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Nursing Fundamentals > Pain Management > Flashcards

Pain Management Flashcards

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1
Q

The number one reason for healthcare

A

Pain management

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2
Q

______ is subjective and whatever the person says it is (personal)

A

Pain

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3
Q

Pain is expressed in what ways?

A

Physiologically, verbally, and nonverbally

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4
Q

Physiological ways pain can be seen

A

Vital signs

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5
Q

Pain is unique due to ……

A

Genetic makeup

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6
Q

Pain can be a warning of

A

Disease

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7
Q

Types of pain

A
  1. Acute
  2. Persistent (chronic)
  3. Cancer
  4. Nociceptive
  5. Neuropathic
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8
Q

Acute pain is described as

A

Short - Seconds to 3 months

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9
Q

Persistent or chronic pain is described as

A

Long term. 3 to 6 months or more. Considered a disease on its own

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10
Q

Cancer pain is described as…..

A

Acute or chronic. Direct or indirect from cancer. Difficult to treat

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11
Q

Nociceptive pain is described as…..

A

Somatic or visceral

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12
Q

Somatic pain is …..

A

Bone, tissue, muscle, joint pain (i.e. easily pinpointed)

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13
Q

Visceral pain is described as…..

A

Organ pain. Poorly localized. Experienced as cramps, deep, and heavy. Physiological like heart or stomach

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14
Q

Neuropathic pain is described as…..

A

Damaged nerves, abnormal sensory input. Ex. diabetic neuropathy

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15
Q

Abnormal pain signaling resulting in perceived pain from mild, non-painful stimuli

A

Allodynia

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16
Q

Lower pain threshold. It is an exaggerated response to normal painful stimuli. A heightened pain response.

A

Hyperalgesia

17
Q

Nervous system adaptation as a result of tissue injury and inflammation.

A

Nervous System Sensitization

18
Q

Complete or partial collapse of lung

A

Atelectasis

19
Q

Allodynia and hyperalgesia are consequences of…..

A

Unrelieved pain

20
Q

Tendency to have thrombosis

A

Hypercoagulability

21
Q

During fight or flight, what happens to blood

A

Blood leaves the extremities

22
Q

Physiolocial responses to pain

A 
Increased pulse
Increased respiration
Pallor
Anorexia
Fatigue
Hyperglycemia
23
Q

Physical assessment of pain

A

Inspection first (limping etc.) then palpation

24
Q

Characteristics of pain

A 
Onset
Location
Duration
Quality (stabbing, throbbing)
Intensity (pain scale)
Aggravates / alleviates
25
Q

Accurate history
Physiologic responses to pain
Assessment to behavioral responses to pain
What makes pain better or worse?

A

Nursing assessment of pain

26
Q

Language translation program

A

CyraCom

27
Q

Cognitively impaired may only exhibit pain

A

Behaviorally

28
Q

Patients with chronic pain may….

A

not express pain as those with acute pain. Can appear relaxed and be able to sleep

29
Q

Factors affecting healthcare

A

Healthcare professional performing poor assessments

Healthcare institution not able to provide all types of pain relief

Lack of access to treatment or gov’t restrictions of controlled substances

30
Q

Patients do not realize they are…..

A

…experts about their own pain

31
Q

A medication that is not primarily designed to control pain but can be used for this purpose

A

Adjuvant analgesics

32
Q

A group of drugs such as antidepressants, anticonvulsants, corticosteroids, neuroleptics, and other drugs with narrower adjuvant functions

A

Adjuvant drugs

33
Q

A substance which enhances the body’s immune response to an antigen

A

Adjuvant

34
Q

MOSS

A

Michigan Opioids Sedation Scale

35
Q

Sedation Scale

A
  1. Awake & alert
  2. Slightly drowsy, easily aroused
  3. Frequently drowsy, arousable but drifts off to sleep during conversation
  4. Somnolent, minimal or not response to physical stimuli
36
Q

Transcutaneous electrical nerve stimulation

A

TENS

37
Q

For pain relief:

Heat up to….
Cold up to…..

A

Heat up to 30 minutes

Cold up to 20 minutes

38
Q

Non-pharmacological pain management

A 
Distraction
Relaxation
Imagery
Biofeedback - learning voluntary control over automatic functions
(Learning to slow down BP)

Nursing Fundamentals (19 decks)

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