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27 Cards in this Set
- Front
- Back
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an unpleasant, subjective sensory and emotional experience associated with actual or potential tissue damage, or described in terms of such damage
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PAIN
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conduction of the pain impulse
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TRANSMISSION
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prostaglandins, bradykinin, Ka, histamine, substance P, are examples of...
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neurotransmitters
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point at which a person is aware of pain; no single pain center
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perception
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5HT, GABA, endorphins, enkephalins, norepinephrine are examples of...
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natural analgesics
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of the pain impulse; contraction of the muscles thru efferent sources
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modulation
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body’s propensity to “allow” pain impulse to be felt or inhibited; is the idea that the perception of physical pain is not a direct result of activation of nociceptors, but instead is modulated by interaction between different neurons, both pain-transmitting and non-pain-transmitting.
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gate control theory
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the point at which the person feels pain; vital signs do not normally change with pain
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Pain threshold
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pain that is protective and short; limited tissue damage; might progress to chronic pain
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acute / transient
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pain that is tumor related and causes “referred pain”
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cancer pain
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• A severe adverse effect of OPOIDS is
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respiratory depression
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occurs before RESPIRATORY DEPRESSION
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sedation
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only for clients who are opioid tolerant; 100x more potent than morphine; not for clients who weigh < 100 lbs; dispose down the toilet and have RN witness
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transdermal fentanyl
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a transient flare of moderate to severe pain; FENTANYL IS THEN dissolved in the mouth over the buccal mucosa and lower gums
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BREAKTHROUGH PAIN
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• Never use pain meds IM because of
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erratic drug absorption
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• Continuous infusion of pain meds might be with a hickman
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hickman catheter, PICC line or sub-Q
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• Physical dependency does not IMPLY
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ADDICTION
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• Drug tolerance is not an
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ADDICTION
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unethical and discouraged by HCPs; sometimes called OBECALP (reversed spelling); nurses should question “why”
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PLACEBOS
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• The goal of palliative care is to
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assist clients and family in learning to live life fully with an incurable condition
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programs for care of clients at the end of life
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HOSPICES
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supports aggressive pain management even if it hastens death of a person
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aMERICAN nURSES ASSOCIATION (ana)
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• Remember that IVP meds peak in ...
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15 TO 30 MINS.
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Oral meds peak in ...
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1 HOUR
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ATC PAIN RELIEF IS BETTER THAN...
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PRN PAIN RELIEF
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provides clients with control without risk of overdose
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PCA
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• GOAL OF PAINMANAGEMENT
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ANTICIPATE AND PREVENT PAIN RATHER THAN TREAT IT
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