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67 Cards in this Set
- Front
- Back
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Pain
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Is an unpleasant, subjective sensory and emotional experience associated with actual or potential tissue damage or described in therm of such damage.
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Pain
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Is whatever the experiencing person says it is, say it is, existing whenever he says it does.
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Nociceptive
(Normal Pain) |
Transduction
Transmission Perception Modulation |
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Transmission
pg 1052 |
Once the initiating an action potential.
Transmission of the pain impulse begins |
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Perception
pg 1053 |
The point at which a person is aware of the pain
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Modulation
pg 1053 |
The inhibition of the pain impluse. Last nociceptive proces.
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Pain
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Is an unpleasant, subjective sensory and emotional experience associated with actual or potential tissue damage or described in therm of such damage.
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Transduction
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A stimulus that is converted into electrical energy
Ex this is the dog bite |
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Pain
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Is whatever the experiencing person says it is, say it is, existing whenever he says it does.
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Transduction
pg 1052 |
Thermal, chemical or mechanical stimuli is converted to electrical energy.
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Nociceptive
(Normal Pain) |
Transduction
Transmission Perception Modulation |
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Transduction begins....
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In the periphery when a pain producing stimulus sends an impulse across a sensory peripheral pain nerve fiber initiating an action potential
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Transmission
pg 1052 |
Once the initiating an action potential.
Transmission of the pain impulse begins |
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Nociceptor
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Pain nerve fiber
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Perception
pg 1053 |
The point at which a person is aware of the pain
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Modulation
pg 1053 |
The inhibition of the pain impluse. Last nociceptive proces.
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Transduction
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A stimulus that is converted into electrical energy
Ex this is the dog bite |
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Transduction
pg 1052 |
Thermal, chemical or mechanical stimuli is converted to electrical energy.
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Transduction begins....
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In the periphery when a pain producing stimulus sends an impulse across a sensory peripheral pain nerve fiber initiating an action potential
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Nociceptor
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Pain nerve fiber
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NSAIDS AND Salicylates
******* do not give to who |
People with gastric irritation
Can cause excessive bleeding |
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Hypersensitivity to aspirin can cause what?
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Tinitus
Vertigo Bronchospasm Urticaria (Itching) |
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Tylenor
Acetaminophen |
Not an NSAID
Can be Toxic The only way to get out it so dialy pt. |
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NSAIDS AND Salicylates
******* do not give to who |
People with gastric irritation
Can cause excessive bleeding |
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Tylenol in high doses can be toxic to liver
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Symptoms
Nausea Vomiting Diarrhea Abd pain |
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Hypersensitivity to aspirin can cause what?
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Tinitus
Vertigo Bronchospasm Urticaria (Itching) |
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NSAIDS AND Salicylates
******* do not give to who |
People with gastric irritation
Can cause excessive bleeding |
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Tylenor
Acetaminophen |
Not an NSAID
Can be Toxic The only way to get out it so dialy pt. |
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Morphine Sulfate
Codeine - Opiods |
Acts on CNS
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Tylenol in high doses can be toxic to liver
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Symptoms
Nausea Vomiting Diarrhea Abd pain |
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Hypersensitivity to aspirin can cause what?
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Tinitus
Vertigo Bronchospasm Urticaria (Itching) |
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Side Effects of Morphine Sulfate
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Suppress resp and cough
Nausea and vomitting Constipation Hypotension |
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Morphine Sulfate
Codeine - Opiods |
Acts on CNS
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Tylenor
Acetaminophen |
Not an NSAID
Can be Toxic The only way to get out it so dialy pt. |
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Narcotic Anaglesics
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Morphine
Codine |
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Tylenol in high doses can be toxic to liver
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Symptoms
Nausea Vomiting Diarrhea Abd pain |
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Side Effects of Morphine Sulfate
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Suppress resp and cough
Nausea and vomitting Constipation Hypotension |
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Narcotic Anaglesics
in older adults |
in over 65 y/o lower dosage so the kidneys and liver can handle it.
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Morphine Sulfate
Codeine - Opiods |
Acts on CNS
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Narcotic Anaglesics
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Morphine
Codine |
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Morphine and Codeine
Contraindicated |
Clients with resp disorders
Increased intracranial pressure Severe renal disease |
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Side Effects of Morphine Sulfate
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Suppress resp and cough
Nausea and vomitting Constipation Hypotension |
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Narcotic Anaglesics
in older adults |
in over 65 y/o lower dosage so the kidneys and liver can handle it.
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Morphine and Codeine
Side effects |
Dizziness
Increase s/e of alcohol, sedatives and other drugs Unrinary retention Constipation Addicting. |
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Narcotic Anaglesics
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Morphine
Codine |
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Morphine and Codeine
Contraindicated |
Clients with resp disorders
Increased intracranial pressure Severe renal disease |
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Morphine and Codeine
Side effects |
Dizziness
Increase s/e of alcohol, sedatives and other drugs Unrinary retention Constipation Addicting. |
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Narcotic Anaglesics
in older adults |
in over 65 y/o lower dosage so the kidneys and liver can handle it.
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Morphine and Codeine
Contraindicated |
Clients with resp disorders
Increased intracranial pressure Severe renal disease |
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Morphine and Codeine
Side effects |
Dizziness
Increase s/e of alcohol, sedatives and other drugs Unrinary retention Constipation Addicting. |
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What does Narcotic Analgesics do to intracranial pressure
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Slows resp
CO2 increases Blood vessles with dilate increasing pressure |
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Demerol
(Meperidine) Not made from opoid ****** |
Synthetic narcotic
Not an opoid |
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Demerol
(Meperidine) Good for what? ****** |
GI procedures
Does not slow down movement in bowels |
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Demerol
(Meperidine) Does not do? ****** |
Antitussive - suppr cough and resp
Diminish uterine contractions Sup neonatal resp Less constip and urin ret |
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Demerol
Used in? *** |
Labor
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Why is it contraindicated in pt with chronic pain?
****** |
Short duration
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Demerol will do what to BP?
***** |
Lower BP
Check 30 min after |
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Opiod Agonist Antagonist
What it is? **** |
A new class of drugs
Mixed 2 meds One that works against the other drug |
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Opiod Agonist Antagonist
are *** |
Talwin
Pentazocine Stadol Buprenex Nubain |
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Opiod Agonist Antagonist
do not give **** |
Cancer pt - risk of CNS toxicity due to high doses
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Opiod agonist Antagonist
can give |
For labor
Relieve moderate to severe pain |
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Nubain
******* |
Good for post op pt
Better than other drugs because it is to treat acute pain |
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Narcotic Antagonist
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Narcan
Rev rep and CNS depression |
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ABCDE approach to pain assessment and managment
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Ask
Believe Choose Deliver Empower |
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Complications of opioid epidural analgesia
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Nausea and vomiting
Urinary retention Constipation Resp Depressions Pruritus |
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Breakthrough Pain
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Incident Pain - Predictable pain
End of Dose pain - Wear Off Spontaneous pain - 30 min can give early |
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Transdermal Fentanyl
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100 x more potent than
morphine |
