Pain Pharmologic Interventions

Question 1

uses two or more analgesics with different mechanisms of action to maximize pain relief

Answer 1

multimodal therapy

Question 2

pain relieving med

Answer 2

analgesic

Question 3

Acetaminophen (APAP) and NSAIDs are examples of

Answer 3

Nonopioids
Acetaminophen given no more than 3g/a day
Can be given via IV

Question 4

IV Acetaminophen

Answer 4

Offirmev

Question 5

IV Motrin

Answer 5

Caldolor

Question 6

Too much NSAIDs can cause
Too much Acetaminiohen

Answer 6

causes tiny cuts in stomach lining & can cause bleeding
causes liver damage

Question 7

narcotics that block pain signals between body & brain.

Answer 7

Opioids (Fentanyl, Oxycontin, Vicodin) etc

Question 8

Drugs w/ primary indication other than pain ; enhance effects of pain meds

Answer 8

Adjuvant Analgesics- antidepressants and antiepileptics).

Question 9

Drugs without analgesic properties that can be critical to pain management

Answer 9

adjuvants (ex: sleep meds, amxiety meds)

Question 10

programmable pump to admin meds by patient request; demand only by pressing button, dose is not continuous. Pt must be physically & cognitively able

Answer 10

Patient controlled Analgesic (PCA)

Question 11

Opioids can induce …

Answer 11

respiratory/ CNS depression

Question 12

Patient LOC while medicated should be …
Patients should NOT be

Answer 12

Awake & Alert
Sleepy, but arousable
SHould NOT be somnolent or drowsy and sleepy

Question 13

What should be assessed when pt has been treated w/ opioids?

Answer 13

LOC/ Level of sedation

Question 14

Neurologically in tact patients will have an increased level of sedation before exhibiting S & S of respiratory depression. T or False

Answer 14

True

Question 15

Why is it important to pay attention to patient’s level of sedation?

Answer 15

Change in LOC or Level of sedation can result in respiratory depression

Question 16

hypoventilation, a slow, shallow breathing rate; when the lungs do not exchange gases properly, causing a low breathing rate; respiratory rate less than 12 breaths per minute)

Answer 16

respiratory depression/CNS depression

Question 17

Patients can develop a dependence when receiving opioids for more than a few days.

Answer 17

T or F

Question 18

MD does not need to be made aware that patient has hx of opioid abuse.

Answer 18

False- MD should be made aware bc pt could have a tolerance and need more anesthesia for procedure

Question 19

How do you stop meds for clients who have dependance?

Answer 19

You must TAPER clients of meds

Question 20

Pt can continue stool softeners post op when bowel sounds return. T or F

Answer 20

True

Question 21

Side effects of opioids

Answer 21

CNS/respiratory depression
Sedation
Dizziness
Hypotension
N&V
Dry Mouth
Itching/ Pruitis
Dependence
Tolerance
Constipation
Fall risk

Question 22

Nonpharmacologic Interventions

Answer 22

Heat (barried needed)
Cold (barrier needed)
TENS machine
Distraction
Relaxation
Imagery
Mindfulness
Sleep and Activity

Question 23

How is pain relief BEST managed?

Answer 23

By using prevention rather than waiting until the pain becomes severe to treat.

Question 24

Relieving pain, even if it speeds up death, is the ethical and moral obligation of the professional nurse. T or F

Answer 24

True,