Med Surg Final

Front 1

Signs and Symptoms of pain

Back 1

Increase BP Pulse and R
Diaphoresis
Increased muscle tension
Nausea and Vomiting

TREAT THE PAIN TO RELIEVE THESE ASSOCIATED SYMPTOMS

Dont give the HTN meds give them pain meds!

Front 2

for ACUTE pain

Back 2

Administer pain medications for acute pain without fear of addiction to the medication.

Front 3

Patient should get medication when pain is?

Back 3

painful but not excruciating because you will not get the pain to come down from horrible!

Front 4

How to Document Pain

Back 4

PQRST
Provoke factor (onset/duration)
Quality (Burning/shooting etc)
Region
Severity (pain scale)
Timing

Front 5

Always remember to assess other forms of discomfort

Back 5

Full bladder
Catheter or tubing
Position causing compromised circulation.

Front 6

We are not the police is...

Pain administration Side notes..

Back 6

what the patient says it is..

Lower levels of pain are easier to reduce/control than higher levels of pain..

Wake patient to to administer meds..

Front 7

Non pharmacologic pain relief

Back 7

muscle relaxation
Environment
meditation
Hypnosis
Biofeedback (Pt is tought to know vital signs and control their reaction to pain with breathing)

Front 8

Administering PRN meds

Back 8

Assess pain (vital signs)
Check Chart (Last meds recieved)
Select appropriate medication as ordered
Assess response to intervention at regular intervals.

Front 9

Patient-Controlled Analgesia (PCA)

Back 9

ONLY the PATIENT can push the button.

Front 10

Meds used with PCA

Back 10

Morphine
Dilaudid
Demerol

Front 11

Patient Population NOT for PCA

Back 11

elderly, young children, and any confused patients.

Front 12

In the order for a PCA

Back 12

continuous infusion or not?
Bolus dose?
Lock out time?
4 hour dose limit?

Front 13

PCA side notes

Back 13

Verbal orders are only for a change in infusion not for starting the PCA.

Programmed and locked 2 RN check
Pump reviewed Q4h

NARCA and oxygen near bed side

Front 14

OLDER adults (PCA and meds)

Back 14

start low and go slow...
Analgesics last longer in older adults (increased risk for side effects and toxicity)

Front 15

Palliative Pain Relief

Back 15

Relief of pain when a cure for the illness is not possible

Administer based upon client's level of pain (increase as pain increases)

Typically on schedule not on PRN

Front 16

Adjunct meds

Back 16

Antiemetics Antidepressants
Corticosteroids
NSAIDS

Front 17

MORPHINE

Back 17

dilute it (can be painful to the vein) and use in distant port it can drop BP and make them whoozy.