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20 Cards in this Set

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Chronic pain
all over body
6 months or more
dull aches
normal VS
fatigue, hopelessness
Margo McCaffey
"pain is whatever the pt says it is, existing whenever the pt says it does"
Opioids
(morphine, demerol, fetanyl)
added to nonopioids to control
no cieling effect
opioid antagonist(reverse)
side effects:
sedation, resp deprs. constip)
Nonopiods
(tylenal, advul, motrin...)
1st used
have a cieling effect
no tolerance/dependance NSAIDs and acetaminophen
Adjuvents
(steriods, anti-deprs anti-siezure)
meds that potentiate the effects of opioids and nonopoids
Pain management
often inadequete and undertreated
assessment is ongoing

Physiologic symptoms
bld pressure...
pupils...
heart rate...
cieling effect
more then recommended does will not help more
Theory of pain
Gate control
Pharmacologic pain mngmnt
nonopioids
opioids
adjuvents
Acute pain
localized
6 months or less
sharp and diminish as heals
high BP and resp rate, dilate pupils
cry, moan, frown, complain
Purpose of pain
to tell something is wrong with body, reactions, reflexes...
Analgesic
substance to relieve pain
2 ways of pain management
pharmacologic(drugs) and nonpharmacologic(therapy)
Physiologic symptoms
bld pressure
pupils
heart rate
Types of pain
Acute
Chronic
Routes for med administration
oral
rectal
inhale
transdermal
IM, IV, SQ, PCA(pt control)
intraspinal(epidural...)
Assessement of pain
location
onset and duration
intensity
aggravating and alleviating
myths and barriors to mgmnt
(nurse resp: meds?, which?, changes?)
NSAIDs
anti-inflammatory
nonopiods
side effects:
GI irratation and bleeding
NonPharmacologic
(non drug therapy)
relaxation, teaching
distraction, accupuncture
humor, TENS unit
massage, guided imagery