Quiz 10-18 Flashcards
1
Q
pain
A
- unpleasant sensory and emotional experience associated with actual or potential tissue damage or described in terms of such damage
- pain is anything the patient says it is, occurring when they say it does
2
Q
nociceptive pain
A
- somatic
- visceral
- responsive to opioids
3
Q
somatic pain
A
- Well localized, constant
- Skin, soft tissue, muscle, bone
- Sharp, aching, throbbing
4
Q
nNeuropathic pain
A
- Dysfunction of the peripheral or central nervous system resulting in etopic discharge
- Burning, tingling, numbness, shooting, stabbing, electric-type feelings
- Post-herpatic neuralgia, phantom limb pain, diabetic neuropathy
5
Q
acute pain
A
- well defined pattern
- objectives physical signs (ex. dental pain, traumatic injury)
6
Q
chronic pain
A
- persistent pain greater than 3 months without a well defined onset
- usually lacks objective physical signs of pain
- treatment of acute pain may lead to development of chronic pain syndrome
7
Q
adverse effects: tylenol
A
- rash
- hepatotoxicity w/ doses > 4k mg / day
8
Q
adverse effects: NSAIDs
A
- coagulation defects
- renal toxicity
- pregnancy
- GI toxicity of NSAIDs
9
Q
adverse effects: opioids
A
- constipation
- nausea
- itching
- sedation
- confusion
- hallucination
- uncommon: urinary retention, delirium, seizures, resp. depression
10
Q
adverse effects: antidepressants
A
- confusion
- sedation
- orthostatic hypotension
- dry mouth
- constipation
11
Q
adverse effects: anticonvulsants
A
- sedation
- confusion
- GI effects
- bone marrow suppression (carbamazepine)
12
Q
adverse effects: neuropathic pain meds
A
- GI
- sedation
- confusion
- drug interactions (w/ phenytoin and carbamazepine)
13
Q
adverse effects: antidepressants
A
- sedation
- confusion
