Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Foundation > Pain management > Flashcards

Pain management Flashcards

1
Q

Nociceptive pain

A
  • Damage to bones, soft tissue, internal organs
  • Throbbing, aching
  • Localized
  • Response opioid and non-opioid medications
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Neuropathic pain

A
  • Damaged pain nervous
  • Pain is intense
  • Burning, shooting, pains a needles
  • Response to adjuvant medications
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Somatic pain?

A

aching, throbbing(arthritis)

bone fractures.
strained muscles
connective tissue diseases, such as osteoporosis
cancer that affects the skin or bones

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

Visceral pain?

A

Squeezing, cramping
pain related to the internal organs in the midline of the bod= abdominal pain

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

Cutaneous pain

A

Sharp(surgical wounds)

pain perceived from the skin
Subcutaneous/below the skin=skin pain

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

Acetaminophen

A

Analogist and antipyretic
Consider maximum daily doses 4g(2-3g if liver disease)
Can cause liver dysfunction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

NSAIDS

A

Aspirin, ibuprofen, naproxen
Mild pain alone or adjuvant
Inhibits inflammation
GI toxicity, bleeding
Renal dysfunction

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

What mean by pain is multidimensional?

A

pain is a bio-psycho-social-spiritual experience

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Pain

Biological

A

Fifth vital sign

Cause of pain
Impact on functional status and sleep

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

a) Acute pain?
b) Chronic pain?

A

a) lasts less than 1-3 month
Protective
Fight and flight
Self-limiting
Direct cause

b) longer than 3 months
Not protective
Not impacted Vital sings

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

Wong-Baker FACES pain rating scale

A
  • PQRST
  • Age 3 and above
  • Very important to qualify how the scale number means

best question
What pain level could you live with so you can be a function?

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

Pain assessment in advances

PAINAD

A

DEMENTIA

Pain assessment tool for patients with advanced dementia

1-3=mild pain; 4-6=moderate pain; 7-10=severe pain

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

FLACC pain score

A

For infant and toddler

1-3 = Mild discomfort. 4-6 = Moderate pain. 7-10 =pain

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

Pain

Psychological

A

Pain influences mood
Past experiences with pain

Depression or anxiety?
Stress and fear make pain stronger

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

Pain

Social

A
  • *Impact on quality of life**
  • If the pt immobility, isolate from the society
  • *Cost and access**
  • insurance?
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Pain

Spiritual

A
  • *Cultural considerations**
  • pain is punishment
  • *Chaplain support**
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Opioid

A
  • To use moderate to severe(first line therary)
  • Block neurotransmitters=reduce pain
  • No ceiling effect
  • Contraindication is the history of reaction(cause opioid?)
  • Nausea and vomiting is not a contraindication
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Opioids options

A
  • Fentanyl
  • Hydrocodone
  • Hydromorphone
  • Methadone
  • Morphine
  • Oxycodone
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

What mean by no ceiling effect

Opioid

A

Keep working and working till respiratory depression and die

20
Q

What is the most concerning side effect?

Opioid

A
  • *Respiratory depression**
  • *Opioid naïve patient with the first dose**

Reserve with naloxone(reverses an opioid overdose)
Ongoing assessment
EOL is the different

21
Q

Another side effect of Opioid

A

Sedation
Urinary retention
Nausea and vomiting
Pruritis
Myoclonus
Orthostatic hypotension

22
Q

Tolerance

medication

A

Starts not working as desire

It is not a significant problem with clinical setting

23
Q

Physiological dependence

medication

A

Most happen with opioid medication

A person takes a drug over time, and unpleasant physical symptoms occur if the drug is suddenly stopped or taken in smaller doses.

24
Q

Substance-use disorder

medication

A
  • A mental disorder
  • Affects a person’s brain and behavior
  • Inability to control their use of medications
  • Starting fail
  • Starting to see a problem but still functioning

Substances such as alcohol, marijuana and nicotine also are considered drugs.

25
Q

Addiction

medication

A
  • Primary, chronic, neurobiological disease
  • Genetic, psychosocial factors
  • Impaired control over drug use, cannot live without it
26
Q

Chronic pain management

Things to keep in mind

A

-Body learns to adapt to deal with the pain

Vital signs may not be impacted….

But if pt says that pain is 5/10, means pain is 5/10!!!!

27
Q

Ethnology and location

A

Where does it start from?

Where does it begin from?

28
Q

Patient controlled analgesia

PCA

A
  • Only controlled by the patient
  • Small dose
  • Another RN to verify the pump settings
29
Q

Which of the following signs or symptoms in a patient who is opioid-naïve is of greatest concern to the nurse when assessing the patient 1 hour after administering an opioid?

  1. Oxygen saturation of 95%
  2. Difficulty arousing the patient
  3. Respiratory rate of 12 breaths/min
  4. Pain intensity rating of 5 on a scale of 0 to 10
A

２

arousing/awaken (someone) from sleep.

30
Q

A patient is being discharged home on an around-the-clock (ATC) opioid for postoperative pain. Because of this order, the nurse anticipates an additional order for which class of medication?

  1. Opioid antagonists
  2. Antiemetics
  3. Stool softeners
  4. Muscle relaxants
A

3

31
Q

A new medical resident writes an order for oxycodone CR 10 mg PO q2h prn. Which part of the order does the nurse question?

  1. The drug
  2. The time interval
  3. The dose
  4. The route
A

2

Adults—10 to 30 milligrams (mg) every 4 hours as needed

32
Q

The nurse reviews a patient’s medical administration record (MAR) and finds that the patient has received oxycodone/acetaminophen (5/325), two tablets PO every 3 hours for the past 3 days. What concerns the nurse the most?

  1. The patient’s level of pain
  2. The potential for addiction
  3. The amount of daily acetaminophen
  4. The risk for gastrointestinal bleeding
A

3

33
Q
  1. An oriented patient has recently had surgery. Which action is best for the nurse to take to assess this patient’s pain?
    a.
    Assess the patient’s body language.
    b.
    Ask the patient to rate the level of pain.
    c.
    Observe the cardiac monitor for increased heart rate.
    d.
    Have the patient describe the effect of pain on the ability to cope.
A

B
One of the most subjective and therefore most useful characteristics for reporting pain is its severity.

34
Q

When using ice massage for pain relief, which of the following is correct? SATA

1: Apply ice using firm pressure over the skin
2: Apply ice for 5 minutes or until numbness occurs.
3: Apply ice no more than 3 times a day
4: Limit application of ice to no longer than 10 minutes
5: Use slow, circular steady massage

A

1,2,5

Firm

35
Q

Idiopathic pain

A
  • Chronic pain
  • Not know the reason
36
Q

Adjuvant Medications

A
  • To enhance the effects of pain medications,
  • Treat concurrent symptoms, and provide analgesia for other types of pain
37
Q

Pain pathway

Transduction

A

Noxious stimuli cause cell damage

Damaging to tissue and liable to cause pain(detected by sensory receptor)

38
Q

Pain pathway

Transmission

A

Action potential continue to form
Site of injury to spinal cord

39
Q

Pain pathway

Perception

A

Experience of pain

40
Q

Pain pathway

Modulation

A

Where can pain be modulated in the body, and what causes its modulation?

Answer:

Pain is modulated at many places. It can be modulated at the level of pain receptors by simultaneous activity in low-threshold mechanoreceptors

41
Q

The nurse understands that the shortest acting relief method is

1: Patient controlled analgesia
2: Intramuscular sedatives
3: Intravenous narcotics

A

3

Quick response, but duration is short

42
Q

The nurse is caring for a pt who is experiencing pain. The nurse understands that a common psychological pt response to pain is

1: Experiencing fear related to loss of independence
2: Developing an increased tolerance to the drug
3: Asking for pain meds relieve pain

A

1

2-physiological response

3-Behavioral response

43
Q

A pt complains of pain. When caring for this pt, the most important things that nurse must recall is that

1: The extent of pain is directly related to the amount of tissue damage
2: Administering opioids for pain will eventually lead to addiction
3: The person experiencing the pain is the authority about the pain
4: Behavioral adaptions are congruent with statements about pain

A

3

authority=right

44
Q

A pt requests pain medication. What should the nurse do first when responding to this pt request for pain meds?

1: Use distraction to minimize the pt’s perception of pain.
2: Place the pt in the most comfortable position possible
3: Administer pain meds to the pa quickly
4: Asses the various aspects of the pt’s pain

A

4

ADPIE!!!!

45
Q

Which statement by the pt to a nurse indicates a precipitating factor associated with pain?

1: “ I usually feel a little dizzy and think I ‘m going to vomit I have pain”
2: “I usually have pain after I get dressed in the morning”
3: “My pain usually comes and goes throughout the night”
4: “My pain feels like a knife cutting right through me”

A

2

precipitating=induce

46
Q

A pt has a history of severe chronic pain. One of the most important guidelines associated with providing nursing care to this pt is

1: Determining the level of function that can be performed without pain
2: Focusing on pain management intervention before pain is excessive
3: Providing interventions that do not precipitate pain
4: Asking what is an acceptable level of pain

A

2

Foundation (12 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions