Pain Management

Question 1

What is the nurse role in pain management?

Answer 1

1. advocate

2. educator

Question 2

What is the nurse priority responsibility regarding pain management?

Answer 2

1. assess patient pain level

2. provide individualized interventions

Question 3

What/ who may cause assessment challenges?

Answer 3

1. cognitively impaired

2. patients on a ventilator

Question 4

what are the affects of undertreatment of pain for acute/chronic patients?

Answer 4

anxiety
fear
depression

Question 5

What are the affects of poorly managed acute pain?

Answer 5

can lead to chronic acute pain syndrome

Question 6

What is pain ?

Answer 6

Whatever the patient state it is

Question 7

What is the leading cause of disability in Americans under 45?

Answer 7

Back pain

Question 8

When do most patients experience pain?

Answer 8

last days of their life

Question 9

Most abused drug in America?

Answer 9

Majiuana

Question 10

Second most abused drug in America?

Answer 10

Prescription drug

Question 11

What populations are at higher risk for inadequate pain control?

Answer 11

Elderly
Substance abusers
foreigners

Question 12

How often should the nurse asses the effectiveness of the interventions?

Answer 12

30 to 60 mins after implementation

Question 13

Substances that INCREASE pain transmission and cause an INFLAMMATORY response?

Answer 13

Substance P
Prostaglandins
Bradykinin
Histamine

Question 14

Substance that DECREASE pain transmission and produce analgesia?

Answer 14

Serotonin

Endorphin

Question 15

Describe acute pain?

Answer 15

protective
temporary
resolves with tissue healing

Question 16

describe chronic pain?

Answer 16

not protective

last longer than 6 mons

Question 17

What type of physiological responses does acute pain has?

Answer 17

sympathetic nervous system 
Tachycardia 
hypertension
anxiety 
diaphoresis 
muscle tension

Question 18

Describe nociceptive pain?

Answer 18

from damage to or inflammation of tissue

throbbing, localized, and aching

Question 19

types of nociceptive pain?

Answer 19

somatic- in bones, joints, muscles, skin or connective tissue

viseral- internal organs such s the stomach and intestines. can cause referred pain

cutaneous- in the skin

Question 20

Describe neuropathic pain?

Answer 20

abnormal or damaged pain nerves

Question 21

A- delta Fibers?

Answer 21

send sharp
localized
Fast mylienated

Question 22

C- Fibers?

Answer 22

send poorly localized
burning 
persistent pain 
Slow 
Small
unmylienated

Question 23

What do nurses use for patients who cannot self-report?

Answer 23

Hierarchy of pain measures
Checklist of Non Verbal Pain Indicators (CNPI)
Pain Assessment in Advance Dementia Scale (PAINAD)

never family member to report

Question 24

What are non opioids ?

Answer 24

analgesic uses to treat mild to moderate pain

Question 25

What are some examples of non opioids?

Answer 25

acetaminophen

NSAIDs (ibuprofen, naxproxen, celecoxib )

Question 26

What do you adminster with nonopioids?

Answer 26

food or antacids

Question 27

What are opioids?

Answer 27

analgesic uses to treat moderate to severe pain
cancer pains
post operative pains

Question 28

What are some examples of opioids?

Answer 28

morphine sulfate
fentanyl (sublimaze)
codeine

Question 29

What are some adverse effects of opioids?

Answer 29

constipation
orthostatic hypotension
urinary retention 
nausea/vomiting 
sedation 
respiratory depression

Question 30

What are adjuvant analgesics?

Answer 30

help enhance the effects of nonopoids

Question 31

What are some examples of adjuvant analgesics?

Answer 31

anticunvulsants (gabapentin neurotin)

Antidepressants