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23 Cards in this Set
- Front
- Back
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Explain what is meant by "Pain as the Fifth Vital Sign"?
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Routine measurement of VS accompanied by a pain assessment raises awareness of pain. Pain should be measured along with the regular vital signs.
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When asking a pt. to describe their pain, what components will you ask about?
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POLDCARTS, Previous Hx, Onset, Location, Duration, character, alleviating/aggravatin, radiation, timing,severity/self treatment.
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List some non-pharmacological nsg intervention?(the cardL)
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distraction, listening to music, humor, relaxation techniques, cutaneous stimulation, acupuncture, employing biofeedback, therapeutic touch
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What number range is used with the sedation scale?
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1-4
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Awake and alert, no action required is what number on the sedation scale?
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1
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Occasionally drowsy but easy to arouse; requires no action is what number on the sedation scale?
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2
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frequently drowsy and drifts off to sleep during conversation; decrease the opioid dose is what number on the sedation scale?
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3
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Somnolent with minimal or no response to stimuli; discontinue the opioid and consider use of Naloxone(Narcan) is what number on the sedation scale?
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4
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How would you explain PCA to your patient?
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Let them know that they are going to be in control of their pain meds and that they are able to self administer analgesics every 6-8 minutes. They cannot overdose themselves, so don't be afraid to push the button, let them know that I will be monitoring them for side-effects.
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What are priority assessments and nsg interventions for the pt who has epidural analgesia?
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Assess and record sedation level, respiratory status, SaO2 q 1hr, assess motor strength, assess for signs of infection at the insertion site, know where the antidote is, keep head of bed elevated 30 degrees.
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All real pain has an identifiable physical cause is an example of a ?
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misconception
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Patients in pain always have observable signs is a ?
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misconception
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Comparable physical stimuli produces comparable pain in different people is a ?
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micsconceptioin
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If a pt does not complain of pain then it is not a problem is a ?
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misconception
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Addiction is a common problem among pts taking opioids for pain is a ?
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misconception
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Chemicals in the body that inhibit pain are ? and two examples of these are ? and enkephalins.
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nerotransmitters, endorphins
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? pains include cutaneous, somatic, visceral. Most of these receptors are in the skin.
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Nociceptive
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Neuropathic pains like ? come from hyperactive nerves.
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allodynia
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Name the two main categories of pain?
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Acute, Chronic
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Physiologic response to acute pain includes ? and ?
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stress, psychological
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? is pain, generally on the skin, caused by something that wouldn't normally cause pain. e.g. light touch, clothes against the skin, wind blowing on the skin.
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Allodynia
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Name the 3 types of Allodynia pain ?
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Chemical, Mechanical, Thermal
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Allodynia is created when there is a malfunction of the ? that causes them to become hyperactive.
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nociceptors
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