Pain

Question 0

Element/ structure related to pain

Answer 0

Substancia gelatinosa

Question 1

Theory in pain

Answer 1

Gate controlled theory

Question 2

Drug of choice in pain

Answer 2

Analgesics ( usually morpine)

Question 3

Nuring considerations in MORPINE

Answer 3

Monitor RR
Adverse effect : respiratory distress
Antidote: narcan or naloxone
Detoxification :methadone

Question 4

When to administer analgesics (pain)?

Answer 4

Onset of pain

Question 5

Other methods for pain relief.

Answer 5

Patient controlled analgesia - the patient has to simply push the button if she oercieves pain.

Transcutaneous electrical nerve stimulation -application of electrode

Relaxation technique- imagery and massage (acupressure)

Question 6

3 types of massage

Answer 6

Efflaurage - long and circular stroke. Commonly used in patient who is in labor. ( to promote comfort)

Petrissage -kneeding

Tapotement - percussion

Question 7

Pain assessment

Answer 7

P recipitating cause
Q uality
R adiation
S everity
T ime

Remeber : PQRST

Question 8

(Pain-quality): crushing?

Answer 8

Myocardial infarction

Question 9

(Pain-quality): pounding?

Answer 9

Hypertensive crisis ( maoi + tyramine )

Question 10

(Pain-quality): knife -like?

Answer 10

Ectopic pregnancy

Question 11

(Pain-quality): gnawing?

Answer 11

Gastric ulcer

Question 12

(Pain-radiation): chest to arm?

Answer 12

Angina pectoris

Question 13

(Pain-radiation): chest to back?

Answer 13

M.I

Question 14

(Pain-radiation): Epigastrium to right scapula?

Answer 14

Cholecystitis

Question 15

(Pain-radiation): epigastrium to left scapula

Answer 15

Renal colic

Question 16

(Pain-radiation): LUQ to left shoulder

Answer 16

Pancreatitis

Question 17

(Pain-radiation): back pain to abdomen

Answer 17

Lebor; true labor

Question 18

Nursing consideration for the Severity of the pain. Pain scale method

Answer 18

0-3 further assess the patient
4-7 teach relaxation technique (imagery)
7-10 medicate the pt ( PRN analgesics- meperidine)

Question 19

(Pain) Severity assessment for children?

Answer 19

Wong-baker scale

Facial grimace

Question 20

Pain-time of 15 minutes and relieve by rest.

Answer 20

Angina pectoris

Question 21

Pain-time of >15 minutes and does not relieve by rest.

Answer 21

M.I