Pain Management Flashcards

1
Q

Pain management encounters are individual

patient interactions for the express purpose of

A

Intervening in an acute pain episode or a

chronic pain condition

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2
Q

Pain management: They must include a

A

patient assessment

before initiating a therapeutic action.

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3
Q

does not constitute a pain management

encounter

A

The administration of IV analgesics as an

adjunct to a regional or general anesthetic

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4
Q

Definition – Chronic pain is a

A

physical and emotional response to tissue damage that

lasts longer than the expected duration of pain.

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5
Q

Neuralgia –

A

pain following a distribution of a nerve or group of nerves

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6
Q

• Anesthesia dolorosa –

A

perception of pain in an area that lacks sensation

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7
Q

• Allodynia –

A

perception of a non‐painful stimulus as painful

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8
Q

• Anesthesia –

A

Lack of all sensation, painful or otherwise

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9
Q

Dysesthesia –

A

The presence of an unpleasant sensation whether or not a causitive stimulus is present

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10
Q

• Hypoalgesia –

A

Diminished response to painful stimuli

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11
Q

• Hyperalgesia –

A

Increased or aggravated response to painful stimuli

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12
Q

• Hyperesthesia –

A

Exaggerated response to a mild stimlus.

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13
Q

Hypoesthesia –

A

Reduced ability to sense cutaneous

stimuli such as light touch, pressure, or temperature

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14
Q

• Paresthesia –

A

Abnormal sensation that occurs without

stimuli (numbness, tingling, pins &needles)

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15
Q

• Radiculopathy –

A

Functional abnormality associated with at least one nerve root

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16
Q

• Neuropathic pain – Complex interaction between

A

peripheral and central pain mechanisms associated
with lesions of peripheral nerves, nerve roots,
ganglions, or spinal structures

17
Q

Phantom pain –•

A

Sensation of pain in a limb that has

been amputated

18
Q

Analgesia –

A

Lack of pain perception

19
Q

• CRPS –

A

Complex regional pain syndrome.

20
Q

CRPS there are two types.

A

Type I and Type II.

21
Q

CRPS Characterized by

A

spontaneous pain, allodynia, hyperalgesia, sudomotor

and vasomotor dysfunction

22
Q

What former name for CRPS Type I?

A

Reflex sympathetic dystrophy

23
Q

• What former name for CRPS Type II?

24
Q

What former name for CRPS Type II?

25
Rexed laminae is in the
DorsAL HORN
26
Dorsal Horn – Rexed Laminae | – Lamina I –
Marginal layer – Small afferent termination
27
– Lamina II –
Substancia gelatinosa – Small afferent termination
28
– Lamina II‐VI –
deeper nucleus propius‐ Large afferent termination
29
• Lumbar radiculopathy – Physical exam signs – Caused by
impingement of nerve
30
NSAIDS ACT ON
COX-1 AND COX-2
31
COX 1
Platelet aggregation and production of prostacyclin
32
COX2
Activation causes fever, inflammation, pain
33
Celecoxib
Blocks COX-2
34
Etoricoxib
Blocks COX-2
35
Salicylates
‐ Aspirin
36
– Weak anti‐inflammatory and poor inhibition of COX.. No adverse effect on gastric mucosa.
Acetaminophen
37
No adverse effect on platelet function
Acetaminophen