Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Semester 1 Final > Pharm: Module 9 Pain Management > Flashcards

Pharm: Module 9 Pain Management Flashcards

1
Q

what is the number one goal of a nurse

A

help control pain

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

what is the nurses priority with drug addiction

A

pain management NOT managing addiction( HCP determines substance abuse management)

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

how do you determine the best pain management course of action

A

take assessment

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

how should you ask a patient to tell you their pain level

A

pain scale (o is no pain and 10 is worst pain ever)

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

what sis a realistic goal regarding pain

A 
MANAGABLE PAIN(not no pain)
tolerable pain, get out of bed and perform ADLs
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

typical pain
dull, aching, cramping, throbbing
get relief from opioids or NSAIDs

A

nociceptive

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

burning, shooting, numbness, stabbing
relief from opioids and adjuvants, tricyclic antidepressants
direct nerve injury

A

neuropathic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q 
nonspecific cause
no tests to validate
lasted more than 6 mos
not protective mechanism
affects quality of life
no VS changes
signs symptoms of depression or anorexia
A

chronic pain

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

what does chronic pain often lead to

A

suicide

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

short duration
protective mechanism
treated aggressively

A

acute pain

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

not painful until progresses

not unusual to give high doses of opioids (no ceiling)

A

cancer pain

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

non opioid

A

tramadol

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

what is acetaminophen

A

analgesic

Tylenol

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

what is the daily max limit of acetaminophen

A

2,000 mg/day for daily users

4,000 mg/day for occasional users

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

how do you assess how often someone uses acetaminophen

A

liver enzyme serum assessment

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

describe acetaminophen

A

very hepatotoxic

non opioid

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

what occurs if patient has high liver enzyme

A

pull back tylenol

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

what liver enzyme level is normal and what is toxic

A

10-20 mcg/mL and over 200 mcg/mL is toxic

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

what do opioids work on

A

CNS and PNS (specific pain receptors)

20
Q

side effects of opioids

A

sedation(CNS), pain relief(PNS), drowsiness, decreased respiratory

21
Q

priority nursing intervention for opioid patients

A

worried about breathing (RR)

22
Q

what can opioids be used for

A

as an antitussive (depress cough) or for consitpation

ie/ Coedine

23
Q

this is the opioid that everything is compared to

A

morphine

24
Q

this is given for moderate to severe pain

A

morphine

for post op or acute pain

25
Q

how is morphine given

A

IV push, IM, SQ, or PO

PO is not as potent and rarely given

26
Q

how often do you reassess a patient on morphine

A

every 15-30 min

27
Q

this is 6x stronger than morphine

A

Hydromorphone (Dilaudid)

28
Q

describe hydromorphone

A

given at smaller does than morphine due to its higher concentration
faster onset than morphine but shorter
CAN be addictive

29
Q

shorter duration than morphine

A

Meperidine (Demerol)

30
Q

describe Meperidine

A

can cause issues with strokes, seizures, cardiac
not for long term use
used in labor/delivery
associated with tremors

31
Q

what is the max time meperidine can be given

A

72 hours

32
Q

this is 100x stronger than morphine

A

fentanyl

33
Q

describe fentanyl

A

potent high when used recreationally
chronic pain and cancer pain
given transdermal (sticker/patch)
only for opioid tolerated patients

34
Q

how long does fentanyl last

A 
extended relief
lasts days (48-72 hours)
35
Q

who is fentanyl cautioned in

A

patients over 100 lbs

36
Q

fentanyl lollipop is good for what

A

breakthrough pain of cancer patients

only takes 15 min to dissolve

37
Q

acetaminophen
immediate release
acute pain and post op.

A

Percocet

38
Q

extended release (potent)
chronic pain relief
when used recreationally, pill is crushed for quick high

A

oxycodone hydrochloride (oxytocin)

39
Q

Vicodin

A

hydrocodone/acetaminophen

40
Q

what does 5/325 mean

A

5 mg of opioid and 325 of acetaminophen

41
Q

this gives autonomy to control pain

perception of pain is better with this

A

PCA

42
Q

describe PCA interventions

A

med given via IV, not used more than 48 hours, don’t overdose, need witness, family members cannot press button, patient education, continuously assess

43
Q

what is the max mg given per hour for PCA

A

0.2 mg max per hour (0.03 mg Q5 min)

44
Q

considerations when giving opioids

A

continuously assess
drug history with drugs(recreational and opioids)
assess vital signs (RR)
concerning if VS are dropping (even if still in range)
easier to control pain if consistent (PRN) for acute

45
Q

describe methadone

A

detox people on narcotic (heroin etc)
blocks without leading to withdrawal or cravings
very potent
only given under medical observation

46
Q

Naloxone

A

Narcan
saves lives immediately
blocks receptors so drug can no longer bind

Semester 1 Final (7 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions