Pain Flashcards

1
Q

What is pain

A

UNPLEASANT sensation, Stimulated by pain RECEPTORS, WARNING of a problem

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2
Q

What are some causes of pain

A

INflammation, infection, ischemia, stratching, chemicals, burns, spasm

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3
Q

What are the two categories of pain classification

A

Underlying pathology and duration

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4
Q

What are the two underlying pathology terms

A

NOCICEPTICE and NEUROPATHIC (tissue and nerves)

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5
Q

What are the two duration terms

A

Acute and chronic

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6
Q

What is deafferentation pain

A

Phantom pain

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7
Q

What is central pain

A

Dysfunction of damage to the BRAIN OR SPAIN CORD

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8
Q

What is neuropathi pain

A

Caused by TRAUMA with the PERIPHERAL NERVES

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9
Q

What is ischemica pain

A

BLOOD FLOW

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10
Q

What is cancer-related pain

A

Pain related with treatment and the diseases

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11
Q

What are nociceptors

A

Pain receptors

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12
Q

What is pain threshold

A

Level of stimulation required to elicit a pain response

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13
Q

What is pain tolerance and does it variy amung people

A

Ability to cope with pain, yes

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14
Q

What do TENS do

A

Increases sensory stimulation at site to block pain receptors

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15
Q

What are the bodies opiate-like chemicals

A

Endogenous

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16
Q

What is an example of referred pain

A

Heart attack

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17
Q

What type of pain usually does not respond to common pain therapies

A

Phantom pain

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18
Q

Is pain perception subjective, how should you compare it

A

Compare it day to day in the same person

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19
Q

What should you use when creating pain goals for patients

A

Comfort functional pain score, what is a comfortable level for you to tolerate and perform ADLs

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20
Q

Between acute and chronic pain which is more difficult to treat

21
Q

Between acute and chronic pain which is more generalized

22
Q

What are some common behavior manifestations of chronic pain

A

Fatigue, flat affect, decreased physcial activity

23
Q

Why do we use transdermal patches

A

Slow release, long term for CHRONIC pain

24
Q

What are denzodiazepines and tricyclic antidepressants used as

25
What typically happens when treating cancer pain
Tolerance to narcotics
26
What has PCAs reduced
Overall consumption of narcotics
27
What is intractable pain
Cannot be controlled with meds
28
What is an example of intractable pain
Headaches
29
What are the three examples of NSAIDs
Aspirin, ibuprofen, naproxen
30
What do NSAIDs do
Pain relief and suppression of inflammation, and reduction of fever
31
What are the adverse effects of NSAIDs
GASTRIC ulceration, acute RENAL failure, BLEEDING
32
Which NSAID actually increases the risk of thrombotic events
Aspirin
33
What is ketorlolac
NSAID with opioid-like effects
34
What to know about ketorlolac
Max of 5 days, avoid during pregnancy
35
What is acetaminopehn go at
Combining with opioids
36
What does acetaminophen not do compared to NSAIDs
anti-inflammatory actions, or any of the adverse effects
37
What is the adverse effect of acetaminophens
Liver problems
38
What is the max daily dose of acetaminopehn
3000mg
39
What is the antidote of acetaminophen and how should you administer it
N-acetylcysteine, add to flacored deverage
40
What are the two drug interactions of acetaminophen
Alcohol and warfarin
41
Hydromorphone is _ times more effective than morphine
10X
42
What is a local anestesia
Injected, cavity, LIDOCANE, mole removal
43
What is a spinal or regional anestesi
Epideral, surgeries
44
What is a general anestesia
Loss of consciousness, NEED AIRWAY support
45
What is neuroleptanestesia
Can't feel anything but the pt can response, brain surgeries
46
What type of anesthetic is lidocaine
Local
47
What form is LET
gel
48
What areas should you avoid using epi at
Ears, nose, eye lids