Pain Flashcards

1
Q

How to assess for pain?

A
  • direct interview
    • OLDCARTS
  • diagnostic studies
  • physical assessment
  • pain scale
    • numeric scale (0-10)
    • verbal rating scale
    • visual analog scales
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2
Q

What are the types of nociceptive pains?

A
  • somatic
  • visceral
  • cutaneous
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3
Q

Where is somatic pain and how is it described?

A
  • bone, joint, muscle, skin, connective tissues
  • aching throbbing
  • ex) arthritis
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4
Q

Where is visceral pain and how is it described?

A
  • internal organs, lining of body cavities
  • sharp or dull, difficult to localize
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5
Q

Where is cutaneous pain and how is it described?

A
  • skin, mucous membranes, subcutaneous tissue
  • sharp, burning, prickly
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6
Q

What are some pain management strategies?

A
  • prescription and nonprescription drugs
  • non-drug therapies
    • hot and cold applications
    • alternative therapies
    • relaxation strategies
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7
Q

What are some common side effects of opioids

A
  • constipation
  • sedation
  • respiratory depression
  • N/V
  • itching
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8
Q

What are some ways to manage side effects of opioids?

A
  • laxatives
  • take with food
  • monitor for sedating effects (stop if patient is impossible to wake up)
  • monitor RR (hold if RR < 12 or O2 < 90%)
  • antihistamines (watch for b & z rule)
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9
Q

What are some signs of opioid misuse?

A
  • compulsive use
  • loss of control of use
  • continued use despite risk of harm
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10
Q

What are the pain management techniques for cancer patients?

A
  • radiotherapy
  • surgery
  • hormone therapy
  • chemotherapy
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