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18 Cards in this Set

  • Front
  • Back
What is the 5th vital sign?
Pain
What is pain?
A personal phenomenon that cannot be experienced by another person.
How do you assess the effectiveness of a pain med on a child?
After med administration, observe the child's response to the med and document.
List some principles of pain management in children.
*Question the child
*Use pain rating scale
*Evaluate
*Secure parents' involvement
*Take cause into account
*Take action and evaluate
What is a common indicator of pain in toddlers?
Inability to sleep.
What is the result if pain is not controlled?
Exhaustion
How should you treat chronic pain?
Listen to the stories the patient tells of how they deal with their pain at home.
List some key concepts of pain management.
*Pain med before pain becomes severe
*Obtain a good pain history
What should be noted about opioid-agonist type narcotics?
There is no analgesic ceiling.
What are 2 misconceptions regarding pain management?
1.The therapeutic dose of morphine for a child is actually 0.05 - 0.01mg/kd/dose
2.The therapeutic dose of narcan for a child is actually 5 - 10mg IV q2-3 min
What are causes of nonmalignant pain?
Non-life threatening pain
What is one important way a nurse can manage pain?
Teach the patient and family about appropriate dosing/side effects of meds and nonpharmacological strategies.
What are 3 concepts of pain management that you must remember?
1.Believe what the patient is telling you.
2.Do not be judgemental
3.Pain is subjective
What are some barriers in treating pain in the geriatric population?
*Cognitive dysfunction
*Multiple health issues
*Decreased sensory function
*Medication interactions
What drugs increase the effectiveness of opioids?
Nonsteroidal anit-inflammatory drugs.
List some NSAIDS.
*Ibuprofen
*Indomethacin
*Ketorlac
*Diclofenad
*Neproxen
Identify the most important ethical duty of a nurse.
Provide optimum comfort for our patients.
List some non-pharmacological methods for treating chronic pain.
*Relaxation therapy
*Distraction therapy
*Music Therapy
*Laughter
*Cutaneous stimulation
*TENS
*Massage
*Acupuncture
*Guided imagery
*Exercise