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20 Cards in this Set
- Front
- Back
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? is always what the patient says it is.
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pain
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Pain is always ?
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subjective
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inadequate pain relief ? death.
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hastens
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Pain relief is ? at the end of life.
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essential
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Stress response decrease ? response which increases or hastens death.
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immune
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? vary rarely causes respiratory distress/arrest.
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morphine
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Pain history acronym PAINE stands for ?
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Place,
Amount, Intensifiers, Nullifiers, Effects |
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If a pt says that they are having pain all over usually are experiencing ? distress.
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spiritual
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We should always be ? pain to see if the pt got relief.
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reassess
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Nocioceptive pain can be ? or ?
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somatic,
visceral |
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Somatic pain includes pain involving ?, ?,?,?,?
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skin,
bone, lesions, arthritis, Mets to the bone |
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Visceral pain includes pain in ?,?,?
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organs,
cramping, diarrhea |
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Pain that is caused by Post herpetic neuropathy, diabetic neuropathy, HIV neuropathy, and chemotherapy related neuropathy are all ? types of pain.
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neuropathic
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The goal for treatment of pain is to ? the pain to allow a reasonable ? status with side effect control.
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control,
functional |
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Pts. need to realize that a ? rating of pain usually is not a reasonable goal.
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zero
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With chronic pain management pts need ? dosing and ideally ? medications are used first.
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ATC,
oral |
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Chronic pain is adjusted according to pt ? With breakthrough pain we would use ? release or ? acting form of a drug.
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response,
immediate, short |
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The category of drugs that we use the most at end of life are the ?
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opioids
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Opioids that are not used for chronic pain at end of life include ?, ?, and mixed agonist-antagonists ?, ?, ?
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Mepridine(Demerol),
Propoxyphene(Darvocet)no longer on the market, Stadol, Talwin, Nubain |
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Opioids block ? that process the pain.
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neurotransmitters
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