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32 Cards in this Set
- Front
- Back
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Name 3 tasks may be delegated to UAPs regarding pain management?
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repositioning
massage straightening linens mouth care soft music using distractions |
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What tasks cannot be delegated to UAPs regarding pain management?
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pain assessment
monitoring patient's response to pain mgmt strategies evaluation of pain mgmt plan |
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The administration of analgesics prior to an invasive or operative procedure in order to treat pain before it occurs.
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preemptive analgesia
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When the doses of various opioid analgesics provide approximately the same pain relief.
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equianalgesia
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How does a fever affect the absorption of a transdermal medication?
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increases the absorption rate
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A regional / localized anesthesia where the patient loses sensation before function and regains function before sensation.
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nerve block
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What type of medication adminstration gives the patient control over their pain?
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PCA pump
(patient-controlled analgesia) |
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What is pain?
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Whatever the person says it is and existing whenever the person says it does.
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This type of pain is complex and often chronic, such as in uncontrolled diabetes, stroke, or chemotherapy.
a)nociceptive b)neuropathic c)peripheral d)vascular |
b)neuropathic
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This type of pain is the most common and occurs when pain receptors respond to stimuli that are potentially damaging, as in trauma or surgery.
a)nociceptive b)neuropathic c)peripheral d)vascular |
a)nociceptive
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Give 3 types of pain scales.
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1) simple descriptive (uses same words)
2) numeric pain intensity scale 3) visual analog scale (uses faces) 4) pain continuum |
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Give 4 responses of the body to acute pain.
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increased SBP
increased HR increased RR dilated blood vessels to the brain (inc. alertness) dilated pupils rapid speech |
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Give 4 responses of the body to chronic pain.
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decreased SBP
decreased HR changeable breathing patterns withdrawl constricted pupils slow, monotonous speech |
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What is an adjuvant medication? Give 3 examples.
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They reduce the amount of opioid the patient requires in controlling pain.
Examples: anticonvulsants antidepressants local anesthetics topical agents psychostimulants muscle relaxants neuroleptics corticosteroids |
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The process by which pain signals are facilitated or inhibited, and the perception of pain can be changed.
a)transmission b)transduction c)modulation |
c)modulation
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The process where nociceptors become activated by the perception of potentially damaging stimuli.
a)transmission b)transduction c)modulation |
b)transduction
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The process where peripheral nerves carry the pain message to the dorsal horn of the spinal cord.
a)transmission b)transduction c)modulation |
a)transmission
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Which nerve fibers transmit fast pain impulses (acute pain)?
a)a-delta fibers b)c fibers |
a) a-delta fibers
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Which nerve fibers transmit slow pan impulses (dull, diffuse pain)?
a)a-delta fibers b)c fibers |
b)c fibers
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Name 3 side effects of opioids analgesics.
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constipation
nausea/vomiting pruritis respiratory depression drowsiness |
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Pain that is highly resistant to relief (e.g., uncontrolled cancer).
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chronic malignant (intractable)
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Chronic back pain is this type of pain.
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chronic nonmalignant
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Which type of pain is associated with depression?
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chronic
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Which type of pain is associated with anxiety?
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acute
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The following describes the origin of pain:
superficial, localized a)referred b)deep somatic c)cutaneous d)visceral |
c)cutaneous
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The following describes the origin of pain:
stimulation of deep internal pain receptors, most commonly in the abdominal cavity, cranium & thorax a)referred b)deep somatic c)cutaneous d)visceral |
d)visceral
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The following describes the origin of pain:
involving ligaments, tendons, nerves, blood vessels, and bones a)referred b)deep somatic c)cutaneous d)visceral |
b)deep somatic
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The following describes the origin of pain:
starts at source but extends to other locations a)psychogenic b)phantom c)radiating d)referred |
c)radiating
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The following describes the origin of pain:
occurs in an area distant from the original site (e.g., heart attack) a)psychogenic b)phantom c)radiating d)referred |
d)referred
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The following describes the origin of pain:
originates from an area that has been surgically removed a)psychogenic b)phantom c)radiating d)referred |
b)phantom
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The following describes the origin of pain:
arises from the mind, but no physical cause can be found a)psychogenic b)phantom c)radiating d)referred |
a)psychogenic
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Describe the mneumonic PQRST for pain assessment.
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P - provocative (precipitating factors)
Q - quality (client's terms) R - region/radiating (location) S - severity (intensity) T - timing |
