, Referred and Radiating

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7
Q

Neuropathic Pain

A

Caused by nerve malfunction or injuries from trauma, disease, chemicals, infection or tumors
Can also be due to damage of PNS or CNS

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8
Q

Neuropathic Pain examples

A

Consists of burning, tingling, pins and needles
Allodynia, Hyperalgesia and Phantom Pain

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9
Q

Acute pain classification

A

Sudden onset pain
Lasts only through recovery, 30 days to 6 months

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10
Q

Chronic pain classification

A

Lasts more then 6 months
Persists beyond expecting healing process

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11
Q

Describe pain assessment

A

All patients should be asked if they are experiencing pain, many people won’t voluntary complain about pain!
Interview, History, Physical examination

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12
Q

What would you assess when doing patient interview for pain

A

Start of pain, What caused it, What triggers worsen or and what methods relieve it
Other if any symptoms

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13
Q

What would you assess when doing Physical examination for pain

A

Understand that pain is guided by age
Observe posture, verbal complaints and nonverbal cues like grimances

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14
Q

Describe the pain scale

A

Categories are Mild, Moderate, Severe
0-1=no pain
2-3=mild
3-4=moderate
5-6=severe
7-8=very severe
9-10=worst pain possible
Can be verbal or nonverbal

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15
Q

What are the Pharmacological pain preventions

A

Nonopioids
NSAIDs
Opioids
Hypnotics/Sedatives

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16
Q

What are opioids

A

Morphine, Fentanyl, Oxycodone, Oxymorphone, Hypercodone

17
Q

What does it mean to be opioid naive

A

Person who has not recently taken enough opioid on a regular basis to become tolerant to the effects

18
Q

What does it mean to be opioid tolerant

A

Person who has taken an opioid long enough at does high enough to develop tolerance to many of the effects

19
Q

short acting/immediate release drugs

A

normal release
Onset in about 30 minute; shorter duration of 3-4 hours

20
Q

extended release/sustained/controlled release drugs

A

release over a prolonged period

21
Q

long acting drugs

A

drugs with a long half-life

22
Q

What are the most used opioid analgesics

A

Morphine
Fentanyl
Hydromorphone
Oxycodone
Hydrocodone
Methadone
Tremadol

23
Q

What are the opioids to avoid

A

MEPERIDINE & CODEINE

24
Q

What are the adverts effects of opioids

A

Respiratory depression
Constipation
Nausea
Vomiting
Pruritus
Sedation

25
Q

What are the drugs for Neuropathic pain

A

Opioids
Antidepressents
anticonvulsants
Local anesthetics
Steriods

26
Q

Describe medical marijuana

A

Schedule I controlled substance
Not regulated by FDA
Nurses do not administer unless authorized by jurisdiction law
Patient of designated caregiver must administer

27
Q

Describe the Analgesic Ladder

A

Based on their pain scale
1-4= mild pain, non opioids
5-6=moderate pain, weak opioids
7-10=severe pain, strong opioid

28
Q

What do non opioids consist of

A

Ibuprofen, asprin

29
Q

What do weak opioids consist of

A

codeine, tramadol, low dose morphine

30
Q

What do strong opioids consist of

A

morphine, fentanyl, oxycodone

31
Q

What are examples of non pharmacologic drugs

A

Herbal supplements
Acupuncture
Biofield therapy
Exercise programs
Physical therapy
Aquatic therapy

Nursing 1st Fall Semester (41 decks)

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