Pain

Question 1

Rheumatoid arthritis, Viseral pain, Acute postoperative pain are examples of what type of pain and how do you treat

Answer 1

Somatic (nociceptive) Pain

treat with NSAID, Steroid, paracetamol, steroid, opioids

Question 2

Posttherpetic neuralgia is an example of what type of pain

Answer 2

Nerve (neuropathic) pain treat with antidepressants and antiepileptics

Question 3

Psychological problems represent what type of pain

Answer 3

psychogenic

treat with psychological support

Question 4

what pain med is used for Cancer pain

Answer 4

fentanyl patches

Question 5

can opioids be used for chronic pain manaagemen

Answer 5

no

Question 6

Opioid Legal requirement for APN are

Answer 6

-DEA license
-have to check AR prescription monitoring program
-

Question 7

essential 2 points of ED chronic pain management

Answer 7

Opioids can be used if they enhance function

Question 8

As APN you can only delegate opioid check list to

Answer 8

RN

Question 9

These procedures may require the use of what pain medication I&D of abscess
 Wound management
 Tube thoracotomy
 Orthopedic manipulation
 Cardioversion
 Diagnostic Studies

Answer 9

Lidocaine

Question 10

Benzodiazepines can be reversed by

Answer 10

Flumazenil

Question 11

Maximum dose of local anesthesia that

can be administered for intercostal block

Answer 11

is 1/10th that of SubQ. dose

Question 12

after anesthesia Confusion
 Seizures
 Coma
 Myocardial depression
 Dysrhythmias  could all be signs of what

Answer 12

Toxic Effects of Local

Anesthesia

Question 13

What would cause a patient to refuse a local anesthetic

Answer 13

Causes pain when injected into the wound

Question 14

What are some ways to improve administration of injected anesthesia

Answer 14

Warm solution or buffered solution reduces pain

 Epinephrine (1:100,000) is added to increase duration

Question 15

most commonly used

Answer 15

Lidocaine-most commonly used for local-lasts 1-2

hours

Question 16

How long does lidocaine last

Answer 16

1-2hours

Question 17

how long does bupivacaine last

Answer 17

up to 6 hours

Question 18

Side effects of ASA include

Answer 18

A-tinnitus, dizziness, hearing loss, dyspepsia, GI

bleeding

Question 19

allergic to ASA SHOULD NOT be given

Answer 19

NSAIDS

Question 20

COX-2 Inhibitors-used for patient who can’t tolerate

other NSAIDs- SHOULD NOT be given to patients

Answer 20

allergic to Sulfonamides (Bactrium DS)

Question 21

Legal Responsibilities as

APRN

Answer 21

1. Licensed as APRN in state of Arkansas
2. Collaborative Practice Agreement
   3Prescriptive Protocol approved by State
   Board of Nursing
   4Prescriptive Authority by State Board of
   Nursing
   5Apply of DEA
   6Schedule II (hydrocodone only), III, IV, V
   7) check drug monitoring
   8) document in paitents record
   9) pain contract
   10) patient education about addictive properties

Question 22

 Arkansas Prescription Monitoring

Program MUST BE CHECKED before prescribing

Answer 22

benzos and narcotics

Question 23

Myofacial headaches
 Migraine
 Fibromyalgia
 Chronic back pain/neck pain
 Sciatica
 Post herpetic neuralgia
 Diabetic neuropathy
 Phantom limb pain are examples of what type of pain

Answer 23

chronic pain

Question 24

What are the complications of digital blocks

Answer 24

nerve injury, intravascular injection cause systemic toxicity

Question 25

What assessment should be done before digital block

Answer 25

neurovascular