Quiz 1 - Pain

Question 1

Demman’s favorite definition of pain

Answer 1

“pain is whatever the person experiencing the pain says it is”

Question 2

4 reasons unrelieved pain is a problem

Answer 2

1. **delays healing time
2. INC length of hospital stay
3. DEC pt satisfaction
4. INC stress response

Question 3

1 barrier to effective pain management

Answer 3

inadequate pain assessment

Question 4

adverse effects of unrelieved pain on CV system (2), resp system (3), GI system (2)

Answer 4

CV system: INC HR, INC BP
RESP system: DEC cough, INC O2 demand, DEC lung vol.
GI: DEC GI motility, DEC gastric emptying

Question 5

acute pain =

Answer 5

6 mo or less

Question 6

chronic pain =

Answer 6

6 mo or more

Question 7

referred pain =

Answer 7

pain that is perceived in another area from where it originates

Question 8

transient pain =

Answer 8

brief then resolves

Question 9

breakthrough pain =

Answer 9

steady management of a certain level of pain with an acute onset of INC pain levels

Question 10

phantom pain =

Answer 10

pain sensation related to a body part that is not there

Question 11

what does multidimensional pain assessment consist of

Answer 11

a number (visual analog scale) as well as the use of OLDCART or PQRST

Question 12

what does PAINAD stand for

Answer 12

Pain Assessment IN Advanced Dementia

Question 13

in those with dementia ____ is a sign of pain

Answer 13

INC agitation

Question 14

____ tells you nothing about pain, it is an observation, not an assessment

Answer 14

sleeping

Question 15

FLACC scale is for ages ___ to __ and stands for

Answer 15

2mo-7years

Face, legs, activity, crying, consolability

Question 16

on the geisinger pain scale 0-3 is

Answer 16

well controlled/minor (doesn’t interfere with most activities)

Question 17

on the geisinger pain scale 4-5 is

Answer 17

well controlled/moderate (interferes with many activities)

Question 18

on the geisinger pain scale 6-10 is

Answer 18

not well managed/severe (unable to engage in normal activities)

Question 19

reassess pain every ___ with PO drugs, and every ___ with parenteral admin

Answer 19

1 hr with PO, 30 min with parenteral

Question 20

what are the 6 p’s

Answer 20

pain, position, placement of belongings, potty, pumps, prevent falls

Question 21

when DC a patient what do you need to do for their pain management

Answer 21

titrate and transition to oral meds and from opioid to non-opioid

Question 22

name 4 non-opioid NSAIDS

Answer 22

1. ibuprofen (Advil/Motrin)
2. ASA/aspirin
3. Ketorolac
4. Naproxen (Aleve/Naprosyn)

Question 23

name a non-opoiod non NSAID

Answer 23

acetaminophen/tylenol

Question 24

non-opioids are for ___ and have a

Answer 24

mild pain and have an analgesic ceiling effect

Question 25

opioids are for ____

Answer 25

moderate to severe pain

Question 26

list some SE of opioids and what you do to fix it

Answer 26

``` HYPOTN (bed position) N/V (antiemetics or take w food) constipation (drink water/ambulate) pruritis sedation RD (Narcan/Naloxone) ```

Question 27

what is a treatment for neuropathic pain

Answer 27

coanalgesics/adjuvants

Question 28

what do you tell a pt if they dont want pain meds

Answer 28

describe the various negative impacts of unrelieved pain (INC hospital stay, delayed healing)

Question 29

what does PCA stand for

Answer 29

pain controlled analgesia

Question 30

what is a benefit of a PCA pump

Answer 30

patient has autonomous control over their pain management

Question 31

with a PCA the loading dose is

Answer 31

a bolus that is administered once the IV is connected