Management Of Pain

Front 1

considered to be the 5th vital sign

Back 1

pain

Front 2

sever discomfort or uncomfortable sensation with a sudden onset, usually subsides with treatment

Back 2

Acute Pain

Front 3

Persistent or recurring pain that contiumes for more then six months.

Back 3

Chronic Pain (nonmalignant or benign)

Front 4

Pain that persists beyond normal heling period. Non life threatening

Back 4

chronic

Front 5

Stimuli damage tissues or has potential to do so if prolonged

Back 5

Nociceptive Pain

Front 6

arises from bone, joint, muscle, skin or connnective tissue. Aching throbbing, well localized

Back 6

Somatic

Front 7

arises from panceas, or gi tract.

Back 7

visceral

Front 8

tumor aching is

Back 8

well localized

Front 9

cramping poorly localized

Back 9

obstruction

Front 10

Abnormal processing of sesory input by nervous system

Back 10

Neuropathic pain

Front 11

Injury to either peripheral or Cns (phantom)

Back 11

Deafferentation

Front 12

dysregularion of autonomic nerfus system

Back 12

sympathetically maintained

Front 13

centrally generated

Back 13

deafferentation
sympathetically maintained

Front 14

peripherally generated

Back 14

polyneuropathies

Front 15

centrally generated

Back 15

deafferentation
sympathetically maintained

Front 16

pain along a peripheral nerve (diabetic)

Back 16

polyneuropathies

Front 17

nerve root compression, entrapment

Back 17

mononeuropathies

Front 18

send pain signal along peripheral nerve fibers iwth neurotransmitters.

Back 18

nociceptors

Front 19

cells release prostaglandins (increase pain) potassium bradykinin.

Back 19

nociceptors

Front 20

sharp well localized pain after injury

Back 20

A delta

Front 21

dull, poorly localized persistent pain after injury

Back 21

C fiber

Front 22

Substance P allows impulse to travel to spinothalamic tract

Back 22

Dorsal horn of spinal cord

Front 23

motor impulses travel along ? to cause a contraction of muscle near site of stimulation and withdrawl

Back 23

efferent nerve fibers

Front 24

when released from the brain, cord, gi tracte this causes analgesia

Back 24

endorphines and dynophins

Front 25

WHat released from the brain and dorsal horn, inhibits pain transmission

Back 25

serotonin

Front 26

pain impulses ascend to spinal cord to somatosensory and ? cortex

Back 26

association

Front 27

dorsal horn of spinal cord, thalamus, limbric system as as what

Back 27

gate that can be opened to pass pain impulse along or closed to block transmission

Front 28

if imput dominates from A-beta fibers, gate will

Back 28

close

Front 29

what can be done to stimulate mechanoreceptors a beta fiber

Back 29

nurse ccan massage

Front 30

release endorphins to close gate by inhibiting substance P release

Back 30

descending neural pathways

Front 31

what elicts flight or fight reaction.

Back 31

Mild to moderate pain

Front 32

physiological responses to pain are

Back 32

increased rr hr pallor diaphoresis glucose increase muslce tension pulpil dilation.

Front 33

sever continuous or deep pain stimulates what

Back 33

PNS

Front 34

sever pain results in what to the hr, bp

Back 34

decreased. irreg breathing nausea and vomiting pallor and weakness

Front 35

factors influencing pain

Back 35

age
gender
attention

Front 36

system that processes emotional reaction to pain, aggravating or relieving it.

Back 36

Anxiety -limbric

Front 37

fatigue does what to pain?

Back 37

intensifies pain and decreases coping

Front 38

stoicism and self control moaning and crying accepted. communicating it is not.

Back 38

Mexicans

Front 39

disgraceful to express pain verbally and may refuse anagesic

Back 39

japanese

Front 40

may not complain of pain except to family, or eldest male

Back 40

chinese

Front 41

germans and scandinavians handle pain by being

Back 41

stoic

Front 42

punishment from god for sinful thinking or behavior, suffering is part of ones fate, sacrament of sixk mandatory

Back 42

catholic

Front 43

disease pain and suffering is gods will, and are part of expiating sin. some may not adhere to therapy because of fatalistic views

Back 43

muslim

Front 44

believe illness is result of actions in this or previous lifes

Back 44

budhists

Front 45

disease pain and suffering is gods will, and are part of expiating sin. some may not adhere to therapy because of fatalistic views

Back 45

muslim

Front 46

nonpharmacologial pain relief include

Back 46

acupressure, relaxation , guided imagery, distration, biofeedback, cutaneous stimulation to close gate, massage ice

Front 47

a child with reyes syndrome do not use

Back 47

ASA

Front 48

side effects of opioids

Back 48

constipation, sedation, nausea and vomiting

Front 49

vertigo, faintness when standing, decreased bp and increased sweating are side effects of

Back 49

Opiod

Front 50

cancer pain relief, acute pulm adema sever pain

Back 50

morphine

Front 51

this type of pain relief can cause hepatic toxicity rash pruritis respiratory depression

Back 51

morphine

Front 52

opiods should not be used if Rr is less then

Back 52

12

Front 53

pain med perferred for biliary colic, pancreatitis.less apt to release histamine

Back 53

demerol

Front 54

do not use this pain med with head injury and increased intracranial pressure because neuro stats masked

Back 54

demerol (copd)

Front 55

Do not use this med older adutls impaired renal or liver function

Back 55

Demerol

Front 56

dermal patch for cancer pain

Back 56

transdermal fentanyl

Front 57

onset is 12-18 hourse will continure giving short term analgesia until onset

Back 57

transdermal fentanyl

Front 58

sustained release for chronic pain relief

Back 58

oxycodones

Front 59

to be administered atc, not prn

Back 59

oxycontin

Front 60

use what? for pruritis

Back 60

antihistamines

Front 61

use this for nausea, vomiting

Back 61

antiementics