Pain

Question 1

Explain neuropathic pain

Answer 1

nerve pain
-burning, numbing, electric shock-like, shooting

Question 2

Explain the types of somatic pain

Answer 2

Superficial: skin, mucous membranes, subcu. tissues- localized, burning, sharp

Deep: bones, tendons, muscle, fasciae- localized/diffusing, radiating, cramping

Question 3

Explain visceral pain

Answer 3

Visceral/abdominal organs
-sharp, dull, deep, aching

Question 4

What are some manifestations of acute pain?

Answer 4

Elevated HR, BP, RR
Confusion, agitation, anxiety
Diaphoresis, pallor
Urine retention

Question 5

What are some manifestations of chronic pain?

Answer 5

Fatigue
Flat affect
Decrease physical activity
Social withdrawal

Question 6

How long before pain is classified as chronic?

Answer 6

> 3 months

Question 7

Explain the POSS Scale

Answer 7

Evaluates sedation levels in patients receiving opioids

Used prior to and after opioid administration

S, 1, 2, 3, 4

Question 8

Explain the POSS Scale scores

Answer 8

S: sleep, easily aroused
-acceptable, may increase dose

1: Awake/alert, acceptable, may increase dose

2: Slightly drowsy, easily aroused, acceptable, may increase dose

3: Frequently drowsy/drifting, unacceptable, monitor RR, decrease dose

4: Somnolent, unacceptable, stop opioid, consider naloxone