Pain management

Question 1

What is physical dependence?

Answer 1

A. becoming dependent on drugs, alcohol, or medications

Question 2

What is tolerance?

Answer 2

when the brain no longer responds to a drug or medication. The body adapts to the continued presence of the drug.

Question 3

What is addiction?

Answer 3

Taking a substance when it’s no longer needed.

Question 4

What is pseudoaddiction?

Answer 4

pain undertreated making people seek for drugs.

Question 5

What is breakthrough pain?

Answer 5

Severe pain after being medicated w/ long-acting medication.

Question 6

What type of pain?
Described as aching or throbbing.
The patient may be restless or agitated.
controlled with analgesics

Answer 6

Acute pain

Question 7

What types of pain is caused by:
burns, bone fractures, muscle strains, pneumonia, sickle cell crisis, angina, herpes zoster, inflammation, and infection.

Answer 7

Acute pain

Question 8

What type of pain?
Associated with conditions such as:
Arthritis and chronic pain.

Answer 8

Chronic pain

Question 9

What type of pain?
Dull, constant, shooting, tingling, or burning

Answer 9

chronic pain

Question 10

How can chronic pain be treated?

Answer 10

Pharmacologic and nonpharmacologic interventions

Question 11

What are the different classifications of pain?

Answer 11

Acute pain
chronic pain
Intermittent pain
intractable pain
referred pain
radiating pain

Question 12

What is acute pain?

Answer 12

pain that last less than 6 months

Question 13

What is chronic pain?

Answer 13

Pain that last more than 6 months

Question 14

What is intractable pain?

Answer 14

pain that cannot be relieved

Question 15

What is intermittent pain?

Answer 15

pain that comes and goes in intervals.

Question 16

What is referred pain?

Answer 16

Pain that is felt other place than where the pain was produced.

Question 17

what is radiating pain?

Answer 17

pain that begins at a specific site ad shoots out from or extends to a larger area beyond the site of origin.

Question 18

What type of pain involves in injury to the tissue in which receptors call nociceptors are located.
Found in skin, joints, or organ viscera.

Answer 18

Nociceptive pain

Question 19

What are the four phases of nociceptive pain ?

Answer 19

Transduction
transmission
perception
modulation

Question 20

what is NSAID ?

Answer 20

Nonsteroidal anti-inflammatory drug -
Medication class that helps to reduce inflammation and pain by preventing the release of inflammatory mediators such as histamine, serotonin, prostaglandin and luekotrienes

Ex: ibuprofen
Naproxen
Aspirin

Question 21

opioids block what?

Answer 21

transmission

Question 22

Distraction and guided imagery blocks what?

Answer 22

Perception

Question 23

Drugs that block neurotransmitter uptake work on ?

Answer 23

modulation

Question 24

What type of pain is this?
Associated with dysfunction of the nervous system- nerve compression.
Pain receptors in the body become more sensitive to stimuli and send signals more easily.

Answer 24

Nueuropathic pain

Question 25

What type of pain often associates with DM, lymphedema, cancer/tumors, spinal fx/ and HIV.

Answer 25

nueropathic pain

Question 26

What type of pain is treated with NSAID, tricyclic antidepressants, anticonvulsants, or corticosteroids?

Answer 26

Neuropathic pain

Question 27

What type of pain? Occurs with the loss of the body part from amputation. not controlled by conventional methods. May be treated with tens units implanted in the thalamus

Answer 27

Phantom pain

Question 28

What is the P for PQRST?

Answer 28

Provoking (why or where)

Question 29

What is the Q for PQRST?

Answer 29

Describe the pain

Question 30

What is the R for PQRST?

Answer 30

Is the pain moving?

Question 31

What is the S for PQRST?

Answer 31

Pain scale, rate pain

Question 32

what is the T for PQRST?

Answer 32

How long those the pain lasts, is there anything that makes it better.

Question 33

What do we need to assess prior to giving an opioid pain medication?

Answer 33

Level of pain site of pain characteristic of pain pain is acute or chronic what triggers the pain How does the patient want to treat pain?

Question 34

What kind of pain do we use antidepressant medication for?

Answer 34

Chronic pain and neuropathic pain

Question 35

When do we use Narcan?

Answer 35

To treat known or suspected opioid overdose.

Question 36

What Narcan is a reversal for?

Answer 36

opioid overdose

Question 37

When do we use Romazicon?

Answer 37

To help wake up body after surgery or medical procedure.

Question 38

What is romazicon reversal for?

Answer 38

Benzodiazepine

Question 39

How are we going to assess based on the patient nonverbal signs?

Answer 39

Moaning crying irritability grimacing frowning rigid posture in bed

Question 40

What do we teach patients regarding the side effects of opioids, including constipation?

Answer 40

Opiods are highly addictive, the patient may experience sedation, constipation, dry mouth, tolerance, confusion, nausea, dizziness, or itching from using the drug.

Question 41

What are the nursing priorities with pain?

Answer 41

Obtain patient vital signs Level of pain site of pain characteristic of pain pain is acute or chronic what triggers the pain How does the patient want to treat pain?

Question 41

What type of therapy is this? vasodilation vessel lumen permeable interstitial spaces

Answer 41

Heat therapy

Question 42

What is the indication for heat therapy?

Answer 42

Relaxation of muscle spasm pain relief support of the healing process reduction of edema elevation of the body temperature

Question 43

What are methods of heat applications?

Answer 43

Commercial heat packs heating pads warming blankets hot compresses socks whirlpooth baths

Question 44

What are you going to asses during heat therapy?

Answer 44

Skin temperature, color, cold sensation, edema. and integrity. check temperature of device before apply to skin reassess skin after removal pf heat source.

Question 45

What type of therapy is this? Vasocontrictions Ischemia

Answer 45

Cold therapy

Question 46

What are the indications for cold therapy?

Answer 46

Prevention of edema control or stoppage of bleeding pain relief numbing sensation reduction of muscle spas, reduction of fever/

Question 47

What are the methods of cold application?

Answer 47

Refreezable commercial cold packs chemical cold packs cold compresses tepid baths

Question 48

What are you going to assess during cold therapy?

Answer 48

Integrity, sensation, temperature, and color of the skin. Don't leave cold packs longer than 20 to 30 minutes Monitor skin after removal of cold therapy.

Question 49

What is the gate control theory?

Answer 49

the theory supports that the transmission of pain impulses to the central nervous system is controlled by a gate that opens and closes in response to sensory input.

Question 50

What are the behavioral signs of chronic pain?

Answer 50

impaired mobility sleep disturbance withdrawal from family and friends.

Question 51

What are the psychological signs of acute pain?

Answer 51

Reduced attention span focused only on pain anger fever or anxiety irritability

Question 52

What are the psychological signs of chronic pain?

Answer 52

low-self esteem depression fatigue anger irritability

Question 53

What are the behavioral signs of acute pain?

Answer 53

Wincing or facial grimacing moaning crying restlessness slow movement rigid body posture

Question 54

What are physiological signs of acute pain?

Answer 54

Diminish healing, heart rate increase pupils dilate SBP increases as it worsens: decrease of blood pressure and constriction of pupils

Question 55

What are the physiological signs of Chronic pain?

Answer 55

onset longer than 6 months ago pupils may constrict vital signs may not change