Brainscape's Knowledge GenomeTM


Top Flashcards (Certified)
All Flashcards

NSG 102 > Pain Management > Flashcards

Pain Management Flashcards

1
Q

nociceptive pain

A

caused by damage to body tissue

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

neuropathic pain

A

lesion, disease of NS

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

nociplastic pain

A

pain but there is nothing wrong

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

referred pain

A

pain in one area but perceived in another area
ex. heart attack pain in arm

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

PQRST

A

precipitating factors
quality
region
severity
time

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

what are NSAIDS

A

nonopioid analgesics that have an anti-inflammatory effect

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

NSAIDS contraindications

A

pt with bleeding disorders, infections, and pregnancy 20 wks+

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

all NSAIDS except aspirin…

A

increase risk of heart attack or strok

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

Ibuprofen (advil, motrin)

A
  • caution in older adults w GI disorders, PUD, hepatic or renal disease
  • GI BLEED major risk
  • dose: 400-800 mg
  • max dose 3.2 g
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

naproxen (aleve)

A
  • harder on stomach than ibuprofen
  • dose varies
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

ketorolac (toradol)

A
  • short term for mod/severe pain
  • treatment should not exceed 5 days
  • dont use if under age 17
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

acetaminophen (Tylenol)

A
  • safest
  • acute pain
  • assess liver function tests; hepatoxicity huge risk!
  • dose: 325-650 mg q4-6h
  • max dose: 4g/day
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

opioid analgesics

A
  • narcotics
  • for mod to severe nociceptive, neuropathic, and cancer related pain
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

opioid agonists

A

produces the analgesia

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

opioid antagonists

A

do not produce analgesia

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

opioid side effects

A

sedation, nausea, constipation, respiratory depression

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

what do you do if constipation persists while on opioids?

A

increase fluids & fiber, or administer laxative/stool softener

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

what do you do if respiratory depression occurs?

A

continuous pulse ox, may need naloxone, pasero opioid induced sedation scale

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

oxycodone

A

5mg-80mg q4-6hours
depends on immediate release vs. ER

20
Q

Methadone (dolophine)

A
  • may have advantages over other opioids
  • 5 to 100 hour half life
  • watch closely for excessive sedation
21
Q

norco

A

acetaminophen & hydrocodone

22
Q

percocet

A

acetaminophen & oxycodone

23
Q

Morphine

A

slow onset, long duration

24
Q

Fentanyl

A
  • 100x more potent than morphine
  • fast onset
  • measured in mcg
25
Hydromorphone (dilaudid)
- 10x more potent than morphine - used as an alternative to morphine , especially for acute pain - major concern for resp. depression - dose varies
26
Naloxone (Narcan)
- reverses effects of opioids - dose: 0.2-2mg
27
physical dependence
normal response, occurs w/ repeated admin of opioids for several days
28
tolerance
normal response, occurs w/ regular administration of opioids & consists of decrease in effect of opioid
29
adjuvant analgesics
used for other purposes, can enhance opioid effects, may lessen anxiety regarding pain
30
what is a PCA pump?
device that lets the pt decide when & how much of the medication they need
31
most frequently used meds for PCA
morphine, fentanyl, hydromorphone
32
PCA basal rate
continuous rate per hour
33
PCA demand dose
what the pt can dose self w when hitting the button OVER the basal rate
34
clinician bolus
amount of med the nurse may bolus on the PCA
35
who should never touch a PCA pump?
the patient's friends & family
36
what should you monitor when a patient is on a PCA pump?
sedation & resp level q12h
37
what is a patient usually on when using PCA?
continuous pulse ox
38
what are the two important things to do when on PCA?
- check dose every shift - double nurse sign off to load cartridge
39
benefits to PCA pump
- better pain control - need for less med - no waiting for nurse - sustained relief - pt can press button
40
how long does regional anesthesia last?
4-12 hours
41
what is regional anesthesia good for?
pain relief
42
what is the S in the pasero opioid-induced sedation scale?
sleep, easy to arouse, no action necessary
43
what does the 1 in the pasero opioid-induced sedation scale mean?
awake & alert, no action necessary
44
what does the 2 in pasero opioid-induced sedation scale mean?
occasionally drowsy but easy to arouse, requires no action
45
what does the 3 in the pasero opioid-induced sedation scale mean?
frequently drowsy & drifts off to sleep during conversation; decrease opioid dose
46
what does the 4 mean in pasero opioid-induced sedation scale?
drowsy with no response to stimuli; stop opioid and use naloxone
47
when would you give opioids?
pain 6-10

NSG 102 (11 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions