Pain

Question 1

know which common medications are opioid

Answer 1

morphine, codeine

Question 2

know which common medications are non-opioid

Answer 2

acetaminophen, ibuprofen

Question 3

what are some side effects of salicylate (aspirin) administrations

Answer 3

gastric upset, N/V, GI bleed

Question 4

whatare characteristics of chronic pain

Answer 4

longer than 6 months

Question 5

what are characteristics of acute pain

Answer 5

shorter than 6 months

Question 6

what are good assessment tools to assess pain in an adult

Answer 6

numerica scale

Question 7

what are good assessment tools to assess pain in an infant or mentally impaired person

Answer 7

Pain AD (wong baker faces)
FLACC

Question 8

prior to administering a narcotic what is essential for the nurse to check

Answer 8

respirations

Question 9

what is the antidote for opioids

Answer 9

naloxone

Question 10

what is the antidote for benzodiazepines

Answer 10

flumazenil

Question 11

how do most NSAIDS work

Answer 11

anti-inflammatory

Question 12

Pain should be assessed

Answer 12

before and 30 min after administering med

Question 13

Phases of pain

Answer 13

Transduction: disruption to cells
Transmission: pain form nerve to spinal cord - dorsal root - sensory neurons- brain
perception: actually feeling pain
modulation: body tries to stop pain impulses

Question 14

what is somatic pain

Answer 14

skin, tissue, muscle

Question 15

what is visceral pain

Answer 15

abdomen

Question 16

what is referred pain

Answer 16

pain felt in part of body other tan actual source

Question 17

somatic and visceral are said to be

Answer 17

nocicptive pain

Question 18

referred and nerve pain are what type of pain

Answer 18

neurogenic

Question 19

give examples of referred and nerve pain

Answer 19

referred: heart attack pain in arm
nerve: phantom pain

Question 20

how often should a fentanyl patch be replaced

Answer 20

every 3 days

Question 21

is there a ceiling effect to opioids

Answer 21

no

Question 22

is there a ceiling effect to NSAIDS and acetaminophen

Answer 22

yes - 1000 won’t be better than 400

Question 23

what is the term when over time, more narcotic is required to receive the desired effect

Answer 23

tolerance

Question 24

what is the term for the groups of medications that were not developed for pain relief yet are used to assist in pain relief

Answer 24

analgesic adjuvents

Question 25

what is a rhizotomy

Answer 25

surgical, chemical, radiowave destruction of nerve root to spinal cord

Question 26

what is a cordotomy

Answer 26

interruption of pain pathways in spinal cord - sensation loss is permanent

Question 27

what is the term for pain that becomes worse even when taking the prescribed amount of pain medication

Answer 27

interactable

Question 28

what is the onset, duration, intensity, and quality of pain

Answer 28

when started, how long, how strong, sharp, stabbing, dull aching

Question 29

why is aspirin not given to children with viral infections

Answer 29

Reye’s Sundrome

Question 30

Acetaminophen should not be used in someone with what disease

Answer 30

liver disease or smoker

Question 31

What are the actions of NSAIDS

Answer 31

decreased inflammation, reduce pain

Question 32

name some common NSAIDS

Answer 32

ibuprofen, indomethacin, naproxen

Question 33

what are some side effects of NSAIDS

Answer 33

Most common: GI bleeding

N/V, headaches, GI distress, ulcer

Question 34

what are some side effects of opioids

Answer 34

physical dependence, N/V, mental confusion, respiratory depression

Question 35

name some common opioids

Answer 35

morphine, codeine, fentanyl, oxycodone, hydromorphone

Question 36

which opioid is commonly given for coughing

Answer 36

morphine sulfate

Question 37

what is tolerance

Answer 37

need more and more of drug to get same effect

Question 38

what is opioid naive

Answer 38

don’t need opioids

Question 39

what is addiction

Answer 39

addicted to a drug