Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Med Surg > Pain > Flashcards

Pain Flashcards

1
Q

pain is

A

unpleasant sensory/emotional experience w actual/potential tissue damage

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

many patients are reluctant to report pain due to

A

wanting to be a “good” patient and fear of addiction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

acute pain

A

activation of SNS that is temporary with a sudden onset

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

signs of acute pain

A

localized redness, bruising, bleeding, warmth, inflammation, swelling

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

chronic pain

A

lasting at least 3 mon with gradual onset that changes over time

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

acute pain responses

A

high HR/BP/RR, dilated pupils, sweating

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

cancer pain

A

pain in more than one area where chemo/radiation cause more pain

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

chronic noncancer pain

A

common in neck, shoulder, low back in over 65 yrs old

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

chronic pain can result in

A

emotional/financial/relationship burdens, depression/hopelessness

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

procedural pain

A

acute pain from procedures or surgery

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

nociceptive pain is the

A

normal pain transmission

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

transduction (nocicpetive)

A

push pain signal forward

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

modulation (nocicpetive)

A

serotonin, NE, other processes to reduce activity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

transmission (nocicpetive)

A

message relayed from injury site to brain

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

somatic pain

A

bones, skin, muscles

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

perception (nocicpetive)

A

conscious awareness of pain

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

visceral pain

A

organs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

neuropathic pain

A

peripheral NS or CNS sense and transmit impulses to tell the body you have pain

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

pain transmission

A

nerve fibers that transmit pain

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

A delta fibers

A

fast/myelinated that detect sharp and localized thermal/mechanical injury

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

C fibers

A

slow/unmyelinated that respond to widely distributed mechanical/chem/thermal injury

18
Q

low drug dosing for older adults

A

increase dosing based on response to previous dose due to slower metabolism/excretion

19
Q

multimodal analgesia

A

combination of opioids and nonopioids

20
Q

nonopioids

A

effective as opioids for mild/mod pain

21
Q

NSAIDS

A

cause GI issues and increased bleeding risk, must monitor heart and renal

21
Q

NSAIDS+aspirin

A

rarely used due to poor side effects

21
Q

acetaminophen

A

for pt who have increase GI bleeding risk but can cause liver toxicity

22
Q

opioid analgesics

A

interact with opioid receptor sites to block release of neurotransmitters in spinal cord

22
Q

monitor opioid analgesics for

A

sedation and resp despression

23
Q

types of opioid analgesics

A

codeine, oxycodone, morphine, hydromorphone, fentanyl, methadone, tramadol, meperidine, oxymorphone

24
Q

opioid epidemic

A

misuse of prescription opioids and illicit drugs

25
Q

physical dependence and tolerance when taking opioids

A

normal response

26
Q

pseudoaddiction

A

mistaken diagnosis of addiction due to underprescription of drugs when pain still present

27
Q

opioid addiction

A

uncontrollable cravings, inability to control use, compulsive use, use despite harm

28
Q

dependence

A

predictable and manage with meds and a slow taper off

29
Q

opioid naive

A

person who has not taken enough opioid to become tolerant

30
Q

opioid tolerant

A

person who has taken opioids at high doses to develop tolerance

31
Q

patient ed for opioids

A

time frame of usage, disposal, alternatives to reduce risk of misuse

32
Q

Short acting, fast acting, immediate release (IR), normal release opioids

A

Onset 30 minutes; duration 3-4 hrs

33
Q

Modified-release, extended release (ER), sustained release (SR), controlled release (CR) opioids

A

over prolonged time, NEVER crush/chew/break

34
Q

why to avoid meperidine

A

cause resp/circulatory depression, hallucinations, seizures

35
Q

level 1 pain (1-3 rate)

A

use non-opioids

36
Q

level 2 pain (4-6 rate)

A

use weak opioids alone or w adjuvant drug

37
Q

level 3 pain (7-10 rate)

A

use opioids

38
Q

adverse effects of opioid analgesics

A

resp depression, constipation, N/V, pruritis, sedation

39
Q

pain management in end of life

A

opioid regimen should be consistent as pain is still felt while unconscious (no concern for addiction)

40
Q

medical marijuana

A

not regulated by FDA but is good for cancer pain

41
Q

medical marijuana adminstration

A

doctors cannot prescribe, nurses cannot administer, ONLY caregiver or pt

42
Q

selected opioid analgesics

A

Codeine, fentanyl, hydromorphone, oxycodone, hydrocodone, methadone

43
Q

nonpharmacologic interventions

A

heat/cold, massage, PT/OT, imagery, relaxation

Med Surg (12 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions