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72 Cards in this Set
- Front
- Back
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what is pain in response to damaging stimuli, "normal pain"
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nociceptive pain
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what is pain that involves neuronal supersensitivity, "phantom pain"
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neuropathic pain
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what type of pain originiates from thorax, abdomen, or pelvis
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visceral pain
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what type of pain occurs in the musculoskeletal system or skin
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somatic pain
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what type of pain is caused by tissue damage that triggers release of chemical mediators that stimulate nerve endings
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acute pain
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histamine, bradykinin, PG release causes what type of pain
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acute pain
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pain may vary in
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quality
frequency severity duration |
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OTC analgesic are more effective at treating what types of pain
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somatic
acute |
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what types of pain respond to OTC analgesics
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HA
dysmenorrhea tooth pain backaches pain due to OA muscle aches due to exercise |
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what HA are responsive to OTC
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tension
clustor diagnosed migraine coexisting migraine and tension sinus |
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what is pain that involves neuronal supersensitivity, "phantom pain"
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neuropathic pain
|
|
|
what is pain in response to damaging stimuli, "normal pain"
|
nociceptive pain
|
|
|
histamine, bradykinin, PG release causes what type of pain
|
acute pain
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|
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what type of pain originiates from thorax, abdomen, or pelvis
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visceral pain
|
|
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what is pain that involves neuronal supersensitivity, "phantom pain"
|
neuropathic pain
|
|
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pain may vary in
|
quality
frequency severity duration |
|
|
what HA are responsive to OTC
|
tension
clustor diagnosed migraine coexisting migraine and tension sinus |
|
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what type of pain originiates from thorax, abdomen, or pelvis
|
visceral pain
|
|
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what type of pain is caused by tissue damage that triggers release of chemical mediators that stimulate nerve endings
|
acute pain
|
|
|
histamine, bradykinin, PG release causes what type of pain
|
acute pain
|
|
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what type of pain occurs in the musculoskeletal system or skin
|
somatic pain
|
|
|
histamine, bradykinin, PG release causes what type of pain
|
acute pain
|
|
|
pain may vary in
|
quality
frequency severity duration |
|
|
OTC analgesic are more effective at treating what types of pain
|
somatic
acute |
|
|
pain may vary in
|
quality
frequency severity duration |
|
|
OTC analgesic are more effective at treating what types of pain
|
somatic
acute |
|
|
what type of pain is caused by tissue damage that triggers release of chemical mediators that stimulate nerve endings
|
acute pain
|
|
|
OTC analgesic are more effective at treating what types of pain
|
somatic
acute |
|
|
what types of pain respond to OTC analgesics
|
HA
dysmenorrhea tooth pain backaches pain due to OA muscle aches due to exercise |
|
|
what type of pain occurs in the musculoskeletal system or skin
|
somatic pain
|
|
|
what types of pain respond to OTC analgesics
|
HA
dysmenorrhea tooth pain backaches pain due to OA muscle aches due to exercise |
|
|
what HA are responsive to OTC
|
tension
clustor diagnosed migraine coexisting migraine and tension sinus |
|
|
what types of pain respond to OTC analgesics
|
HA
dysmenorrhea tooth pain backaches pain due to OA muscle aches due to exercise |
|
|
what HA are responsive to OTC
|
tension
clustor diagnosed migraine coexisting migraine and tension sinus |
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what type of HA is triggered by nervous tension, mental fatigue, stress, depression, anxiety, poor posture, clinching jaw
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tension HA
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what type of HA feels like a band encircling head and temples
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tension HA
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what type of headache will shivering, cold temperature increase the pain
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tension HA
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what is an Episodic and Chronic tension HA
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episodic - lasts minutes to days
chronic - 15 days/month for 6 months |
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what type of tension HA would you see SOB, palpitations, wt loss, constipation, fatigue
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chronic tension HA
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why should you avoid Caffeine containing analgesics when treating tension HA
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may cause rebound headaches
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what are triggers for cluster HA
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napping
strong odors |
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Jill experiences 2-8 HA/daily and this has been ongoing for 1-12 weeks what type of HA does she have
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cluster
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what type of HA do you experience exhaustion after HA but no residual pain
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cluster
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what type of HA is characterized by "RED HOT POKER INTO THE EYE"
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cluster
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what HA is associated with excessive tearing, ptosis of eyelid, redness of eye, edema of lid
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cluster HA
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why do pt with cluster HA feel restless
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because lying down worsens the pain
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what HA is characterized by auras and throbbing
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migraine
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what HA may you see tinnitus, photophobia, vertigo
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migraine
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what HA may be triggered by oversleeping, fasting/missing meal, vasoactive substance in food, caffeine, alcohol, altitude changes
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migraine
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what are some treatment options for Migrain HA
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cold packs w/ pressure
NSAID or APAP mg if deficient |
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Jill has migraines all the time when she's about to start her menstrual cycle would you treat with a APAP or NSAID and why
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NSAID is preferred over APAP when the HA onset is predictable
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what type of HA is localized to forehead or periorbital area
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sinus HA
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what do you use to treat alcohol and fever induced HA
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apap or nsaid
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rebound/withdrawl HA occur when using NSAID/caffeine/opiods for how long
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3 months or more
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what are exclusions to self treatment of HA
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3rd trimester of pregnancy
< 7 years old HA that persists beyond 10 days w/ or w/o treatment pts with high fever or signs of infection hx of liver disease or consumes >3 alcoholic beverages a day migraine w/o diagnosis |
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what are exclusions to self treatment of joint pain
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3rd trimester of pregnancy
<7 years old pain that persists or worsens after 10 days of treatment pt w/ high fever or serious infection |
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what type of joint pain isn't treated with OTC
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RA
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how long is morning stiffness if RA and OA
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OA < 30 mins
RA > 45 mins |
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what are exclusions to treating Dysmenorrhea
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symptoms inconsistent with primary dysmenorrhea (onset after age 25, onset at time other than menses)
allergy to NSAID, ASA use of warfarin, heparin, lithium irregular cycles, endometriosis, ovarian cysts, PID, infertility active GI disease (PUD, GERD, UC) bleeding disorder |
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what is the normal temp in adults and children
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adults - 97.7 - 99.5 (36.5 - 37.5)
kids - 97 - 100 (36.2 - 37.8) |
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why would you not base presence of infection w/ fever
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elderly may not present with fever even when septic
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what is the temperature at these various sites
rectal oral axillary ear |
rectal 101.8
oral - 100 axillary - 99 ear - 100.4 |
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what causes a fever
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prostaglandin release (stimulated by IL1 which is produced by pyrogens) that increases the thermoregulatory set point
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in children at what temp do you treat seizures
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102 (38.9C)
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what temp do fever complications usually occur, why are elderly at more of a risk for complications, and what disease states could treatment be life threatening
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complications usually occur w/ > 106 F
elderly at more risk b/c decrease perspiration ability and thirst perception life threatening at lower temps with pulmonary dysfunction and heart disease |
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what are the differences b/t simple and complex febrile seizures
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simple - <15 mins and doesn't recur during febrile episode
complex - >15 mins and recur during febrile episode |
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when do you refer pt with a fever
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< 3 months with temp > 101F
> 3 months with temp > 104F or oral equivalent fever persists after 3 days of tx fever increases during treatment |
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what are the non drug treatments for fever
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tepid water
room temp of 78 wear light clothing, no blankets drink fluids -kids 1oz/hr adults 2-3oz/hr |
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how do antipyretics treat fever
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inhibit PGE synthesis and reduce hypothalamic set point during fever
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what drugs should be avoided in children when treating fever
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ASA and ASA containing products
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what is the max duration of therapy for fever
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3 days max in adults and kids
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what is the duration of therapy of pain
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adults 10 days max
children -5 days w/ APAP -3 days w/ Ibuprofen |
