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17 Cards in this Set

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Signs and Symptoms of pain
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!
for ACUTE pain
Administer pain medications for acute pain without fear of addiction to the medication.
Patient should get medication when pain is?
painful but not excruciating because you will not get the pain to come down from horrible!
How to Document Pain
PQRST
Provoke factor (onset/duration)
Quality (Burning/shooting etc)
Region
Severity (pain scale)
Timing
Always remember to assess other forms of discomfort
Full bladder
Catheter or tubing
Position causing compromised circulation.
We are not the police is...

Pain administration Side notes..
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..
Non pharmacologic pain relief
muscle relaxation
Environment
meditation
Hypnosis
Biofeedback (Pt is tought to know vital signs and control their reaction to pain with breathing)
Administering PRN meds
Assess pain (vital signs)
Check Chart (Last meds recieved)
Select appropriate medication as ordered
Assess response to intervention at regular intervals.
Patient-Controlled Analgesia (PCA)
ONLY the PATIENT can push the button.
Meds used with PCA
Morphine
Dilaudid
Demerol
Patient Population NOT for PCA
elderly, young children, and any confused patients.
In the order for a PCA
continuous infusion or not?
Bolus dose?
Lock out time?
4 hour dose limit?
PCA side notes
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
OLDER adults (PCA and meds)
start low and go slow...
Analgesics last longer in older adults (increased risk for side effects and toxicity)
Palliative Pain Relief
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
Adjunct meds
Antiemetics Antidepressants
Corticosteroids
NSAIDS
MORPHINE
dilute it (can be painful to the vein) and use in distant port it can drop BP and make them whoozy.