pain Flashcards
t/f: pain is a vital sign
false. pain is a symptom, not a vital sign
t/f: BP, HR, resp rate, and body temp are vital signs and can be objectively measured
true
t/f: inclusion of pain as a vital sign has contributed to the unnecessary overprescribing of opioids
true
t/f: the main etiologies for pain are nociceptive, neuropathic, and nociplastic
true
nociceptive is initiated or caused by
peripheral primary lesion
t/f: somatic nociceptive is usually diffuse and poorly localized
false. VISCERAL is diffuse and poorly localized. somatic nociceptive is WELL localized
t/f: visceral nociceptive is usually referred
true
neuropathic is damage/dysfunction of
somatosensory pain pathways
t/f: nociplastic can be easily classifiable
false. not easily classifiable
t/f: sensitization is the decrease of pain perception due to repeated or chronic pain
false. it is the INCREASE of pain perception
how much of all chronic pain is neuropathic?
20-25%
t/f: using numeric pain scales alone to monitor pt’s pain is adequate
false. it is inadequate. need to also assess how pain affects FUNCTION
the “3 Ps” to pain management are
- physical
- psychological
- pharmacological
t/f: in the ascending sensory pathway, injury on the left side is perceived on the left side
false. pain is perceived on the OPPOSITE side (so right side)
t/f: in the ascending sensory pathway, NOCICEPTIVE neurons are activated and stimulus travels to the DORSAL horn of the spinal cord
true
t/f: opioids work on the ascending sensory pathway
false. opioids work on the DESCENDING MODULATORY pathway
t/f: NSAIDS work on the ascending sensory pathway
true
name a co-analgesic. describe its function
caffeine. it helps increase the absorption of the analgesic (NSAID, opioid, etc.)
t/f: co-analgesics have an analgesic effect
false. they don’t. they just help increase absorption of the analgesic
pain management requires what?
- determine the cause of the pain
- pain assessment
t/f: opioids or cocaine are the first choice analgesic
false. they are not!
