Pain and management of pain Flashcards
Where is visceral pain likely to originate?
Inner organs (uterus)
The pushing and pulling of which two internal structures cause discomfort?
Uterine and perineum
Where is somatic pain likely to originate?
Skin and muscles
In what three places does somatic pain accompany visceral pain in the 2nd stage?
Distension of the pelvic floor, the perineum and the vagina
What is the medical name for gas and air?
Entonox
How is Entonox administered?
Self-administered by a closed valve mouthpiece and inhaled
How long does Entonox work for approximately?
60 seconds
Which two pain relievers are given via intermuscular injection?
Diamorphine and pethidine
Where in the body would we give diamorphine or pethidine?
Upper thigh
What medication needs to be given alongside diamorphine and pethidine? Why?
An antiemetic to prevent nausea
Name three side effects of pethidine?
Nausea, neonatal respiratory distress, hypothermia, restlessness, tremor and may lengthen labour
Name three side effects of diamorphine?
Nausea, myocardial infarction, raised intercranial pressure, taste disturbance and may lengthen labour
How is Remifentanil administered?
IV with a PCA
What three things are needed continuously during the use of Remifentanil?
Oxygen mask, SATs and CTG monitoring
Name three side effects of Remifentanil?
Nausea, itching, drowsiness, slow breathing, low oxygen levels
