pain Flashcards

1
Q

rx must include

A
  • supervising physicians name and DEA number
  • manual signature of provider
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2
Q

pseudoaddiction

A
  • behaviors taht appear to indicate addiction but actually reflex untreated pain
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3
Q

3 types of pain

A
  • nociceptive
  • neuropathic
  • psychogenic
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4
Q

what type of pain is caused by injury to tissues, activation of peripheral pain receptors, somatic or visceral

A

nociceptive

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5
Q

what type of pain results from damage to or dysfunction of nerves, the spinal cord or brain

A

neuropathic

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6
Q

what type of pain is seen in patients with persistent pain with some evidence of psychologic disturbances and without evidence of a disorder that could account for the pain or its severity

A

psychogenic pain

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7
Q

treat pts with chronic pain with

A
  • long acting opiates
    • high dose, short acting opiates are more likely to lead to tolerance
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8
Q

starting patients on chronic opiate therapy? make sure to get a

A

opiate agreement

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9
Q

need to order continuous on any patient on PCA (patient controlled analgesia)

A

pulse oximetry

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10
Q

if discontuing PCA (patient controlled analgesia), discontinue the

A
  • basal rate
    • leave demand dose only
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11
Q

use PCA (patient controlled analgesia) for

A
  • short term only
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12
Q

avoid these pain medications in ESRD

A
  • morphine
  • meperidine
  • vicodin
  • codeine
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13
Q

drug of choice for ESRD

A
  • fentanyl
  • methadone
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14
Q

avoid for treatment of pain in patients with hepatic disease

A

opiates

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