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20 Cards in this Set
- Front
- Back
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Chronic pain
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all over body
6 months or more dull aches normal VS fatigue, hopelessness |
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Margo McCaffey
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"pain is whatever the pt says it is, existing whenever the pt says it does"
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Opioids
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(morphine, demerol, fetanyl)
added to nonopioids to control no cieling effect opioid antagonist(reverse) side effects: sedation, resp deprs. constip) |
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Nonopiods
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(tylenal, advul, motrin...)
1st used have a cieling effect no tolerance/dependance NSAIDs and acetaminophen |
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Adjuvents
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(steriods, anti-deprs anti-siezure)
meds that potentiate the effects of opioids and nonopoids |
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Pain management
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often inadequete and undertreated
assessment is ongoing |
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Physiologic symptoms
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bld pressure...
pupils... heart rate... |
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cieling effect
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more then recommended does will not help more
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Theory of pain
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Gate control
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Pharmacologic pain mngmnt
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nonopioids
opioids adjuvents |
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Acute pain
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localized
6 months or less sharp and diminish as heals high BP and resp rate, dilate pupils cry, moan, frown, complain |
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Purpose of pain
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to tell something is wrong with body, reactions, reflexes...
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Analgesic
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substance to relieve pain
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2 ways of pain management
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pharmacologic(drugs) and nonpharmacologic(therapy)
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Physiologic symptoms
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bld pressure
pupils heart rate |
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Types of pain
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Acute
Chronic |
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Routes for med administration
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oral
rectal inhale transdermal IM, IV, SQ, PCA(pt control) intraspinal(epidural...) |
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Assessement of pain
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location
onset and duration intensity aggravating and alleviating myths and barriors to mgmnt (nurse resp: meds?, which?, changes?) |
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NSAIDs
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anti-inflammatory
nonopiods side effects: GI irratation and bleeding |
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NonPharmacologic
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(non drug therapy)
relaxation, teaching distraction, accupuncture humor, TENS unit massage, guided imagery |
