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Nurs 101 Lecture > Week 5- Pain > Flashcards

Week 5- Pain Flashcards

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1
Q

Is pain considered a basic human need that needs to be addressed

A

Yes

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2
Q

Terms to know

A

Acute pain

Addiction

Analgesics

Breakthrough pain

Chronic pain

Drug tolerance

Pain threshold

Pain tolerance

Patient control analgesia

Transcutaneous electrical nerve stimulation

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3
Q

Types of pain

A

Acute

Chronic/persistent non-cancer pain

Chronic episodic

Cancer pain

Idiopathic

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4
Q

Chronic pain cycle

A

1-6

Pain

Fear of injury

Fear of movement

Less movement

Deconditioning

Physical and mental deconditioning

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5
Q

Factors influencing pain

A

Physiological

Psychological

Culture

Age

Cognition/communication

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6
Q

Assessing pain(ADPIE)

A

History-characteristics, onset, duration, etc.

Pain scale (numerical and wong baker)

Classification of pain

Behavioral indications

Assessing pain in diverse patients

Nonverbal patient (evidence based practice)

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7
Q

Diagnosis/problem

A
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8
Q

Examples of goals and outcomes(plan)

A

Slide 9

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9
Q

Intervention

A

Asses for pain continuously
Administer meds
Plan rest periods

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10
Q

Pharmacological interventions

A

1-nursing principles for administering analgesics

2- Types of pain control analgesics-delivery system
-non pharmacological
-health promotion

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11
Q

Joint commission pain management standard

A

Comp ass

Assess pain in age appropriate manner

Reassess and respond to pain

Treat pain or refer for treatment

Pediatric standard-involves family when appropriate

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12
Q

Evaluations

A

Barriers

Restorative and continuing care

Evaluation and therapeutic communication

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13
Q

Drugs to know

A

Narcotics-opiate agonists

Morphine Derivatives

Meperidine Derivatives

NSAIDS

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14
Q

Morphine Derivatives

A

Morphine

Codeine

Oxycodone

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15
Q

Meperidine Derivatives

A

Meperidine (demerol)

Fentanyle (Duragesic)

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16
Q

NSAIDs

A

Celecoxib (celebrex)

Naproxen sodium (Naprosyn)

Ketorolac (toradol)

Ibuprofen (Motrin)

Aspirin

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17
Q

Do you have to document pain level after providing pain medication?

A

Yes. Especially narcotics.

Can cost your job.

18
Q

Do you have to discuss factors impacting pain

A

Yes

19
Q

How do we assess pain

A

Palpation

Observation

Inspection

Labs

Walking

Range OM

20
Q

Do you need to consider age and development level when assessing pain

A

Yes

21
Q

What do we do if pain intervention does not work

A

Reassess

Even when it does work we assess again

22
Q

Do we have to do more than one assessment and intervention

A

Yes

23
Q

What to think about if potassium or sodium is high

A

The heart

24
Q

What happens if heart not pumping correctly

A

Poor perfusion

25
Q

What happens to heart when blood pressure is high

A

It works harder

26
Q

Tasks that can be done w/o order

A

Back rub

ROM

Elevate head of the bed

27
Q

Can RN assess oxygen levels and tank

A

Yes

28
Q

BPM requires for degoxin

A

Can not administer if BPM is below 60

29
Q

Acute pain

A

Sudden and short 0 months-a year

30
Q

Chronic pain

A

Long lasting. Years.

31
Q

PCA

A

Patient control analgecia
-only dispenses at set times

32
Q

Breakthrough drug

A

Drug you can get in middle of other scheduled drug

33
Q

What system does morphine affect

A

Morphine is a respiratory suppressant.

All narcotics are

34
Q

Breakthrough pain

A

Pain that occurs when patient already receiving analgesic/pain medication

35
Q

Pain tolerance

A
36
Q

Should you be very conscious when moving patient in pain

A

Yes

37
Q

Factors influencing pain

A

Common biases

Pain in infants is hard to assess
-crying and screaming if they cannot be soothed

38
Q

Assessing nonverbal patient pain

A

Grimacing and actions that show pain

39
Q

Behavioral indicators of pain

A

How do they behave when in pain

40
Q

When do we normally give pain med when changing dressing for ulcer

A

Before changing the dressing

Nurs 101 Lecture (13 decks)

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