pain and anxiety managment

Question 1

Differintial impressions

Answer 1

1. musculoskeletal pain ( fractures crush injuries , burns chronic back pain/ vertebral or inflammation disease process
2. Skin/ integumentary pain ( burns, soft tissue injuries)
3. Abdominal pain ( renal colic/ inflammation disease ,cholecystitis, diverticulitis, bowl obstruction
4. neurogenic pain ( herpes, varcella)
5. sickle cell crisis
6. I O pain
7. severe anxiety
8. procedural sedation

9.

Question 2

Basic life support actions (1,2,3)- 1

Answer 2

universal care guidline

Question 3

Basic life support actions (1,2,3)- 2

Answer 3

patient safety guideline

Question 4

Basic life support actions (1,2,3)- 3

Answer 4

ice pack therapy ( for simple musculoskeletal pain, and skin trauma pain ) Pedi: same

Question 5

Advance life support actions and considerations : Acute pain conditions

Answer 5

fentenyal 1 mic per key , iv , io , im, in -repeat every 10 mins as needed

Question 6

Advance life support actions and considerations : Acute pain conditions ( pedi)

Answer 6

fentenyal .5 mic per key , iv , io , im, in -repeat every 10 mins as needed

Question 7

Advance life support actions and considerations : I o device comfort

Answer 7

lidocaine 40 mg I.O over 2 minutes, allow to dwell in I.O space for 60 seconds, followed by 5-10 mil saline flush . Only for patients responsive to pain

Question 8

Advance life support actions and considerations : I o device comfort ( pedi)

Answer 8

lidocaine .5mg per key ( max of 40 mg) I.O over 2 minutes, allow to dwell in I.O space for 60 seconds, followed by 2.5-5ml saline flush, only for patients responsive to pain

Question 9

Advance life support actions and considerations : Severe anxiety

Answer 9

Midazolam 2mg iv io im in, repeat every 10 mins as needed

Question 10

Advance life support actions and considerations : Severe anxiety ( pediatrics)

Answer 10

Midazolam .1mg per kilogram iv io im in, repeat every 10 mins as needed