Week 5: CH 14 Pain Assessment Flashcards
acute pain
- less than 3 months
- single event
- has cause
chronic pain
- longer than 3 months
- might not have identifiable cause
nociceptive pain
pain from damage
neuropathic
stimuli pain (foot fall asleep)
pain in infants less than 6 months
grimacing and poor feeding
pain in infant 6-12 months
crying, irritable, restless
pain in toddlers
aggressive behavior and physical resistance
pain in school age 7-9 years
rigid, still, emotional withdrawal
pain in school age 10-12 years
try to be brave
pain in adolescents
controlled response, trying to find distraction
pain scale for newborn/infant (under 1 year)
- NIPS
- score > 3 = pain
pain scale for toddler/preschool (up to 4 years)
- FLACC
- face, legs, activity, cry, consolability
pain scale in kids 4-5 years
- wong-baker FACES
- facial expression
pain scale in school age and adolescent
- oucher scale
- numeric scale
- FACES
- “color in” scale
criteria to use a self rated pain scale
- be able to point on their own
- understand the difference in intervals (rank, order, magnitude)
when do kids begin to understand the concept of “more or less”
2-3 year olds
default pain scale for kids who can’t order by size
FLACC
opioids
- can be given in kids
- side effects same as adult with a small increased risk in sedation
what CAN’T you give to someone under 12
codeine and tramadol
reversal agent for opioid adverse effects
naloxone (narcan)
patient controlled analgesia (PCA)
- can be used by kids 6 and older
- need to be able to push button by themselves
- need to recognize they get medication when they push the button
- need to have a self reporting pain scale
motrin dosing
10mg/kg/Q6
who doesn’t get motrin (ibuprofen)
kids less than 6 months due to undeveloped kidneys
tylenol (acetaminophen)
15mg/kg/Q4-6
