T2 - Pain (Josh) Flashcards
What age is FLACC used for?
What does it stand for?
2 mths - 7 yrs
Face Legs Activity Cry Consolability
What numbers are used for each FLACC assessment?
0 (no pain)
1 (occasional)
2 (steady pain)
When is self-report usually used?
older than 4 yrs
When rating pain, should we include the parent/caregiver?
Yes
FACES pain scale is used for what ages?
3 yrs and up
NIPS stands for —
Neonatal Infant Pain Scale
What is the max score for NIPS?
seven
- all others go to 10
What is assessed with NIPS?
- Facial Expression
- Cry
- Breathing
- Arms
- Legs
- Alertness
Ages for pain scales:
- FACES
- NIPS
- FLACC
FACES (3yrs and up)
NIPS (Neonate)
FLACC (2mths - 7yrs)
Can a parent manage the child’s PCA pump?
Yes, if they are prescrived on a family-controlled anesthesia
— and — are acceptable for mild to moderate pain.
Acetaminophen
NSAIDS
— are acceptable for moderate to severe pain.
Opioids
Combining a — and —- treats pain both peripherally and centrally.
nonopioid
opioid
Oral meds take —- to reach peak effect.
1-2 hrs
EMLA stands for —- and contains equal amounts of — and — in the form of a —-
Eutectic Mixture of Local Anesthesia
Lidocaine
Prilocaine
cream or disk
Before any procedure requiring puncture, it helps to use a — 60 minutes prior to —- and 2.5 hrs prior to —-
EMLA
superficial puncture
deep puncture
Fentanyl is used for children older than —
12 yrs
Respiratory depression is treated w/
Naloxone
—- are not recommended for pain control in children.
IM injections
— are not recommended for children younger than 18.
Intranasal Medications
A nurse is completing a pain assessment of an infant. Which of the following pain scales should she use?
a) FACES
b) FLACC
c) Oucher
d) Non-communicating children’s pain checklist
b) FLACC
A nurse is planning care for a child following a surgical procedure. Which of the following interventions should be included in the plan of care?
a) Administer NSAIDs for pain greater than 7
b) Administer intranasal analgesics PRN
c) Administer IM analgesics for pain
d) Administer IV analgesics on a schedule
d) Administer IV analgesics on a schedule
A nurse is assessing an infant. Which of the following are clinical manifestations of pain in an infant? (select all that apply)
a) Pursed lips
b) Loud cry
c) Lowered eyebrows
d) Rigid body
e) Pushes away stimulus
b) Loud cry
c) Lowered eyebrows
d) Rigid body
A nurse is preparing a toddler for an IV catheter insertion using atraumatic care. Which of the following are appopriate interventions? (select all that apply)
a) Explain the procedure using the child’s favorite toy
b) Ask the parents to leave during the procedure
c) Perform the procedure w/ the child in his bed
d) Allow the child to make one choice regarding the procedure
e) Apply EMLA cream to three potential insertion sites.
a) Explain the procedure using the child’s favorite toy
d) Allow the child to make one choice regarding the procedure
e) Apply EMLA cream to three potential insertion sites.
A nurse is planning care for an infant who is experiencing pain. Which of the following be included in the plan of care? (select all that apply)
a) Offer a pacifier
b) Use guided imagery
c) Use swaddling
d) Initiate a behavioral contract
e) Encourage kangaroo care
a) Offer a pacifier
c) Use swaddling
e) Encourage kangaroo care
What is kangaroo care?
skin-to-skin contact b/t infants and parents
