Pain Quiz Flashcards
Types of Pain
-Location
-Duration
-Intensity
Acute Pain
-Sympathetic nervous system
-Resolves with healing
Chronic Pain
-Parasympathetic nervous system
-Client does not mention pain unless asked
0-10 Scale
-Describes the intensity
1-3 mild pain
4-6 moderate pain
7-10 severe pain
Pain Threshold
least amount of stimuli needed for a pain sensation
Pain Tolerance
Maximum amount of pain a person is willing to withstand
Hyperalgesia/Hyperpathia
heightened responses to a painful stimuli
(severe pain to a paper cut)
Allodynia
non-painful stimuli procedures pain
(light touch, wind)
Dysesthesia
an unpleasant abnormal sensation
(pins/needles, itching, burning)
Sensitization
increased sensitivity of a receptor after repeated activation by a noxious stimuli
Windup
Progressive increase in excitability & sensitivity of spinal cord neurons, leading to persistent increased pain.
Nociception
detection of painful stimuli
Transduction
1st phase
-PNS (ibuprofen)
Transmission
2nd phase
-Spinal Cord (narcotics)
Perception
3rd phase
Brain (distraction/music)
Modulation
4th phase
Descending system (antidepressants)
FLACC Scale
-Facial expressions
-Leg Movement
-Activity
-Cry
-Consolability
validated in children 2 months-7 years
PAINAD
Pain
Assessment
IN
Advanced Dementia
OLDCARTS
Onset
Location
Duration
Characteristics
Aggravating factors
Relieving factors
Treatment
Severity
Non-opioids
NSAIDs
-Ibuprofen/Aspirin-PNS
-Acetaminophen-CNS
Opioid
-CNS
(Morphine, Fentanyl, Oxycodone, Tramadol)
Coanalgesic
a med developed for another reason, but has been found to reduce certain pain
Nonopioid/NSAIDs Side Effects
NASIDs (take w/ food)
-GI Ulcers
-increased bleeding
-renal insufficiency
Opioid Side Effects
-Constipation
-Nausea & Vomiting
-Sedation
-Respiratory depression
-Pruritus
-Urinary retention
