pain assessment and management Flashcards
gate control
psychological factors play a role in perception of pain
transduction
activation of A and C nerve fibres by chemical mediators
nociceptor pain
“normal” pain
neuropathic pain
exaggerated response to pain
somatic pain
muscle, bones, soft tissue
- easily localized
visceral pain
internal pain with organs
acute pain
sudden onset associated with event or procedure
- easier to manage
chronic pain
lasts longer than 3 months,
assessment
onset, location, duration, character, aggravation, radiation, timing, severity
FACES pain scale
used for children as young as 3
mild pain
0-4/10
- cox inhibitor (tylenol)
- NSAIDs (aspirin, ibuprofen, naproxen)
moderate pain
4-6/10weak opioids
- codeine (15-30)
- tramadol (50-100)
severe pain
6-10/10; strong opioids
- morphine
- oxycodone
- fentanyl
- hydromorphone
breakthrough pain
pain exacerbation in a pt with adequately controlled baseline pain
Cervical dermatome
head to clavicle and arms
c1-c8
