Pain Assessment and Management Flashcards

1
Q

Multidimensional Scale that we use

A

SF-GCMPS

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Assess the dogs…

A

vocalization, attention to the painful area, ambulation, reaction to palpation around the wound.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Advocate for _________ in your clinic.

Use a validated ________ scale

A

consistent evaluations

multidimensional scale

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Assess patients ________ their treatments

A

Before and after

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Assess patients often during first hours to

A

plan the efficacy and frequency of treatment

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What are the 5 steps for conscious pain perception?

A
  1. Transduction
  2. Transmission
  3. Modulation
  4. Projection
  5. Perception
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What kind of painful stimuli can be transduced into an electrical impulse?

A

mechanic, thermal, chemical

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

A alpha fibers

A
  • Large, thick myelinated sheaths, rapid conduction (>30 m/s)
  • muscle contraction
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

A beta fibers

A
  • Large, thick myelinated sheaths, rapid conduction (>10 m/s)
  • Normally pleasant to touch, can provoke pain over time
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

A gamma fibers

A
  • Medium size, light myelination

- sharp pain

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

C fibers

A
  • small, unmyelinated

- slow burning/throbbing pain

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

_____ and _____ receptors exist…

A

Inotropic and metabotropic(G protein)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

The ___________ si the most important projection tract in carnivores.

A

spinocervicothalamic tract

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Windup

A

plasticity of spinal cord, an exaggerated response (Allodynia and hyperalgesia are both examples)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

allodynia

A

when a non-painful stimulus causes pain (A beta fibers causing pain)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

hyperalgesia

A

a painful stimulus creating a more painful response than it should

17
Q

Opioids function by

A
  • modulating at the spinal cord, Transduction

- hyperpolarization of the cell.

18
Q

alpha-2 agonists function by

A

inhibiting NT release and modulating

19
Q

Local anesthetics function by

A
  • Transmission step

- Na+ Channel blockers (don’t use in acidic environment)

20
Q

NSAIDs function by

A
  • Block Transduction
  • Anti Inflam and anti - nociceptive
  • COX inhibitors (stop arachadonic acid -> Prostaglandin)
21
Q

Steroids function by

A
  • anti-inflammatory (inhibit phospholipase A from producing Arachadonic acid)
22
Q

Other therapies that we do not condone using alone.

A

tricyclic antidepressants
gabapentin
cannabinoids
NMDA antagonists