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Pathopharm: Spring > Pain > Flashcards

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

A

Chronic

21
Q

Between acute and chronic pain which is more generalized

A

Chronic

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

A

Adjuncts

25
Q

What typically happens when treating cancer pain

A

Tolerance to narcotics

26
Q

What has PCAs reduced

A

Overall consumption of narcotics

27
Q

What is intractable pain

A

Cannot be controlled with meds

28
Q

What is an example of intractable pain

A

Headaches

29
Q

What are the three examples of NSAIDs

A

Aspirin, ibuprofen, naproxen

30
Q

What do NSAIDs do

A

Pain relief and suppression of inflammation, and reduction of fever

31
Q

What are the adverse effects of NSAIDs

A

GASTRIC ulceration, acute RENAL failure, BLEEDING

32
Q

Which NSAID actually increases the risk of thrombotic events

A

Aspirin

33
Q

What is ketorlolac

A

NSAID with opioid-like effects

34
Q

What to know about ketorlolac

A

Max of 5 days, avoid during pregnancy

35
Q

What is acetaminopehn go at

A

Combining with opioids

36
Q

What does acetaminophen not do compared to NSAIDs

A

anti-inflammatory actions, or any of the adverse effects

37
Q

What is the adverse effect of acetaminophens

A

Liver problems

38
Q

What is the max daily dose of acetaminopehn

A

3000mg

39
Q

What is the antidote of acetaminophen and how should you administer it

A

N-acetylcysteine, add to flacored deverage

40
Q

What are the two drug interactions of acetaminophen

A

Alcohol and warfarin

41
Q

Hydromorphone is _ times more effective than morphine

A

10X

42
Q

What is a local anestesia

A

Injected, cavity, LIDOCANE, mole removal

43
Q

What is a spinal or regional anestesi

A

Epideral, surgeries

44
Q

What is a general anestesia

A

Loss of consciousness, NEED AIRWAY support

45
Q

What is neuroleptanestesia

A

Can’t feel anything but the pt can response, brain surgeries

46
Q

What type of anesthetic is lidocaine

A

Local

47
Q

What form is LET

A

gel

48
Q

What areas should you avoid using epi at

A

Ears, nose, eye lids

Pathopharm: Spring (4 decks)

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